Antenatal care contributes to good pregnancy outcomes and often times benefits of antenatal care are dependent on the timing and quality of the care provided. Antenatal care is necessary to establish confidence between the woman and her health care provider, to individualize health promotion messages, and to identify and manage any maternal complications or risk factors. In low and middle income countries, complications of pregnancy and childbirth are the leading cause of death in women aged 14–49 years. This study aimed at determining the level of utilization of antenatal care services among pregnant mothers in Wadajir district, Banadir region, Somalia. Ethical clearance was sought from Benadir University Ethics committee, consent was sought from respondents and confidentiality was maintained by not using any form of identification. Methodology: The study adopted a community based cross-sectional study design. The target population consisted of all pregnant mothers aged 14 years to 49 years within Wadajir district. Data collection instruments was researcher administered questionnaires. The questionnaire was administered to the pregnant mothers who met the inclusion criteria. Data collected was coded and entered into the computer for analysis using STATA version 12.0. Results of the study were summarized using percentages, tables and charts. Chi-square statistics were used to test for strength of association between the research variables and the relationship between the dependent and independent variables under study. Results: The study established that source of income (OR 4.312500, P value 0.0181), person living with the pregnant mothers (OR 4.312500, P value 0.0181) and marital status (OR 1.8, P.value 0.0478) were significantly associated with ANC utilization. About 29.0% of the respondents had visited ANC at least once and above for checkup while 29.7% had never visited ANC clinics. Only 18.9% of the pregnant mothers managed the recommended 4 and above ANC visits. Number of Pregnancies (Gravida), (OR 2.2, P-value 0.0029), pregnant mother complications during pregnancy (OR 4.312500, P value 1.8), influenced utilization of ANC services by pregnant mothers. Conclusion: There is law percentage of pregnant mothers having at least four ANC and above visits (18.9%) as recommended by WHO, this indicates low utilization of antenatal care services. This study recommends customized ANC services targeting pregnant mothers to be established to increase utilization of ANC by pregnant mothers in Wadajir district. Stakeholders should come up with specific efforts towards enhancing staff motivation through introduction of incentives and better working environment.
| Published in | Central African Journal of Public Health (Volume 6, Issue 6) |
| DOI | 10.11648/j.cajph.20200606.11 |
| Page(s) | 320-325 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Utilization, Antenatal Care, Wadajir District
| [1] | Basha, G. W. (2019). Factors Affecting the Utilization of a Minimum of Four Antenatal Care Services in Ethiopia. Obstetrics and Gynecology International, 2019. https://doi.org/10.1155/2019/5036783. |
| [2] | Clavagnier, I. (2012). Antenatal care. Revue de l’infirmière, 185, 45–46. https://doi.org/10.5005/jp/books/12049_57. |
| [3] | Babar T., Shaikh, and Juanita Hatcher, J. (2004). Health seeking behavior and health service utilization in Pakistan challenging the policy makers. Journal of Public Health, 10.1093. |
| [4] | Abdullahel Hadi, M. N. M. (2007). The Inaccessibility and Utilization of Antenatal Health-Care Services in Balkh Province of Afghanistan. Asia Pac Popul J, 22 (1). |
| [5] | Caitlin Mazzilli and Austen (2009). Davis Health care seeking behaviour in Somalia – A Literature Review. |
| [6] | Celik, Y. and Hotchkiss, D. R. (2000). The Socioeconomic determinants of maternal health care utilisation in Turkey. Social Science & Medicine, 50 (12): 1797-806. |
| [7] | Chitime (2006). Determinants of utilisation of antenatal health Care services by pregnant women during the first Trimester of pregnancy in Nsanje. Dissertation submitted in partial fulfilment for the Completion of the masters in public health. University of Malawi. |
| [8] | Dagne, E. (2010). Role of socio-demographic factors on the utilization of maternal health care services in Ethiopia. Department of Public Health, Umea University, Ethiopia. |
| [9] | DrIngvilSorbye and DrBailah Leigh (2010). Somalia reproductive health National strategy plan implementation of the new model. Geneva: WHO Programme to Map Best Ingvilkraruo. (2010). Situation Analysis of reproductive health for Somalia. |
