| dc.description.abstract | Background: Antenatal care (ANC), skilled delivery care and emergency obstetric care, is a
key element of the package of services aimed at improving maternal and newborn health.
Timing of antenatal care (ANC) is booking within the first twelve weeks of pregnancy. It is a
key strategy to improve maternal and infant health. However, women often only initiate ANC
after the first trimester and do not achieve the recommended number of ANC visits due to
various factors that influence ANC attendance globally with varying levels of ANC
attendance.
Objective: The purpose of study was to determine factors affecting timing of 1st antenatal
care attendance of pregnant mothers at Bukigai Health centre III Bukigai sub county Bududa
District.
Methods: This was a cross-sectional and descriptive in nature, employing quantitative
method of data collection was used to assess factors affecting timing of 1st antenatal care
attendance of pregnant mothers at Bukigai Health centre III Bukigai sub county Bududa
.District using standard questionnaires among 216 women attending ANC using consecutive
sampling method, data was analyzed using SPSS version 20.
Results: From the data analyzed, the level of timely first ANC visit was 6.5%. age (OR=2.3,
95% CI=0.06-10.24, OR=1.4 95% CI=0.11-3.96, P=0<.001), education level (OR=1.6, 95%
CI=0.33-7.32, OR=2.2, 95% CI=0.57-9.20, P=0<.001), Number of children (OR=2.3, 95%
CI=0.63-12.58, OR=3.1, 95% CI=0.52-7.03, P=0<.001), decision makers (OR=2.2, 95%
CI=.0.21-10.30, P=0<.001), distance to the health facility (OR=2.9, 95% CI=0.80-5.36,
P=0.001), availability of health workers (OR=2.0, 95% CI=0.41-5.16, P=0.021), waiting time
(OR=2.3, 95% CI=0.24-9.19, OR=2.1, 95% CI=00.38-8.90, OR=2.3, 95% CI=0.27-13.35,
P=0<.001) and health workers attitude(OR=2.1, 95% CI=0.0-2.64, OR=1.4, 95% CI=0.01-
5.01, OR=1.5, 95% CI=0.03-4.16, P=0<.001) were independently association with timely
first ANC visit
.
Conclusions and Recommendations: In conclusion, this study revealed that the timely first
ANC visit was very low at 6.5%. Therefore the study recommends that health office should
strengthen and maintain local information dissemination network on antenatal care and its
right time of commencement and community based information education and
communication on ante natal care and its right time of commencement should be organized
and implemented. | en_US |
