Assessment of magnitude and factors associated with birth. Pdf assessment of focused antenatal care utilization and. The world health organization recommends a minimum of four antenatal care visits. Aug 14, 2018 prenatal care sometimes referred to as antenatal care is crucial in reducing infant mortality rate and maternal deaths. Antenatal care strengthening for improved quality of care. Most commentators recognize at least five different components of access, including physical availability of services, distance andor time to a facility, economic and other costs. Antenatal care utilization and its associated factors among. Antenatal care strengthening for improved quality of care in.
Antenatal and postnatal care service utilization in southern ethiopia. Ayele ta, azale t, alemu k, abdissa z, mulat h, fekadu a 2016 prevalence and associated factors of antenatal depression among women attending antenatal care service at gondar university hospital, northwest ethiopia. The world health organization who recommended focused anc. Prevalence, antenatal care, utilization, associated factors 1. Provision of quality laboratory services is an essential aspect of a promoting safe motherhood and better outcomes for newborn. Effects of antenatal care and institutional delivery on. The world health organization who focused antenatal care fanc model recommends a minimum of four anc visit and the first visit to be within the first 16 weeks of gestation 3, 4. Satisfaction with focused antenatal care service and. The proportion of late entry to antenatal care was 64.
Despite the fact that quality antenatal care is one of the essential aspects in maternal and child health care, the current perceived quality and associated factors of this service is not well acknowledged in ethiopia. Assessment of focused antenatal care utilization and associated. Ethiopian federal ministry of health federal democratic republic of ethiopia ministry of health the ethiopian federal ministry of health fmoh and the regional health bureaus rhbs have developed this innovative blended learning programme in partnership with the heat team from the open university uk and a range of. The prevalence of pregnant mothers that attended focused antenatal care in ethiopia showed dynamic change from time to time 4. Antenatal care service which is among strategies to maintain maternal and fetal wellbeing is strongly recommended to be initiated early during pregnancy. Antenatal care fanc as part of monitoring womens health and offering preventive services 1. Utilization of focused antenatal care service and associated factors among women in southern ethiopia article pdf available january 2019 with 21 reads how we measure reads. Antenatal care is one of the most effective interventions in reducing maternal mortality in the developing world. Ethiopia demographic health survey 2011results show that 34 percent of women received antenatal care from a trained health professional at least once for. To assess the magnitude and factors associated with birth preparedness and complication readiness among pregnant women attending antenatal care services at public health facilities in debrebirhan town, amhara, ethiopia. Antenatal care anc, use of skilled delivery attendants and postnatal care pnc services are key. We aimed to assess inequities in the use of antenatal care on the basis of area of residence, administrative region, economic status and education. Involvement of male in antenatal care, birth preparedness and complication readinessand associated factors in ambo town, ethiopia article pdf available january 2016 with 1,341 reads how we.
Currently, it is regarded as a basic component of maternal health care on which the life of mothers and babies depend 2. Determinants of focused antenatal care service satisfaction in public. Prevalence of antenatal depression and associated factors. Jul 24, 2018 current evidence at global level showed that antenatal care increases delivery and postnatal care services use. Delayed initiation of antenatal care and associated. Antenatal care anc refers to a care before birth, and. The posts on this blog do not necessarily reflect the views of the maternal health task force.
The world health organization has issued a new series of recommendations to improve quality of antenatal care to reduce the risk of stillbirths and pregnancy complications and give women a positive pregnancy experience. Most women receive blood pressure measurement, blood tests, and midwives trained in life saving obstetric care, as well as providing care antimalarial treatment during anc. A crosssectional study nejimu biza1 and hussein mohammed2 abstract health service utilization among pastoralists in ethiopia is not well documented. Research article antenatal care strengthening in jimma, ethiopia. Hence, this study assessed the antenatal care utilization and its associated factors among pregnant women in boricha district, southern ethiopia. Ethiopia has been implementing focused antenatal care package to reduce maternal and child deaths. The objective of this evidence brief is to summarize the best available evidence describing the low levels of antenatal care service utilization in ethiopia and to outline potential solutions to. Pdf utilization of focused antenatal care service and. Focused antenatal care service utilization and associated.