| [10] | Kabue. P. N. (2014). Determinants of utilization of hospital delivery among post-natal mothers in Thika and Kangundo hospitals, Kenya. A thesis submitted in fulfilment of the requirements for the award of the degree of doctor of philosophy in the school of public health of Kenyatta University. |
| [11] | Kipronoh. K. M (2009). Factors influencing the quality of antenatal care in public maternal and child health facilities in Nairobi province, Kenya. A thesis submitted in partial fulfilment of the requirements for the degree of master of public health in the school of health sciences of Kenyatta University. |
| [12] | Abimbola, J. M., Makanjuola, A. T., Ganiyu, S. A., Babatunde, U. M. M., Adekunle, D. K., & Olatayo, A. A. (2016). Pattern of utilization of ante-natal and delivery services in a semi-urban community of north-central Nigeria. African Health Sciences, 16 (4), 962–971. https://doi.org/10.4314/ahs.v16i4.12. |
| [13] | Regassa, N. (2011). Antenatal and postnatal care service utilization in Southern Ethiopia: A population-based study. African Health Sciences, 11 (3), 390–397. |
| [14] | Upadhyay, P., Liabsuetrakul, T., Shrestha, A. B., & Pradhan, N. (2014). Influence of family members on utilization of maternal health care services among teen and adult pregnant women in Kathmandu, Nepal: A cross sectional study. Reproductive Health, 11 (1), 1–11. https://doi.org/10.1186/1742-4755-11-92. |
| [15] | World Health Organization. (2018). WHO recommendation on antenatal care contact schedules. The WHO Reproductive Health Library, March, 1–7. https://extranet.who.int/rhl/topics/improving-health-system-performance/who-recommendation-antenatal-care-contact-schedules. |
APA Style
Hussein Shire Jimale, Ali Sheikh Mohamed Omer, Adan Yusuf Mahdi, Ahmed Mohamed Ahmed. (2020). Utilization of Antenatal Care Services Among Pregnant Mothers in Wadajir District, Banadir Region-Mogadishu Somalia. Central African Journal of Public Health, 6(6), 320-325. https://doi.org/10.11648/j.cajph.20200606.11
ACS Style
Hussein Shire Jimale; Ali Sheikh Mohamed Omer; Adan Yusuf Mahdi; Ahmed Mohamed Ahmed. Utilization of Antenatal Care Services Among Pregnant Mothers in Wadajir District, Banadir Region-Mogadishu Somalia. Cent. Afr. J. Public Health 2020, 6(6), 320-325. doi: 10.11648/j.cajph.20200606.11
AMA Style
Hussein Shire Jimale, Ali Sheikh Mohamed Omer, Adan Yusuf Mahdi, Ahmed Mohamed Ahmed. Utilization of Antenatal Care Services Among Pregnant Mothers in Wadajir District, Banadir Region-Mogadishu Somalia. Cent Afr J Public Health. 2020;6(6):320-325. doi: 10.11648/j.cajph.20200606.11
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Download@article{10.11648/j.cajph.20200606.11,
author = {Hussein Shire Jimale and Ali Sheikh Mohamed Omer and Adan Yusuf Mahdi and Ahmed Mohamed Ahmed},
title = {Utilization of Antenatal Care Services Among Pregnant Mothers in Wadajir District, Banadir Region-Mogadishu Somalia},
journal = {Central African Journal of Public Health},
volume = {6},
number = {6},
pages = {320-325},
doi = {10.11648/j.cajph.20200606.11},
url = {https://doi.org/10.11648/j.cajph.20200606.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20200606.11},
abstract = {Antenatal care contributes to good pregnancy outcomes and often times benefits of antenatal care are dependent on the timing and quality of the care provided. Antenatal care is necessary to establish confidence between the woman and her health care provider, to individualize health promotion messages, and to identify and manage any maternal complications or risk factors. In low and middle income countries, complications of pregnancy and childbirth are the leading cause of death in women aged 14–49 years. This study aimed at determining the level of utilization of antenatal care services among pregnant mothers in Wadajir district, Banadir region, Somalia. Ethical clearance was sought from Benadir University Ethics committee, consent was sought from respondents and confidentiality was maintained by not using any form of identification. Methodology: The study adopted a community based cross-sectional study design. The target population consisted of all pregnant mothers aged 14 years to 49 years within Wadajir district. Data collection instruments was researcher administered questionnaires. The questionnaire was administered to the pregnant mothers who met the inclusion criteria. Data collected was coded and entered into the computer for analysis using STATA version 12.0. Results of the study were summarized using percentages, tables and charts. Chi-square statistics were used to test for strength of association between the