Uptake of Antenatal Care Services among Women of Reproductive Age in Mandera County, Kenya

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dc.contributor.authorAdow, Ismail
dc.contributor.authorMwanzo, Isaac
dc.contributor.authorAgina, Okello
dc.contributor.authorWanzala, Peter
dc.contributor.authorKariuki, James
dc.date.accessioned2023-04-20T09:51:00Z
dc.date.available2023-04-20T09:51:00Z
dc.date.issued2020
dc.descriptionArticleen_US
dc.description.abstractBACKGROUND 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 closeen_US
dc.description.sponsorshipChild Health Foundation, USAen_US
dc.identifier.citationAdow, 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.en_US
dc.identifier.issn1022-9272
dc.identifier.urihttp://ir-library.ku.ac.ke/handle/123456789/25248
dc.language.isoenen_US
dc.publisherAfrican Journal of Health Sciencesen_US
dc.subjectAntenatal care (ANC)en_US
dc.subjectManderaen_US
dc.subjectFGDsen_US
dc.subjectimmunizationen_US
dc.titleUptake of Antenatal Care Services among Women of Reproductive Age in Mandera County, Kenyaen_US
dc.typeArticleen_US
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