Research Article
Volume 11 Issue 9 - 2022
Determinants for Non-Use of Antenatal Care Service during Last Pregnancy among Mothers in Abobo District, Gambella Region, Ethiopia: Case-Control Study
Asmelash Abera Mitiku1* and Abraham Lomboro Dimore2
1Gambella Regional Health Bureau, Gambella Region, Ethiopia
2Department of Epidemiology, Jimma University, Jimma, Oromia Region, Ethiopia
*Corresponding Author: Asmelash Abera Mitiku, Gambella Regional Health Bureau, Gambella Region, Ethiopia.
Received: July 21, 2022; Published: August 16, 2022




Abstract

Introduction: In developing countries where maternal mortality is fourteen times higher than developed countries, only 52% of women received the recommended number of antenatal care visits in 2014. Antenatal care (ANC) service utilization in Ethiopia is still by far below any acceptable standard. Hence, the problem still remains a challenge in the country.

Objective: The aim of the study was to identify determinants of ANC service non-utilization during last pregnancy among mothers in Abobo district, Gambella Region, Southwest Ethiopia, 2019.

Methods: A community based unmatched case-control study was conducted on 82 cases and 164 controls from March 12 to April 12, 2019. Mothers who did not utilize ANC service during their last pregnancy were considered as cases, while mothers who utilized ANC service during their last pregnancy were controls. Data entry was done using EpiData version 3.1, and analysis was made using SPSS version 20. A binary logistic regression was employed to identify significant predictors of ANC service non-utilization. Adjusted odds ratio (AOR) with 95% confidence interval (CI) was calculated to determine the strength of association and P-value < 0.05 was used to establish significant association.

Results: A total of 246 participants were interviewed in this study. The multivariable analysis showed that poor knowledge on obstetric complication [AOR: 3.17, 95%CI: (1.74 - 5.79)], negative attitude towards ANC service [AOR: 2.07, 95%CI: (1.15 - 3.76)], no media exposure [AOR: 2.32, 95%CI: (1.27 - 4.23)] and distance from ANC providing health facilities [AOR: 5.27, 95%CI: (1.02 - 27.23)] were significant predictors of ANC non-utilization.

Conclusion: The findings do support that poor knowledge about obstetric complications, negative attitude towards ANC service, no media exposure and distance from health facility showed a significant association with ANC non-utilization. It is recommended that providing awareness and health education about the ANC service is crucial for pregnant women.

Keywords: Antenatal Care Service; Pregnancy; Mothers

References

  1. Maine D. “A Framework for Analyzing the Determinants of Maternal Mortality” (2017).
  2. Lincetto O., et al. Antenatal Care. In 51-62.
  3. World Health Organization. “Monitoring Health for the SDGs” (2019): 10-14.
  4. WHO, UNICEF, UNFPA WBG and the UNPD. “Trends in Maternal Mortality: 1990 to 2015” (2015).
  5. Tsegay Y., et al. “Determinants of antenatal and delivery care utilization in Tigray region, Ethiopia: a cross-sectional study” (2013): 1-10.
  6. (MoH) FDR of E. “Health Sector Transformation Plan” (2015).
  7. Agency CS. “Ethiopian Demographic and health Survey” (2011).
  8. Central Statistical Agency. “Ethiopian Demographic and Health Survey” (2016).
  9. “Monitoring the Situation of Children and Women” (2005).
  10. United Nations NY. “The Millennium Development Goals Report 2015” (2015).
  11. Ali SA and Ali GB. “Factors-affecting-the-utilization-of-antenatal-care-among-pregnant- Factors affecting the utilization of antenatal care among pregnant women: A literature review” (2018).
  12. Tafere TE., et al. “Antenatal care service quality increases the odds of utilizing institutional delivery in Bahir Dar city administration, North Western Ethiopia: A prospective follow up study” (2018): 1-14.
  13. Regassa N. “Antenatal and postnatal care service utilization in southern Ethiopia: a population-based study” 11.3 (2011).
  14. Mulat G., et al. “Epidemiology: Open Access Antenatal Care service utilization and its associated factors among mothers who gave live birth in the past one year in Womberma Woreda, North West Ethiopia” (2015): 1-10.
  15. Tiruaynet K and Muchie KF. “Determinants of utilization of antenatal care services in Benishangul Gumuz Region, Western Ethiopia: a study based on demographic and health survey” (2019): 1-5.
  16. Dutamo Z., et al. “Maternal health care use among married women in Hossaina, Ethiopia” (2015): 1-9.
  17. Aregay A., et al. “Factors associated with maternal health care services in Enderta District, Tigray, Northern Ethiopia: A cross sectional study” 3.6 (2014): 117-125.
  18. Id GT., et al. “Application of the Andersen-Newman model of health care utilization to understand antenatal care use in Kersa District, Eastern Ethiopia” (2018): 1-20.
  19. Titaley CR., et al. “Factors associated with underutilization of antenatal care services in Indonesia: results of Indonesia Demographic and Health Survey 2002/2003 and 2007”. BMC Public Health (2010).
  20. Birmeta K., et al. “Determinants of maternal health care utilization in Holeta town, central Ethiopia” (2013): 1-10.
  21. Wilunda C., et al. “Determinants of utilisation of antenatal care and skilled birth attendant at delivery in South West Shoa Zone, Ethiopia: a cross sectional study”. Reproductive Health (2015): 1-12.
  22. Okedo-alex IN., et al. “Determinants of antenatal care utilisation in sub-Saharan Africa: a systematic review” (2019).
  23. Tura G. “Antenatal Care Service Utilization and associated Factors in Meketel Zone, Southwest Ethiopia”. Ethiopian Journal of Health Sciences 3 (2007).
  24. Antenatal S., et al. “Skilled Antenatal Care Service Utilization and Its Association with the Characteristics of Women ’ s Health Development Team in Yeky District , South-West Ethiopia: A Multilevel Analysis” (2014).
  25. Gilles MT. “Barriers to utilization of antenatal care services in eastern Nepal” 3 (2015): 1-7.
  26. Bahilu T., et al. “Factors Affecting Antenatal Care Utilization in Yem Special Woreda, Southwestern Ethiopia”. Ethiopian Journal of Health Sciences (2009): 19.
  27. Getachew T., et al. “Focused Antenatal Care Service Utilization and Associated Factors in Dejen and Aneded District, Northwest Ethiopia”. Primary Health Care4 (2014).
  28. El-khatib Z., et al. “Patterns and Predictors of Insufficient Antenatal Care Utilization in Nigeria over a Decade: A Pooled Data Analysis Using Demographic and Health Surveys” (2020): 1-14.
Citation: Asmelash Abera Mitiku and Abraham Lomboro Dimore. “Determinants for Non-Use of Antenatal Care Service during Last Pregnancy among Mothers in Abobo District, Gambella Region, Ethiopia: Case-Control Study”. EC Gynaecology 11.9 (2022): 08-17.

