Utilization Of Antenatal Care Services In Comprehensive Health Centre (Chc) Gindiri
AbstractOBJECTIVES; To determine if ANC utilization influences respondents' choice of place of delivery Also to investigate how some personal factors influence pattern of use of ANC services and choice of preferred place of delivery.
Methods: ANC records of 676 pregnant women who attended the ANC Clinic of JUTH CHC. Gindiri between January 2000 and December 2002 were reviewed. The mothers were traced subsequently to determine their place of delivery. Data generated were collated and analyzed using the Epi info 2000 computer software.
Results: The mean age of the subjects was 25.3+- 5.92 years. Almost half of them were literate and majority had parity of <4. The median gestational age at booking among the mothers was 24.9 weeks and up to 62.4% of the mothers had about 1-4 ANC visits during the index pregnancy. However as much as 72.2% of the mothers delivered at home for the index pregnancy. Half of the mothers who delivered at home gave on reason for their conduct, whereas 73.5% of those who delivered in the health facility did so for safety. In this study, mothers' age parity and occupation were found to significantly influenced mothers' utilization of ANC Services, while only mothers' age and educational status were statistically found to significantly influenced mothers' choice of place of delivery. The study also observed a statistically significant association between utilization of ANC services and place of delivery in Gindiri.
Conclusion: Although a high practice of ANC utilization was observed in this study, hospital delivery among the mothers is abysmally poor. Intensive health education in ANC clinics, is required to change these practice.
Key words: Antenatal care services, Utilization, preferred place of delivery, Index pregnancy.
Highland Medical Research Journal Vol.2(1) 2004: 64-69