Uptake of Antenatal Care Services among Women of Reproductive Age in Mandera County, Kenya
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Date
2020
Authors
Adow, Ismail
Mwanzo, Isaac
Agina, Okello
Wanzala, Peter
Kariuki, James
Journal Title
Journal ISSN
Volume Title
Publisher
African Journal of Health Sciences
Abstract
BACKGROUND
Antenatal care is an opportunity for prevention and management of existing and potential
causes of maternal and newborn mortality and morbidity. The new WHO antenatal care model,
stipulates that, the first antenatal care visit takes place within the first trimester (gestational
age of <12 weeks) and then, additional seven visits. Only 37% of women in Mandera County had
utilized the recommended minimum four ANC visits.
OBJECTIVES
There was need to assess the critical factors influencing the uptake of ANC in Mandera
County Kenya, in order to enlighten stakeholders on the development of appropriate ANC Service
Provision Program. This study took the intiative of bridging the gap.
METHODOLOGY
The study adopted cross-sectional design using both quantitative and qualitative methods.
Stratified and Sample random sampling were used to get a quantity of 348 respondents. Data was
collected using questionnaire, FGDs and KIIs guides and Pearson’s Chi-square test. Multivariate
analysis using logistic regression was summarized to establish the strengths of the association.
Odds Ratio (OR) and 95% Confidence Interval (CI) were used and threshold for statistical
significance was set at p<0.05. Qualitative data was transcribed and analyzed thematically.
RESULTS
The proportion of women who utilized ANC was 83.0% and only 60.3% had attended
recommended visits. Individual factors that influenced ANC uptake were; age, level of education,
monthly income, gravida, parity and complications during pregnancy. Contextual factors that
influenced ANC were; time taken to reach health facilities, source of maternal information and
local discouragements. There was no significant relationship between Religion, marital status,
age at first pregnancy with ANC uptake.
CONCLUSION
The negative perception can change by; improving culturally sensitive ANC services
accessibility by; increasing the number of female skilled health workers and reducing traveling
time to the health facilities by conducting regular outreach services targeting villages with no close
Description
Article
Keywords
Antenatal care (ANC), Mandera, FGDs, immunization
Citation
Adow, I., Mwanzo, I., Agina, O., Wanzala, P., & Kariuki, J. (2020). Uptake of antenatal care services among women of reproductive age in Mandera County, Kenya. African Journal of Health Sciences, 33(1), 56-69.