PubMed Indexed Article


EC Pharmacology and Toxicology
LC-UV-MS and MS/MS Characterize Glutathione Reactivity with Different Isomers (2,2' and 2,4' vs. 4,4') of Methylene Diphenyl-Diisocyanate.

PMID: 31143884 [PubMed]

PMCID: PMC6536005


EC Pharmacology and Toxicology
Alzheimer's Pathogenesis, Metal-Mediated Redox Stress, and Potential Nanotheranostics.

PMID: 31565701 [PubMed]

PMCID: PMC6764777


EC Neurology
Differences in Rate of Cognitive Decline and Caregiver Burden between Alzheimer's Disease and Vascular Dementia: a Retrospective Study.

PMID: 27747317 [PubMed]

PMCID: PMC5065347


EC Pharmacology and Toxicology
Will Blockchain Technology Transform Healthcare and Biomedical Sciences?

PMID: 31460519 [PubMed]

PMCID: PMC6711478


EC Pharmacology and Toxicology
Is it a Prime Time for AI-powered Virtual Drug Screening?

PMID: 30215059 [PubMed]

PMCID: PMC6133253


EC Psychology and Psychiatry
Analysis of Evidence for the Combination of Pro-dopamine Regulator (KB220PAM) and Naltrexone to Prevent Opioid Use Disorder Relapse.

PMID: 30417173 [PubMed]

PMCID: PMC6226033


EC Anaesthesia
Arrest Under Anesthesia - What was the Culprit? A Case Report.

PMID: 30264037 [PubMed]

PMCID: PMC6155992


EC Orthopaedics
Distraction Implantation. A New Technique in Total Joint Arthroplasty and Direct Skeletal Attachment.

PMID: 30198026 [PubMed]

PMCID: PMC6124505


EC Pulmonology and Respiratory Medicine
Prevalence and factors associated with self-reported chronic obstructive pulmonary disease among adults aged 40-79: the National Health and Nutrition Examination Survey (NHANES) 2007-2012.

PMID: 30294723 [PubMed]

PMCID: PMC6169793


EC Dental Science
Important Dental Fiber-Reinforced Composite Molding Compound Breakthroughs

PMID: 29285526 [PubMed]

PMCID: PMC5743211


EC Microbiology
Prevalence of Intestinal Parasites Among HIV Infected and HIV Uninfected Patients Treated at the 1o De Maio Health Centre in Maputo, Mozambique

PMID: 29911204 [PubMed]

PMCID: PMC5999047


EC Microbiology
Macrophages and the Viral Dissemination Super Highway

PMID: 26949751 [PubMed]

PMCID: PMC4774560


EC Microbiology
The Microbiome, Antibiotics, and Health of the Pediatric Population.

