Factors influencing uptake of antenatal care in Taita Taveta County Kenya
Introduction:
49 of pregnant women are able to make four or more ANC visits in Sub Saharan part of Africa.
Objectives:
General objective of the study was to find out factors influencing uptake of ANC in public health facilities in Taita Taveta County. The specific objectives were to assess influence of early initiation of ANC on uptake of ANC in determine influence of skilled health providers attitude on uptake of ANC establish influence of availability of community health volunteers on uptake of ANC and determine effects of skilled health providers availability on uptake of ANC.
Methodology:
A total of three hundred and eighty four mothers and eighteen health facility in-charges participated in the study. The study adopted survey research design and data collected using structured questionnaires for the sampled mothers and key informant interview for the in-charges. The researcher analysed data using Statistical Package for the Social Sciences SPSS version 23. Descriptive analysis percentages and frequencies and inferential analysis Chi-square and Spearmans correlation tests and regression analysis at significance level of alpha0.05 were performed.
Findings:
Results:
Results indicated 43.6 of the mothers managed 2 ANC visits 41.7 3 visits and14.7 just 1 ANC visit. The findings also indicated that timing of ANC initiation had significant association X2 6 102.854 p 0.001 and weak negative relationship Spearmans R -0.201 p 0.001 with uptake of ANC. An R2 of 0.071 7 showed early ANC initiation had low degree of influence on ANC uptake. Reception during ANC visits had significant association X2 8 564.235 p 0.001 and strong positive relationship Spearmans R 0.905 p 0.001 with ANC uptake and adequacy of privacy had significant association X2 8 459.447 p 0.001 and moderate positive relationship Spearmans R 0.763 p 0.001 with ANC uptake. An R2 of 0.819 81.9 showed skilled health providers attitude had high degree of influence on ANC uptake. Moreover number of CHVs visits had significant association X2 8 317.099 p 0.001 and high positive relationship Spearmans R 0.870 p 0.001 with ANC uptake and CHVs perceived importance had significant association X2 8 321.872 p 0.001 and strong positive relationship Spearmans R 0.863 p 0.001 with ANC uptake. An R2 of 0.784 78.4 showed that availability of CHVs had high degree of influence on ANC uptake. Lastly the results indicated that waiting time had significant association X2 6 354.829 p 0.001 and moderate negative relationship Spearmans R -0.745 p 0.001 with ANC uptake presence of skilled health providers had significant association X2 4 668.9 p 0.001 and strong positive relationship Spearmans R 0.947 p 0.001 with ANC uptake and adequacy of sessions had significant association X2 8 321.872 p 0.001 and strong positive relationship Spearmans R 0.899 p 0.001 with ANC uptake. An R2 of 0.920 92 showed that availability of skilled health providers had high degree of influence on ANC uptake.
Conclusion:
The researcher made the following conclusions based on the findingsrn5.2.1 Initiation of antenatal carernPregnant women and the healthcare providers in Taita Taveta County have gotrnadequate information about the benefits of antenatal care however timely initiation ofrn80rnANC services is poor. Pregnant mothers managing to start ANC early do notrnnecessarily make 4 ANC visits as recommended by the WHO therefore timelyrninitiation of ANC services has a minimal contribution towards improved ANC servicesrnuptake.rn5.2.2 Staff AttitudernStaff attitude and availability of healthcare providers contribute significantly towardsrnimproved ANC uptake among the pregnant women in the County. The healthcarernproviders attitude is positive which is critical in meeting the expectations of pregnantrnwomen in the public health facilities. Pregnant women seek for antenatal care servicesrnfrom healthcare workers when they have pregnancy complications despite havingrnadequate knowledge of ANC.rn5.2.3 Availability of Community Health VolunteersrnCommunity health volunteers play a critical role in the improvement of uptake ofrnantenatal care pregnant mothers who have been visited by CHVs initiate ANCrnservices at the appropriate time and enjoy the benefits the ANC package.rn5.2.4 Availability of Skilled Health ProvidersrnAvailability of healthcare providers in the right number and mix significantlyrncontribute to improved uptake of ANC and that waiting time in majority of the publicrnhealth facilities is acceptable among the pregnant women seeking ANC services.rnHowever healthcare providers are inadequate and inequitably distributed in most ofrnthe public health facilities.
Publication Information
Author(s):
Focus County(s):
Taita Taveta County
Programme Area(s):
Sexual, Reproductive, Adolescent & Child Health
Research Priority Area(s):
Disease Domain(s):
antenatal care services
Document History:
Publication Date: 15.Sep.2019
Conference Title:
Venue: