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    Factors Influencing the Utilization of Focused Antenatal Care Services in Malindi and Magarini Sub-counties of Kilifi County, Kenya

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    Research article (312.9Kb)
    Publication Date
    11/26/2016
    Authors
    Chorongo, Dorah
    Okinda, ,Fredrick Majiwa
    Kariuki, Eric Jimmy
    Mulewa, Emily
    Ibinda, Fredrick
    Muhula, Samuel
    Kimathi, George
    Muga, Richard
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    (8 total)
    Type
    Article, Journal
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    Citation

    The Pan African Medical Journal. 2016;25 (Supp 2):14

    Abstract/Overview

    Introduction: globally, pregnancy related complications contribute to more than half of the deaths among women annually. Antenatal care (ANC) is important for the prevention of maternal and fetal mortality and morbidity. This study identifies the socio-demographic and economic characteristics; knowledge and attitude and; health service provision for focused antenatal care (FANC) services. Methods: a cross-sectional comparative study conducted among 385 women of reproductive age who visited 5 public health facilities in Malindi and Magarini Sub Counties. Data collection was conducted between June 2013 and September 2013 through structured questionnaires, Key Informant Interviews (KIIs) and Focused Group Discussions (FGDs) and analyzed through descriptive summary statistics and test of associations of the various variables using chi square. Results: about 35% of women sought 1st and 2nd ANC services at the health facilities. These women went ahead to complete the recommended 4 minimum visits as recommended by World Health Organization (WHO). Compared to Catholics, Muslims were less likely to attend a rural health facility (Odds ratio (OR) = 0.25, 95% Confidence Interval (CI) 0.10, 0.62, p=0.003). According to education levels, those with secondary (OR=0.07, 95% CI 0.03, 0.18, p<0.001) or tertiary (OR=0.09, 95% CI 0.03-0.17, p<0.001) levels of education were less likely to seek FANC at rural facility. Women seeking rural ANC services started at 2nd or 3rd trimester (OR=5.40 95% CI 2.97-10.06, p<0.001) while those in urban setup start at 1st trimester. Among the women who were aware of FANC, only 27% utilized its services. Long waiting hours, unavailability of services, and departmental disharmony were major causes of dissatisfaction to mothers visiting the facilities. Conclusion: utilization and awareness of FANC services in both rural and urban health facilities among women in Malindi and Magarini Sub Counties continues to be low which is associated by socio-demographic characteristics, and health facility inefficiencies. Thus there is need to standardize services across health facilities and increase awareness on FANC in both rural and urban.

    Subject/Keywords
    Antenatal care; Attendance; Health service delivery
    Further Details

    © Dorah Chorongo et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Publisher
    Pan African Medical Journal
    ISSN
    1937-8688
    Series
    Strengthening health systems in communities: the experiences of AMREF Health Africa;Supp. 2: 14
    Permalink
    http://repository.amref.org/handle/123456789/136
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    • General - GEN [355]

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