Factors Influencing Utilization of Antenatal Care Services Among Teenage Mothers in Malindi Sub-County Kenya-A Cross Sectional Study
Science Journal of Public Health
Volume 5, Issue 2, March 2017, Pages: 61-67
Received: Dec. 22, 2016; Accepted: Jan. 9, 2017; Published: Jan. 24, 2017
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Ndambuki Stephen Mulinge, Department of Reproductive Health, Pan African University, Ibadan, Nigeria
Oyindamola Bidemi Yusuf, Department of Epidemiology and Medical Statistics, University of Ibadan, Ibadan, Nigeria
Chris O. Aimakhu, Department of Obstetrics and Gynaecology, University College Hospital (UCH), Ibadan, Nigeria
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Effective antenatal care services (ANC) present an opportunity to minimize the high risk for poor perinatal outcomes and other birth complications associated with teenage pregnancy. With the failure by Kenya and majority of the Sub Saharan Countries to achieve the Millennium Development Goals (MDG 4 & 5), there is need to understand factors influencing utilization of maternal health services among special groups within the reproductive age. Therefore, this study identified factors that influence utilization of ANC services among women aged 13-19 years. A facility-based cross-sectional study was conducted among 385 teenage mothers using semi-structured questionnaires and key informants’ interviews in Malindi Sub-County. The WHO recommendation of at least 4 ANC visits was used as standard measure for good or poor ANC services utilization. Quantitative data were analyzed using descriptive statistics, chi square test and logistic regression at the 5% level of significance while qualitative data were analyzed thematically. Mean age of the participants was 18.10 ± 1.11 and about 69% were married. In total, 91.2% of the participants reported poor utilization of ANC services with less than 4 ANC visits. About 54.7% reported late/inappropriate booking time. Knowledge of the recommended ANC visits, marital status, occupation, and the person making the decision to attend ANC were strong determinants of ANC utilization. Participants with good knowledge of the recommended ANC visits were about 3 times more likely to have good utilization of ANC services than participants with poor knowledge (OR=2.734, p=0.006, 95% CI: 1.34, 5.58).Participants who made the decision to start ANC clinics were 3 times more likely to have good ANC services utilization compared to participants whose decision was made by others (OR=2.914, p=0.009, 95% CI: 2.91, 6.48).Utilization of ANC services among teenage mothers remains significantly poor in Malindi sub-County. Immense efforts should be directed towards creation of awareness about ANC and its importance in the communities, and implementation of innovative programs targeting pregnant teenage girls to encourage them to seek ANC services.
Teenage Mothers, Antenatal Care, Perinatal Outcomes, Knowledge, Decision
To cite this article
Ndambuki Stephen Mulinge, Oyindamola Bidemi Yusuf, Chris O. Aimakhu, Factors Influencing Utilization of Antenatal Care Services Among Teenage Mothers in Malindi Sub-County Kenya-A Cross Sectional Study, Science Journal of Public Health. Vol. 5, No. 2, 2017, pp. 61-67. doi: 10.11648/j.sjph.20170502.12
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