research variables and the relationship between the dependent and independent variables under study. Results: The study established that source of income (OR 4.312500, P value 0.0181), person living with the pregnant mothers (OR 4.312500, P value 0.0181) and marital status (OR 1.8, P.value 0.0478) were significantly associated with ANC utilization. About 29.0% of the respondents had visited ANC at least once and above for checkup while 29.7% had never visited ANC clinics. Only 18.9% of the pregnant mothers managed the recommended 4 and above ANC visits. Number of Pregnancies (Gravida), (OR 2.2, P-value 0.0029), pregnant mother complications during pregnancy (OR 4.312500, P value 1.8), influenced utilization of ANC services by pregnant mothers. Conclusion: There is law percentage of pregnant mothers having at least four ANC and above visits (18.9%) as recommended by WHO, this indicates low utilization of antenatal care services. This study recommends customized ANC services targeting pregnant mothers to be established to increase utilization of ANC by pregnant mothers in Wadajir district. Stakeholders should come up with specific efforts towards enhancing staff motivation through introduction of incentives and better working environment.},
year = {2020}
}
TY - JOUR T1 - Utilization of Antenatal Care Services Among Pregnant Mothers in Wadajir District, Banadir Region-Mogadishu Somalia AU - Hussein Shire Jimale AU - Ali Sheikh Mohamed Omer AU - Adan Yusuf Mahdi AU - Ahmed Mohamed Ahmed Y1 - 2020/10/30 PY - 2020 N1 - https://doi.org/10.11648/j.cajph.20200606.11 DO - 10.11648/j.cajph.20200606.11 T2 - Central African Journal of Public Health JF - Central African Journal of Public Health JO - Central African Journal of Public Health SP - 320 EP - 325 PB - Science Publishing Group SN - 2575-5781 UR - https://doi.org/10.11648/j.cajph.20200606.11 AB - Antenatal care contributes to good pregnancy outcomes and often times benefits of antenatal care are dependent on the timing and quality of the care provided. Antenatal care is necessary to establish confidence between the woman and her health care provider, to individualize health promotion messages, and to identify and manage any maternal complications or risk factors. In low and middle income countries, complications of pregnancy and childbirth are the leading cause of death in women aged 14–49 years. This study aimed at determining the level of utilization of antenatal care services among pregnant mothers in Wadajir district, Banadir region, Somalia. Ethical clearance was sought from Benadir University Ethics committee, consent was sought from respondents and confidentiality was maintained by not using any form of identification. Methodology: The study adopted a community based cross-sectional study design. The target population consisted of all pregnant mothers aged 14 years to 49 years within Wadajir district. Data collection instruments was researcher administered questionnaires. The questionnaire was administered to the pregnant mothers who met the inclusion criteria. Data collected was coded and entered into the computer for analysis using STATA version 12.0. Results of the study were summarized using percentages, tables and charts. Chi-square statistics were used to test for strength of association between the research variables and the relationship between the dependent and independent variables under study. Results: The study established that source of income (OR 4.312500, P value 0.0181), person living with the pregnant mothers (OR 4.312500, P value 0.0181) and marital status (OR 1.8, P.value 0.0478) were significantly associated with ANC utilization. About 29.0% of the respondents had visited ANC at least once and above for checkup while 29.7% had never visited ANC clinics. Only 18.9% of the pregnant mothers managed the recommended 4 and above ANC visits. Number of Pregnancies (Gravida), (OR 2.2, P-value 0.0029), pregnant mother complications during pregnancy (OR 4.312500, P value 1.8), influenced utilization of ANC services by pregnant mothers. Conclusion: There is law percentage of pregnant mothers having at least four ANC and above visits (18.9%) as recommended by WHO, this indicates low utilization of antenatal care services. This study recommends customized ANC services targeting pregnant mothers to be established to increase utilization of ANC by pregnant mothers in Wadajir district. Stakeholders should come up with specific efforts towards enhancing staff motivation through introduction of incentives and better working environment. VL - 6 IS - 6 ER -
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