Uptake of Antenatal Care Among Women of Reproductive Age In Kisumu County, Kenya
Kilowua, Lydia Munteyian
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Every pregnancy is at risk of complications and hence the need to follow up in Antenatal clinic by a skilled health provider. The government of Kenya through the ministry of health offers pregnant women a focused antenatal care plan which provides an integrated care package with an aim to cut down on the incidence and prevalence of pregnancy complications. The antenatal care coverage is still low at 58% in Kenya despite the Linda mama Program that provide Antenatal care services and skilled delivery for free in all public hospitals. This study sought to describe the uptake of Antenatal Care services. Specifically, the study sought to describe the uptake of Antenatal Care services among women of reproductive age, assess how the socio-demographic features of women of reproductive age affect the uptake of antenatal care services and determine how health system factors, affect antenatal care services uptake. A descriptive cross-sectional study design was adopted. The study was conducted in Manyatta B ward, Kisumu East Sub- County, one of the 7 Sub-Counties in the region. The population under study was women of reproductive age with children aged 0-60 months. A sample of 180 women was determined using the modified formulae by Fisher. Convenience sampling was used to recruit respondents in the study. Questionnaires were used to collect data from the women of reproductive age. Descriptive statistics and chi-square tests were used to analyse data with the help of SPSS. Most (96%) respondents had attended ANC during pregnancy, though more than half (53.4%) started ANC within 3-6 months of pregnancy. Majority of the respondents, 53.4% visited in the second trimester while 25.3% visited in the third trimester. There was a significant relationship (p=0.023) between the age of the mother and attending ANC. there was a significant relationship (p=0.043) between distance to facility and attendance of ANC. Similarly, there was a significant relationship (p=0.012) between satisfaction with waiting time and attendance of ANC. Most of those who attended ANC lived near and those who indicated that they were satisfied with waiting time were more likely to have attended ANC. Results also showed that means of transport used (p=0.016), perceived quality of services (p=0.000) and perceived attitude of service provider (p=0.000) were significant as pertains to number of ANC visits. The study concluded that ANC uptake was poor. Age was the only socio-demographic feature of women affecting the uptake of antenatal care services. Health system factors affecting uptake of ANC include lack long distance to hospital, long waiting time, poor quality of services, commodity stock outs and poor attitude of staff. The study recommended that services offered by the TBA, CHW and HCW should be integrated into one package since all three have similar interest to the pregnant mother and all want a safe delivery for the mother and delivery to be done by all in the facility.