Quality of antenatal care services in demba gofa woreda, gamo. Focused antenatal care service utilization and associated factors in damot sore district, southern ethiopia, community based cross sectional study. We describe the current coverage and trends in africa and explore opportunities to strengthen antenatal care at the health facility,through outreach and in the community. While some studies have looked at different risk factors for antenatal care anc. Utilization of maternal health care services in ethiopia yared mekonnen asnaketch mekonnen ethiopian health and nutrition research institute addis ababa, ethiopia orc. This study was based on data from repeated crosssectional surveys carried out by measure demographic and health survey and central statistical authority of. Focused antinatal care service utilization and associated. This study aimed to determine the prevalence of antenatal depression and associated factors among pregnant women in addis ababa, ethiopia. Delayed initiation of antenatal care and associated factors in ethiopia. Apr 11, 2015 interventions for curing most diseases and save lives of pregnant and delivering women exist, yet the power of health systems to deliver them to those in most need is not sufficient. Delayed initiation of antenatal care and associated factors. Antenatal care utilization and its associated factors.
The survey was implemented by the ethiopian central statistical agency csa. We assessed how health system priorities matched user expectations and what the needs for antenatal care anc strengthening were for improved maternal health in jimma, ethiopia. Pastoralism and antenatal care service utilization in. Ethiopia demographic health survey 2011results show that 34 percent of women received antenatal care from a trained health professional at least once for their last birth. Utilization of maternal health care services in ethiopia yared mekonnen asnaketch mekonnen ethiopian health and nutrition research institute addis ababa, ethiopia orc macro calverton, maryland, usa november 2002. Current evidence at global level showed that antenatal care increases delivery and postnatal care services use.
Utilization of maternal health care services in ethiopia. In most rural settings of ethiopia, there are challenges in increasing. A crosssectional study was employed among 393 pregnant women attending antenatal care service in addis ababa public health centers, ethiopia from april 1226. Pastoralism and antenatal care service utilization in dubti district, afar, ethiopia, 2015. However, in ethiopia the utilization of maternal health care is low. Early initiation of antenatal care and factors associated. Providing focused antenatal care study session providing focused antenatal care introduction. So, the purpose of this study is to assess satisfaction with focused antenatal care service and associated factors among pregnant women attending focused antenatal care at health centers in jimma town. Research article antenatal care strengthening in jimma.
Yinager gebeyehu workineh, desta aregawi hailu, factors affecting utilization of postnatal care service in amhara region, jabitena district, ethiopia, science. However, studies on level of client satisfaction with focused antenatal care and associated factors are lacking. Prevalence and associated factors of antenatal depression. Prenatal care is a preventive healthcare and regular checkups on expectant women by doctors or midwives with the aim of treating or preventing any health problem during pregnancy while ensuring that the mother adopts a healthy lifestyle both for the baby and herself. Mothers attending shebedino district health centers for anc between january 12 and february 18. According to data from the recent national demographic and health surveys. Determinants of maternal health service utilization in ethiopia. Research open access determinants of antenatal and delivery. The use of mhealth for maternal health care in ethiopia.
The availability and functional status of focused antenatal. Interventions for curing most diseases and save lives of pregnant and delivering women exist, yet the. The data were obtained at health facilities level in a single survey within 1 month and there is no continuation part of this study or previously published part elsewhere. Potential predictor variables were age of the mother, marital status, maternal occupation and educational status, possession of microfinance bank account, place of residence, sex of infant, place of delivery, and antenatal care. Ato mohammed hussein abeseko, unicef ethiopia and the federal ministry of health ato tedla mulatu, amref ethiopia the cover design for antenatal care is by chris hough and glen darby, learning and teaching solutions, the open university uk. The aim of this study was to determine the magnitude of late initiation of antenatal care visit and associated factors among antenatal care follow up women in tselemte district health facilities. Antenatal care anc is care given to pregnant mothers to timely identify and mitigate pregnancy related problems that can harm mother or fetus. Determinants of maternal health service utilization in. Utilization of focused antenatal care service and associated factors.
