Analysis of Determinants of Late First Antenatal Care (ANC) Booking in Kasenengwa District, Eastern Province, Zambia: A Cross-Sectional Study

Siamondole Mike Wachata; Godfrey Lingenda; Eustarckio Kazonga

doi:doi:10.11648/j.jgo.20210905.18

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Analysis of Determinants of Late First Antenatal Care (ANC) Booking in Kasenengwa District, Eastern Province, Zambia: A Cross-Sectional Study

Siamondole Mike Wachata, Godfrey Lingenda, Eustarckio Kazonga

Published in Journal of Gynecology and Obstetrics (Volume 9, Issue 5)

Received: 15 September 2021 Accepted: 11 October 2021 Published: 30 October 2021

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Abstract

Antenatal care (ANC) is an important public health screening tool to promote better outcomes in pregnant women and their unborn children. Women who book for ANC early enjoy the benefits of early detection of any probable condition which can affect the pregnant woman or her fetus. The objective of the study was to analyse determinants of late First ANC booking among pregnant women in Kasenegwa district in the Eastern Province of Zambia. The study design was a cross-sectional focusing on first ANC women, which used a multi-stage sampling design to sample the health facilities included in the study. Purposive and simple random sampling methods were used to come up with the sample size of 225 pregnant women. Logistic regression was used to analyse the data using Statistical Package for Social Sciences (SPSS) Version 20. The prevalence of late ANC booking was 53% (107/118) in the study area. The binary logistic regression analysis revealed that maternal age (OR=1.7 p-value=<0.0001), Marital status (OR=7.6, 95% CI=2.801-21.020, p-value=<0.0001), Education (OR=6.9, p-value=0.030), Knowledge on the need to book early for ANC despite any noticeable complications (OR=7.964, 95% CI=2.308-27.486, p-value=0.001), decision making to book for ANC (OR=.111, 95%CI=.059-.208, p-value=.000), maternal gravida (OR=1.47, p-value=0.012), Parity (OR=1.65 p-value=0.024), unplanned pregnancy (OR=2.1, 95% CI=6.385-71.406 p-value=<0.0001), and staff attitude (OR=1.973, 95% CI=1.730-2.249, p-value=0.006) were found to be significant determinants. From the results, it can be deduced that Late ANC booking is high in Kasenengwa District and factors associated with this problem are maternal age, maternal marital status, maternal gravida/parity, spouse/husband nonsupport and pregnancy uncertainty.

Published in	Journal of Gynecology and Obstetrics (Volume 9, Issue 5)
DOI	10.11648/j.jgo.20210905.18
Page(s)	178-188
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), 2021. Published by Science Publishing Group

Keywords

Antenatal Care Booking, Maternal Health, Pregnancy, First Trimester, Kasenengwa

References

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[29]	Tolefac, P. N., Halle-Ekane, G. E., Agbor, V. N. et al. Why do pregnant women present late for their first antenatal care consultation in Cameroon?. matern health, neonatol and perinatol 3, 29 (2017). Accessed on 12^th October, 2019 at https://doi.org/10.1186/s40748-017-0067-8.

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Siamondole Mike Wachata, Godfrey Lingenda, Eustarckio Kazonga. (2021). Analysis of Determinants of Late First Antenatal Care (ANC) Booking in Kasenengwa District, Eastern Province, Zambia: A Cross-Sectional Study. Journal of Gynecology and Obstetrics, 9(5), 178-188. https://doi.org/10.11648/j.jgo.20210905.18

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ACS Style

Siamondole Mike Wachata; Godfrey Lingenda; Eustarckio Kazonga. Analysis of Determinants of Late First Antenatal Care (ANC) Booking in Kasenengwa District, Eastern Province, Zambia: A Cross-Sectional Study. J. Gynecol. Obstet. 2021, 9(5), 178-188. doi: 10.11648/j.jgo.20210905.18

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AMA Style

Siamondole Mike Wachata, Godfrey Lingenda, Eustarckio Kazonga. Analysis of Determinants of Late First Antenatal Care (ANC) Booking in Kasenengwa District, Eastern Province, Zambia: A Cross-Sectional Study. J Gynecol Obstet. 2021;9(5):178-188. doi: 10.11648/j.jgo.20210905.18

