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URI for this collectionhttps://rps.wku.edu.et/handle/123456789/46883
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Item UTILIZATION AND DETERMINANTS OF PRECONCEPTION CARE AMONG PREGNANT WOMEN ATTENDING ANTENATAL CARE IN WOLKITE TOWN, CENTRAL ETHIOPIA, 2026.(wolkite University, 2026-06) DR. ADDIS GEBRUBackground: Preconception care (PCC) improves maternal and neonatal outcomes by addressing health risks before pregnancy, yet utilization remains low in Ethiopia. This study assessed PCC utilization and determinant factors among pregnant women in Wolkite town. Methods: A multi-centered institution-based cross-sectional study was conducted among 728 pregnant women attending antenatal care from December 2025 to January 2026. Multi-staged Systematic Random sampling and interviewer-administered questionnaires were used. Data were analyzed with SPSS using bivariable and multivariable logistic regression. Statistical significance was set at p < 0.05 (AOR, 95% CI). Results: Magnitude of PCC utilization was 21.4% (95% CI: 17.5%–25.3%). Advanced maternal age >35 years (AOR = 2.78; 95% CI: 1.75–4.42), Higher education (AOR = 2.74; 95% CI: 1.85– 4.05), Employed women (AOR = 1.97; 95% CI: 1.33–2.92), Higher income (>20,000 ETB/month) (AOR = 6.38; 95% CI: 3.12–13.04; P < 0.001), Good Knowledge (AOR = 16.5; 95% CI: 9.2–29.6), Preexisting medical conditions (AOR = 12.8; 95% CI: 6.7–24.5), Contraceptive use (AOR = 13.2; 95% CI: 8.1–21.6), Husband support, and Residence within 30 minutes of a health facility were independent predictors of PCC utilization. Conclusion: PCC uptake in Wolkite town is low due to limited awareness and access barriers. Enhancing community education, integrating PCC into routine reproductive services, strengthening facility readiness, and promoting male partner involvement are essential to improve maternal and neonatal health.