Current status of antenatal care utilization in the context. Research article open access utilization of pmtct services. Nov 15, 2017 antenatal care uptake is among the key indicators for monitoring the progress of maternal outcomes. Antenatal care uptake is among the key indicators for monitoring the progress of maternal outcomes. The 2011 ethiopia demographic and health survey 2011 edhs is part of the worldwide measure dhs project which is funded by the united states agency for international development usaid. The established and comprehensive health program called health extension program, hep, aims to improve the access to health care for women and children in ethiopia. This study has measured the utilization of focused antenatal care services in terms of regularity of frequency.
Little is known about factors contributing to inequities in antenatal care use in ethiopia. Quality of care for prevention and management of common. The aim of this paper was to assess determinants of early antenatal care initiation among pregnant women. Knowledge towards antenatal care and service utilization among women in fiche town, north shewa, ethiopia rebik shukure 1, tesfahun simegnew 2 1department of nursing, faculty of health science, salale university, fiche, ethiopia 2department of nursing, collage of health science, addis ababa university, addis ababa, ethiopia. Focused antenatal care, southern ethiopia, utilization. Timing and factors associated with first antenatal care. Trained nurses administered structured questionnaires to collect data on sociodemographic characteristics, knowledge about mtct, practice of hiv testing and satisfaction with the antenatal care services. Pdf focused antenatal care service utilization and associated. Prenatal care sometimes referred to as antenatal care is crucial in reducing infant mortality rate and maternal deaths. Introduction antenatal careanc is a care provided by skilled health personnel to a pregnant woman throughout her pre gnancy 1. Early initiation of antenatal care facilitates the timely management and treatment of pregnancy complications to reduce maternal deaths. Potential policy options to address the need for improving antenatal care coverage and service utilization in ethiopia include the following. Disparities in the use of antenatal care service in. Improving antenatal care services utilization in ethiopia.
This chapter will outline the anc package,highlighting the shift to a fourvisit model of focused antenatal care for the majority of women. Determinants of maternal health care utilization in holeta. Interventions for curing most diseases and save lives of pregnant and delivering women exist, yet the power of health systems to deliver them to those in most need is not sufficient. In part 1 of the antenatal care module, you have learned mainly about how the human reproductive system is structured anatomically and how it functions, the normal process and adaptation of pregnancy, the general assessment of the progress of pregnancy, and how to. Antenatal and postnatal care service utilization in southern. A community based crosssectional study was conducted from january, 2015 to october 2015. Introduction antenatal care anc, along with family planning, skilled delivery care and emergency obstetric care is a key element of the package of service aimed at improving maternal and new born health 1. Determinants of antenatal and delivery care utilization in. Pdf focused antenatal care service utilization and. The outcome of antenatal care anc on maternal mortality is. This study was therefore undertaken to assess focused antenatal care service utilization and associated factors in western ethiopia. Full text factors associated with late anc initiation.
Introduction antenatal care anc is a care provided by skilled health personnel to a pregnant woman throughout her pre gnancy 1. Antenatal care may play an indirect role in reducing maternal mortality by encouraging women to deliver with assistance of a skilled birth attendant or in a health facility. The effect of antenatal care on use of institutional delivery. A questionnaire survey among all recent mothers in the study area was conducted to study the content of anc and to identify the predictors of low anc satisfaction. Nov 19, 2015 potential predictor variables were age of the mother, marital status, maternal occupation and educational status, possession of microfinance bank account, place of residence, sex of infant, place of delivery, and antenatal care. Social determinants of antenatal care service use in ethiopia. Knowledge towards antenatal care and service utilization.