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@article{10.11648/j.jgo.20210905.18,
  author = {Siamondole Mike Wachata and Godfrey Lingenda and Eustarckio Kazonga},
  title = {Analysis of Determinants of Late First Antenatal Care (ANC) Booking in Kasenengwa District, Eastern Province, Zambia: A Cross-Sectional Study},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {9},
  number = {5},
  pages = {178-188},
  doi = {10.11648/j.jgo.20210905.18},
  url = {https://doi.org/10.11648/j.jgo.20210905.18},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20210905.18},
  abstract = {Antenatal care (ANC) is an important public health screening tool to promote better outcomes in pregnant women and their unborn children. Women who book for ANC early enjoy the benefits of early detection of any probable condition which can affect the pregnant woman or her fetus. The objective of the study was to analyse determinants of late First ANC booking among pregnant women in Kasenegwa district in the Eastern Province of Zambia. The study design was a cross-sectional focusing on first ANC women, which used a multi-stage sampling design to sample the health facilities included in the study. Purposive and simple random sampling methods were used to come up with the sample size of 225 pregnant women. Logistic regression was used to analyse the data using Statistical Package for Social Sciences (SPSS) Version 20. The prevalence of late ANC booking was 53% (107/118) in the study area. The binary logistic regression analysis revealed that maternal age (OR=1.7 p-value=<0.0001), Marital status (OR=7.6, 95% CI=2.801-21.020, p-value=<0.0001), Education (OR=6.9, p-value=0.030), Knowledge on the need to book early for ANC despite any noticeable complications (OR=7.964, 95% CI=2.308-27.486, p-value=0.001), decision making to book for ANC (OR=.111, 95%CI=.059-.208, p-value=.000), maternal gravida (OR=1.47, p-value=0.012), Parity (OR=1.65 p-value=0.024), unplanned pregnancy (OR=2.1, 95% CI=6.385-71.406 p-value=<0.0001), and staff attitude (OR=1.973, 95% CI=1.730-2.249, p-value=0.006) were found to be significant determinants. From the results, it can be deduced that Late ANC booking is high in Kasenengwa District and factors associated with this problem are maternal age, maternal marital status, maternal gravida/parity, spouse/husband nonsupport and pregnancy uncertainty.},
 year = {2021}
}

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TY  - JOUR
T1  - Analysis of Determinants of Late First Antenatal Care (ANC) Booking in Kasenengwa District, Eastern Province, Zambia: A Cross-Sectional Study
AU  - Siamondole Mike Wachata
AU  - Godfrey Lingenda
AU  - Eustarckio Kazonga
Y1  - 2021/10/30
PY  - 2021
N1  - https://doi.org/10.11648/j.jgo.20210905.18
DO  - 10.11648/j.jgo.20210905.18
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 178
EP  - 188
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20210905.18
AB  - Antenatal care (ANC) is an important public health screening tool to promote better outcomes in pregnant women and their unborn children. Women who book for ANC early enjoy the benefits of early detection of any probable condition which can affect the pregnant woman or her fetus. The objective of the study was to analyse determinants of late First ANC booking among pregnant women in Kasenegwa district in the Eastern Province of Zambia. The study design was a cross-sectional focusing on first ANC women, which used a multi-stage sampling design to sample the health facilities included in the study. Purposive and simple random sampling methods were used to come up with the sample size of 225 pregnant women. Logistic regression was used to analyse the data using Statistical Package for Social Sciences (SPSS) Version 20. The prevalence of late ANC booking was 53% (107/118) in the study area. The binary logistic regression analysis revealed that maternal age (OR=1.7 p-value=<0.0001), Marital status (OR=7.6, 95% CI=2.801-21.020, p-value=<0.0001), Education (OR=6.9, p-value=0.030), Knowledge on the need to book early for ANC despite any noticeable complications (OR=7.964, 95% CI=2.308-27.486, p-value=0.001), decision making to book for ANC (OR=.111, 95%CI=.059-.208, p-value=.000), maternal gravida (OR=1.47, p-value=0.012), Parity (OR=1.65 p-value=0.024), unplanned pregnancy (OR=2.1, 95% CI=6.385-71.406 p-value=<0.0001), and staff attitude (OR=1.973, 95% CI=1.730-2.249, p-value=0.006) were found to be significant determinants. From the results, it can be deduced that Late ANC booking is high in Kasenengwa District and factors associated with this problem are maternal age, maternal marital status, maternal gravida/parity, spouse/husband nonsupport and pregnancy uncertainty.
VL  - 9
IS  - 5
ER  -

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Author Information

Siamondole Mike Wachata

Department of Public Health, School of Medicine and Health Sciences, University of Lusaka, Lusaka, Zambia
Godfrey Lingenda

Department of Public Health, School of Medicine and Health Sciences, University of Lusaka, Lusaka, Zambia
Eustarckio Kazonga

Department of Public Health, School of Medicine and Health Sciences, University of Lusaka, Lusaka, Zambia

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APA Style

Siamondole Mike Wachata, Godfrey Lingenda, Eustarckio Kazonga. (2021). Analysis of Determinants of Late First Antenatal Care (ANC) Booking in Kasenengwa District, Eastern Province, Zambia: A Cross-Sectional Study. Journal of Gynecology and Obstetrics, 9(5), 178-188. https://doi.org/10.11648/j.jgo.20210905.18

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ACS Style

Siamondole Mike Wachata; Godfrey Lingenda; Eustarckio Kazonga. Analysis of Determinants of Late First Antenatal Care (ANC) Booking in Kasenengwa District, Eastern Province, Zambia: A Cross-Sectional Study. J. Gynecol. Obstet. 2021, 9(5), 178-188. doi: 10.11648/j.jgo.20210905.18

