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Factors Influencing Late Antenatal Care Seeking Behavior Among Pregnant Women at Kawolo General Hospital, Buikwe District, Uganda

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Factors Influencing Late Antenatal Care Seeking Behavior Among Pregnant Women at Kawolo General Hospital, Buikwe District, Uganda FACTORS INFLUENCING LATE ANTENATAL CARE SEEKING BEHAVIOR AMONG PREGNANT WOMEN AT KAWOLO GENERAL HOSPITAL, BUIKWE DISTRICT, UGANDA. JOHA RASHID (2012/DCM/FT/004) A RESEARCH REPORT SUBMITTED TO INSTITUTE OF ALLEID HEALTH SCIENCES IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE AWARD OF DIPLOMA IN CLINICAL MEDICINE AND COMMUNITY HEALTH OF INTERNATIONAL HEALTH SCIENCES UNIVERSITY NOVEMBER, 2015 DECLARATION I, Joha Rashid hereby declare that, to the best of my knowledge, this is my original work and has never been submitted to this University or any other institution of higher learning for an academic award/ publication. Signiture: ...............………………...................... Date: ............................................................. i APPROVAL This work has been submitted for examination with approval of my supervisor Name:……………………………………………… Signature…………………………….…………….. Date………………………………………………… ii DEDICATION This book is dedicated to my dearest mother Fatima Bazigaga, my beloved husband Kata Kasim and precious son Bashar Kata. iii ACKOWLEDGEMENT I would like to extend my sincere gratitude to my supervisor Mr. Waako Christopher who rendered to me excellent mentorship and supervision. I acknowledge Kawolo General Hospital for accepting me to carry out my study and greatly appreciate midwife Kaluya Ruth for her support during the development of this work. I’m so grateful to my dear husband for the financial support, being very understanding the times I got so busy with the course, encouraging, supporting and always believing in me that I could make it even when things got harder during the development of this work and throughout this course I appreciate my family, sisters Jamilah Rashid, Zura Rashid, brother Nassor Rashid, my brother in-law Ali Gubujja and sister in-law Pia Rehema for the love and care, moral support given to me during the development of this work and throughout this course. I wish to thank my friend Abdi Isadat for the moral support he gave me throughout the beginning till the end of this course. I wish to extend my gratitude to my course mates Mercy Asianut, Koriang Hilder, Naigah Rehema, Nsubuga Hamdan and Nsamba Abdi Razak, for the support and good company you gave me through this struggle especially the times when I was expecting my little one. iv ABSTRACT Background; Pregnant mothers who initiate antenatal care late miss out on the chance of early diagnosis, treatment, prophylaxis and prevention of complications, health education on nutrition and danger signs to watch out during pregnancy. Many pregnant women initiate antennal care late above 20 weeks of gestation however; the health facility and individual factors influencing late antenatal care late were not documented. Therefore, this study was intended to find out the socio economic, individual and health facility factors influencing late antenatal care seeking behavior at Kawolo General Hospital. Method; Descriptive cross sectional study was done on all pregnant women attending antenatal care during the study irrespective of their gestational age and whether it is their first visit or not using questionnaires. Data collected was analyzed using SPSS and results presented in tables. Results; The study included 100 participants who were interviewed in August 2015 at Kawolo General Hospital. Of these 98% had mean age of 27 years, 80% were married and 50% had attained secondary education. The pregnant mothers were mostly jobless (52%) and of their spouses were mostly business men (34%). Among them, 45% of these mothers made their first visit at < 20 weeks gestational age and 45% had knowledge on the recommended number of ANC visits, (62%) said that < 20 weeks of gestational age was the appropriate time to initiate ANC visit. Mothers mostly accessed the hospital using a taxi (40%), (46%) agreed that the transport fee was affordable, (87%) agreed that they do not pay for antenatal care services and (9%) said the payment for the services was not affordable. (68% agreed that they were satisfied with antenatal care services provided at the hospital v Conclusion and recommendations; This study showed that most pregnant women still did not know the benefits of early initiation and frequent visits during antenatal care therefore there is still more need to educate all women about the importance early initiation and frequent visits for antenatal care services. This can be achieved through going to communities, schools, churches and mosques and use of Village Health Teams (VHT’s). Reinforcement of male partner involvement during ANC visits. Positive working environment should be create for the health, recruiting more health staff to reduce turnaround time and long waiting hours by pregnant mothers and creating more incentives like providing a drink to the mothers, putting television with interesting programs at the waiting area, giving maternity dresses to those who initiate early and creating resting areas where by they can lie down to rest while waiting and freely interacting with one another. Key words; Late seeking, Antenatal care, parity and Kawolo General Hospital vi TABLE OF CONTENTS DECLARATION ............................................................................................................................. i APPROVAL ................................................................................................................................... ii DEDICATION ............................................................................................................................... iii ACKOWLEDGEMENT ................................................................................................................ iv ABSTRACT .................................................................................................................................... v TABLE OF CONTENTS .............................................................................................................. vii LIST OF TABLES ......................................................................................................................... xi LIST OF FIGURES ...................................................................................................................... xii ABBREVIATIONS ..................................................................................................................... xiii OPERATIONAL DEFINITIONS ................................................................................................ xiv CHAPTER ONE : BACKGROUND INFORMATION............................................................. 1 1.0 Introduction .......................................................................................................................... 1 1.1 Background of the study ...................................................................................................... 1 1.2 Background of study area .................................................................................................... 4 1.3 Problem statement ................................................................................................................ 4 1.4 Purpose of the study ............................................................................................................. 5 1.5 Objectives ............................................................................................................................ 5 1.5.1 General objective ................................................................................................................. 5 1.5.2 Specific objectives ............................................................................................................... 5 1.6 Research questions ............................................................................................................... 6 vii 1.7 Significance of the study ...................................................................................................... 6 1.8 Conceptual framework ......................................................................................................... 7 CHAPTER TWO: LITERATURE REVIEW ........................................................................... 8 2.0 Introduction .......................................................................................................................... 8 2.1 ANC Performance indicators ............................................................................................... 8 2.2 Socioeconomic factors influencing antenatal seeking behavior .......................................... 9 2.3 Individual factors influencing antenatal seeking behavior ................................................ 12 2.4 Health facility factor influencing antenatal seeking behavior ........................................... 13 CHAPTER THREE: METHODOLOGY ................................................................................ 15 3.0 Introduction ........................................................................................................................ 15 3.1 Study design ....................................................................................................................... 15 3.2 Study population ................................................................................................................ 15 3.3 Study area........................................................................................................................... 15 3.4 Sample size determination ................................................................................................
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