However, global estimates indicate that only about half of all pregnant women receive this recommended amount of care. Quality of antenatal care services in demba gofa woreda, gamo gofa zone, rural ethiopia, niguse mekonnen, tezera moshago berheto, shimeles ololo and fikru. A study of ethiopias hospitals vii acknowledgments the primary purpose of this study was to generate practical information to guide decisionmaking about improving the quality of facilitybased maternal and newborn health services in ethiopia. A crosssectional study was conducted from january 20 to february 20, 2012 in holeta town, central ethiopia, to assess the determinants of maternal health care utilization among women who had given birth in the past three years prior to the survey. Full text factors associated with late anc initiation among. Currently, it is regarded as a basic component of maternal health care on which the life of. In this light, little has been documented on both the quality of nurseclient interactions during antenatal care and on theory based maternal health nursing. The use of mhealth for maternal health care in ethiopia dissertation to obtain the degree of doctor at maastricht university, on the authority of the rector magnificus, prof. Health program improves pregnancy and delivery care in. In ethiopia, antenatal care utilization is generally low, and delayed initiation of care is very common. With a maternal mortality ratio of 673 per 100,000 live births and 19,000 maternal deaths annually, ethiopia is a major contributor to the worldwide death toll of mothers.
The government of ghana adopted the world health organizations who focused antenatal care fanc approach in 2002 in an attempt to address the comparatively high maternal mortality rate and to improve access, quality and continuity of antenatal care anc to pregnant women. This study was based on data from repeated crosssectional surveys carried out by measure demographic and health survey and central statistical. Ethiopian public health institute, addis ababa, ethiopia. Focused antenatal care service utilization and associated factors in damot sore district, southern ethiopia, community based cross. Federal democratic republic of ethiopia ministry of health the ethiopian federal ministry of health fmoh and the regional health bureaus rhbs have developed this innovative blended learning programme in partnership with the heat team from the open university uk and a range of medical experts and health science specialists within ethiopia. The effect of antenatal care on use of institutional. Current status of antenatal care utilization in the. Research open access determinants of antenatal and. Antenatal care anc is a special care given for women during pregnancy and it is regarded as the cornerstone for improving perinatal outcomes 1, 2. Federal democratic republic of ethiopia ministry of health. Focused antenatal care service utilization and associated factors in damot sore district, southern ethiopia, community based cross sectional study article pdf available january 2017 with.
Improving maternal health in ethiopia is a major public. A study in yirgalem town and in the surrounding southern nations, nationalities, and peoples region snnpr of ethiopia showed that womens education, inadequate household income, and unwanted pregnancy were important predictors of antenatal care utilization 10. Aug 25, 2014 antenatal care service which is among strategies to maintain maternal and fetal wellbeing is strongly recommended to be initiated early during pregnancy. Factors associated with late anc initiation among pregnant women in select public health centers of addis ababa, ethiopia. A mixedmethod needs assessment sarahfredstedvilladsen, 1,2 brittpinkowskitersbol, 3 derejenegussie, 4 abebegebremariam, 5 abebechtilahun, 6 henrikfriis, 1 andvibekerasch 7 department of nutrition, exercise and sports, faculty of science, university of copenhagen, rolighedsvej.
Therefore, this metaanalysis was done to identify the effect of antenatal care on institutional delivery and postnatal care services use in ethiopia. Antenatal care strengthening for improved quality of care in jimma, ethiopia. Quality of care for prevention and management of common maternal and newborn complications. To developing world where there is uncommon practice of prepregnancy care and support, timely commencement is crucial in getting potential benefits from some of the elements of the care. We acknowledge the vital contributions of the programme coordinators within ethiopia. We aimed to systematically identify and synthesize. Focused antenatal care in tanzania maternal health task. By focusing on a positive pregnancy experience, these new guidelines seek to. Factors affecting utilization of postnatal care service in.
A facility based unmatched case control study melese wegayehu gedle department of reproductive health, college of health sciences, mekelle university, mekelle, ethiopia teklemariam ergat yarinbab. According to tesfay gebrehiwot, some of the results of the program are clearly improved coordination of prenatal care, delivery care and postnatal care of women. Antenatal and postnatal care service utilization in. Pastoralism and antenatal care service utilization in dubti. Disparities in the use of antenatal care service in ethiopia. Our objective is to provide a platform for our editorial committee and other experts to post a myriad of data and evidence, as well as opinionsviews that exist in the field which will contribute to expanding the maternal health dialogue. Proportion and factors associated with late antenatal care. But previous studies in ethiopia indicate contrasting results.