Timely Initiation of Antenatal Care Visit and Associated Factors Among Pregnant Mothers Attending Public Health Facilities in Enamorena Ener woreda Gurage Zone, Southern Ethiopia:2022

Abstract

Because of physiological changes that occur during pregnancy, mother and her baby are facing life treating problems. To avert the problem Antenatal care is more important when received timely in the pregnancy and continued through delivery. Nevertheless, true progress has been made globally in terms of increasing access and use, still high numbers of maternal deaths and stillbirths have occurred. Globally around 2.6 million stillbirths annually and 830 maternal deaths every day occur due to the pregnancy related cause. Now a time World Health Organization adopt a new ANC model that recommend to increase the numbers of contact from four visits to eight contacts for the aim of reducing prenatal mortality and to improve women experiences of care. According to the survey(EDHS 2016) only 20% of women have their first ANC during the first trimester of pregnancy. Objective: to assess timely initiation of antenatal care visit and associated factors among pregnant mothers attending public health facilities in Enamoring Ener woreda, Gurage zone, SNNPR, Ethiopia: 2022.Methods: Institutional based cross-sectional study was conducted from May 10 to June 18, 2022 to assess the timely initiation of ANC visit and associated factor on 240 pregnant women. Simple random sampling was used to select four public health facilities among nine public health facilities. Consecutive sampling technique was used to select 240 study participants. Data has been collected by group member. The collected data were entered, cleaned, coded and analysed using SPSS statistical software version 21. Adjusted odds ratio with 95% Confidence interval is used to determine the strength of association. In multivariable logistic regression variable with p-value less than 0.05 is considered as statistically significant association between covariates and dependent variableResult: the study revealed that only 31.7% of the study respondents have started first ANC visit timely. Age category between 40 and 45 (AOR= 0.98,CI 0.34-0.99 p=0.045), Family monthly income (AOR=1.02 ,CI 95%, 1.01-11.5 , P=0.03), knowledge of right time to begin first ANC visit( AOR=0.47 CI 95% 0.14-0.96,p=0.02) , women with no vi | P a g ehistory of abortion(AOR=0.96,CI95% 0.01-0.98,p= 0.02) have shown significant association with timely booking of first ANC. Conclusion: the proportion of pregnant mother who practiced timely booking in this study area is low