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


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


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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.

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