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AMA Style

Siamondole Mike Wachata, Godfrey Lingenda, Eustarckio Kazonga. Analysis of Determinants of Late First Antenatal Care (ANC) Booking in Kasenengwa District, Eastern Province, Zambia: A Cross-Sectional Study. J Gynecol Obstet. 2021;9(5):178-188. doi: 10.11648/j.jgo.20210905.18

Copy | Download

@article{10.11648/j.jgo.20210905.18,
  author = {Siamondole Mike Wachata and Godfrey Lingenda and Eustarckio Kazonga},
  title = {Analysis of Determinants of Late First Antenatal Care (ANC) Booking in Kasenengwa District, Eastern Province, Zambia: A Cross-Sectional Study},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {9},
  number = {5},
  pages = {178-188},
  doi = {10.11648/j.jgo.20210905.18},
  url = {https://doi.org/10.11648/j.jgo.20210905.18},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20210905.18},
  abstract = {Antenatal care (ANC) is an important public health screening tool to promote better outcomes in pregnant women and their unborn children. Women who book for ANC early enjoy the benefits of early detection of any probable condition which can affect the pregnant woman or her fetus. The objective of the study was to analyse determinants of late First ANC booking among pregnant women in Kasenegwa district in the Eastern Province of Zambia. The study design was a cross-sectional focusing on first ANC women, which used a multi-stage sampling design to sample the health facilities included in the study. Purposive and simple random sampling methods were used to come up with the sample size of 225 pregnant women. Logistic regression was used to analyse the data using Statistical Package for Social Sciences (SPSS) Version 20. The prevalence of late ANC booking was 53% (107/118) in the study area. The binary logistic regression analysis revealed that maternal age (OR=1.7 p-value=<0.0001), Marital status (OR=7.6, 95% CI=2.801-21.020, p-value=<0.0001), Education (OR=6.9, p-value=0.030), Knowledge on the need to book early for ANC despite any noticeable complications (OR=7.964, 95% CI=2.308-27.486, p-value=0.001), decision making to book for ANC (OR=.111, 95%CI=.059-.208, p-value=.000), maternal gravida (OR=1.47, p-value=0.012), Parity (OR=1.65 p-value=0.024), unplanned pregnancy (OR=2.1, 95% CI=6.385-71.406 p-value=<0.0001), and staff attitude (OR=1.973, 95% CI=1.730-2.249, p-value=0.006) were found to be significant determinants. From the results, it can be deduced that Late ANC booking is high in Kasenengwa District and factors associated with this problem are maternal age, maternal marital status, maternal gravida/parity, spouse/husband nonsupport and pregnancy uncertainty.},
 year = {2021}
}

Copy | Download

TY  - JOUR
T1  - Analysis of Determinants of Late First Antenatal Care (ANC) Booking in Kasenengwa District, Eastern Province, Zambia: A Cross-Sectional Study
AU  - Siamondole Mike Wachata
AU  - Godfrey Lingenda
AU  - Eustarckio Kazonga
Y1  - 2021/10/30
PY  - 2021
N1  - https://doi.org/10.11648/j.jgo.20210905.18
DO  - 10.11648/j.jgo.20210905.18
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 178
EP  - 188
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20210905.18
AB  - Antenatal care (ANC) is an important public health screening tool to promote better outcomes in pregnant women and their unborn children. Women who book for ANC early enjoy the benefits of early detection of any probable condition which can affect the pregnant woman or her fetus. The objective of the study was to analyse determinants of late First ANC booking among pregnant women in Kasenegwa district in the Eastern Province of Zambia. The study design was a cross-sectional focusing on first ANC women, which used a multi-stage sampling design to sample the health facilities included in the study. Purposive and simple random sampling methods were used to come up with the sample size of 225 pregnant women. Logistic regression was used to analyse the data using Statistical Package for Social Sciences (SPSS) Version 20. The prevalence of late ANC booking was 53% (107/118) in the study area. The binary logistic regression analysis revealed that maternal age (OR=1.7 p-value=<0.0001), Marital status (OR=7.6, 95% CI=2.801-21.020, p-value=<0.0001), Education (OR=6.9, p-value=0.030), Knowledge on the need to book early for ANC despite any noticeable complications (OR=7.964, 95% CI=2.308-27.486, p-value=0.001), decision making to book for ANC (OR=.111, 95%CI=.059-.208, p-value=.000), maternal gravida (OR=1.47, p-value=0.012), Parity (OR=1.65 p-value=0.024), unplanned pregnancy (OR=2.1, 95% CI=6.385-71.406 p-value=<0.0001), and staff attitude (OR=1.973, 95% CI=1.730-2.249, p-value=0.006) were found to be significant determinants. From the results, it can be deduced that Late ANC booking is high in Kasenengwa District and factors associated with this problem are maternal age, maternal marital status, maternal gravida/parity, spouse/husband nonsupport and pregnancy uncertainty.
VL  - 9
IS  - 5
ER  -

Copy | Download