PMID: 27390782 [PubMed]

PMCID: PMC4933318


EC Microbiology
Reactive Oxygen Species in HIV Infection

PMID: 28580453 [PubMed]

PMCID: PMC5450819


EC Microbiology
A Review of the CD4 T Cell Contribution to Lung Infection, Inflammation and Repair with a Focus on Wheeze and Asthma in the Pediatric Population

PMID: 26280024 [PubMed]

PMCID: PMC4533840


EC Neurology
Identifying Key Symptoms Differentiating Myalgic Encephalomyelitis and Chronic Fatigue Syndrome from Multiple Sclerosis

PMID: 28066845 [PubMed]

PMCID: PMC5214344


EC Pharmacology and Toxicology
Paradigm Shift is the Normal State of Pharmacology

PMID: 28936490 [PubMed]

PMCID: PMC5604476


EC Neurology
Examining those Meeting IOM Criteria Versus IOM Plus Fibromyalgia

PMID: 28713879 [PubMed]

PMCID: PMC5510658


EC Neurology
Unilateral Frontosphenoid Craniosynostosis: Case Report and a Review of the Literature

PMID: 28133641 [PubMed]

PMCID: PMC5267489


EC Ophthalmology
OCT-Angiography for Non-Invasive Monitoring of Neuronal and Vascular Structure in Mouse Retina: Implication for Characterization of Retinal Neurovascular Coupling

PMID: 29333536 [PubMed]

PMCID: PMC5766278


EC Neurology
Longer Duration of Downslope Treadmill Walking Induces Depression of H-Reflexes Measured during Standing and Walking.

PMID: 31032493 [PubMed]

PMCID: PMC6483108


EC Microbiology
Onchocerciasis in Mozambique: An Unknown Condition for Health Professionals.

PMID: 30957099 [PubMed]

PMCID: PMC6448571


EC Nutrition
Food Insecurity among Households with and without Podoconiosis in East and West Gojjam, Ethiopia.

PMID: 30101228 [PubMed]

PMCID: PMC6086333


EC Ophthalmology
REVIEW. +2 to +3 D. Reading Glasses to Prevent Myopia.

PMID: 31080964 [PubMed]

PMCID: PMC6508883


EC Gynaecology
Biomechanical Mapping of the Female Pelvic Floor: Uterine Prolapse Versus Normal Conditions.

PMID: 31093608 [PubMed]

PMCID: PMC6513001


EC Dental Science
Fiber-Reinforced Composites: A Breakthrough in Practical Clinical Applications with Advanced Wear Resistance for Dental Materials.

PMID: 31552397 [PubMed]

PMCID: PMC6758937


EC Microbiology
Neurocysticercosis in Child Bearing Women: An Overlooked Condition in Mozambique and a Potentially Missed Diagnosis in Women Presenting with Eclampsia.

PMID: 31681909 [PubMed]

PMCID: PMC6824723


EC Microbiology
Molecular Detection of Leptospira spp. in Rodents Trapped in the Mozambique Island City, Nampula Province, Mozambique.

PMID: 31681910 [PubMed]

PMCID: PMC6824726


EC Neurology
Endoplasmic Reticulum-Mitochondrial Cross-Talk in Neurodegenerative and Eye Diseases.

PMID: 31528859 [PubMed]

PMCID: PMC6746603


EC Psychology and Psychiatry
Can Chronic Consumption of Caffeine by Increasing D2/D3 Receptors Offer Benefit to Carriers of the DRD2 A1 Allele in Cocaine Abuse?

PMID: 31276119 [PubMed]

PMCID: PMC6604646


EC Anaesthesia
Real Time Locating Systems and sustainability of Perioperative Efficiency of Anesthesiologists.

PMID: 31406965 [PubMed]

PMCID: PMC6690616


EC Pharmacology and Toxicology
A Pilot STEM Curriculum Designed to Teach High School Students Concepts in Biochemical Engineering and Pharmacology.

PMID: 31517314 [PubMed]

PMCID: PMC6741290


EC Pharmacology and Toxicology
Toxic Mechanisms Underlying Motor Activity Changes Induced by a Mixture of Lead, Arsenic and Manganese.

PMID: 31633124 [PubMed]

PMCID: PMC6800226


EC Neurology
Research Volunteers' Attitudes Toward Chronic Fatigue Syndrome and Myalgic Encephalomyelitis.

PMID: 29662969 [PubMed]

PMCID: PMC5898812


EC Pharmacology and Toxicology
Hyperbaric Oxygen Therapy for Alzheimer's Disease.

PMID: 30215058 [PubMed]

PMCID: PMC6133268


News and Events


December Issue Release

We always feel pleasure to share our updates with you all. Here, notifying you that we have successfully released the November issue of respective journals and the latest articles can be viewed on the current issue pages.

Submission Deadline for Upcoming Issue

ECronicon delightfully welcomes all the authors around the globe for effective collaboration with an article submission for the upcoming issue of respective journals. Submissions are accepted on/before December 21, 2022.

Certificate of Publication

ECronicon honors with a "Publication Certificate" to the corresponding author by including the names of co-authors as a token of appreciation for publishing the work with our respective journals.

Best Article of the Issue

Editors of respective journals will always be very much interested in electing one Best Article after each issue release. The authors of the selected article will be honored with a "Best Article of the Issue" certificate.

Certifying for Review

ECronicon certifies the Editors for their first review done towards the assigned article of the respective journals.

Latest Articles

The latest articles will be updated immediately on the articles in press page of the respective journals.