DETERMINANTS OF FOCUSED ANTENATAL CARE USE AMONG PREGNANT WOMEN, ATTENDING DELIVERY, IN KARAMARA HOSPITAL, JIGJIGA TOWN, SOMALI REGION, EAST ETHIOPIA
Keywords:Focused antenatal care, Pregnant women, Determinants, Somali region, Ethiopia
Objective: The aim of the study was to assess the determinants of focused antenatal care (ANC) use among pregnant women attending delivery in Karamara Hospital at Jigjiga town, Somali region, East Ethiopia from February to March 2017.
Methods: Unmatched case–control study was conduct in Karamara hospital at Jigjiga town. A total of 366 women 183 cases and 183 controls were selected by convenience sampling techniques. Data were collected by trained data collectors using face-to-face interview of women. Logistic regression model was used to determine the predictors of focused ANC nonuse. Variables with p<0.05 and 95% confidence interval were considered as statistically significant.
Results: The study revealed that 80.3% of women had ANC follow-up in their last pregnancy. About 39.3% of women had FANC visit. Urban resident women (AOR=3.1, 95% CI [1.418, 7.211]), knowledge of danger signs of pregnancy (AOR=3.5, 95% CI [1.886, 6.832]), knowledge of days FANC services provision (AOR=4.4, 95% CI [1.86, 10.59]), existence of tradition believe about FANC (AOR=0.16, 95% CI [0.079, 0.347]), distance less than or equal 1 h (AOR=2.2, 95% CI [0.838, 5.850]), existence of health facility (AOR=3.14, 95% CI [1.38, 7.544]), information form health-care provider (AOR=3.6, 95% CI [1.04, 12.83]) delivery than their counterpart, and payment needed to use FANC (AOR=0.138, 95% CI [0.057, 0.331]) were significantly associated with FANC use.
Conclusion: Being urban resident, knowledge about danger sign of pregnancy, time to reach nearest health facility, radio/Tv use and culture were significantly associated with FANC utilization among pregnant women. Thus, efforts should be made to improve accessibility and availability of the health facility, educating of pregnant women about danger signs of pregnancy physical, information education, and communication of the benefits of FANC service were also critical area that needs intervention.
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