ASSESSMENT OF PREVALENCE AND ASSCOTIATED FACTOR OF LATE INITIATION OF ANTENATAL CARE AMONG PREGNANT WOMENS WHO ATTEND ANTENATAL CARE IN BUTAGRA HOSPITAL, SNNP, ETHIOPIA JANUARY-JUNE 2019

Abstract

Introduction: Antenatal care was more important in preventing pregnancy related complications when received early in the pregnancy and continued through delivery. The World Health Organization (WHO) recommends that a woman under normal circumstance should have at least four antenatal care visits, the first of which should take place during the first trimester. Proportion of reproductive age women in Ethiopia who received antenatal care (ANC) from skilled provider has increased from 32% in 2011 to 62% in 2016. But only 34% of them had at least four ANC Visit during their last pregnancy. According to the survey (27) only 44% of women had their first ANC during the first trimester of pregnancy. For many of the essential interventions in ANC, it is crucial to have identification of underlying conditions earlier- for example prevention of congenital syphilis, prevention of maternal to child transmission of HIV from mother to child, to prevent maternal and neonatal tetanus, control of anemia, and prevention of malaria complications. Objective: To assess the prevalence and associated factor of late antenatal care visit among pregnant women attending antenatal care in Butajira hospital, Ethiopia, 2019. Methods: Institutional based cross-sectional study was conducted in 2019. Systematic sampling technique was used to select 369 study participants. Data was collected by trained data collectors by using pretested semi structured questioner from pregnant women who attend ANC in Butajira hospital. The collected data analysis was performed by SPSS statistical software version 20. Adjusted odds ratio with 95% Confidence interval. P-value less than 0.05 was considered as statistically significant association between covariates and dependent variable. Result: Result show that women with age group 15-24) were (AOR 0.345, 95%CI 0.084, 0.586) (less likely to initiate ANC late compared to age group (25-34) .women with employed were (AOR 0.530, 95%CI 0.12, 0.93) less likely to initiate late compared to unemployed. Women with has not been schooled were 5 times (AOR 5.4, 95% CI 1.8, 16.7) more likely to initiate late compared to college/university educated