Department of Community Health, Lira University, Lira, Uganda
Department of Community Health, Lira University, Lira, Uganda.
BMJ Open. 2023 Jul 31;13(7):e071165. doi: 10.1136/bmjopen-2022-071165.
This study aimed at assessing factors associated with first antenatal care (ANC) attendance within 12 weeks of pregnancy among women in Lira City.
A cross-sectional study.
The study was conducted in health facilities offering ANC services in Lira City, Northern Uganda.
The study was among 368 pregnant mothers attending their first ANC in the three selected facilities (Lira Regional Referral Hospital, Ober Health Center IV and Pentecostal Assembly of God Mission Health Center IV) in Lira City.
Level of first ANC attendance within 12 weeks of pregnancy and associated factors.
Early ANC attendance was 36.1%. Women who were: unmarried (adjusted OR (aOR): 0.40, 95% CI: 0.16 to 0.99), took >2 hours to reach a health facility (aOR: 0.21, 95% CI: 0.07 to 0.62), or not visited by village health teams or healthcare workers at home (aOR: 0.33, 95% CI: 0.12 to 0.92) were less likely to attend their first ANC early. On the other hand, women who were: not knowing first that ANC guides parents on infant care (aOR: 2.22, 95% CI: 1.06 to 4.67); pregnant without consent of spouse (aOR: 4.29, 95% CI: 1.75 to 10.55); attending ANC from a private facility (aOR: 2.89, 95% CI: 1.27 to 6.15); and having two to three healthcare workers present at the ANC clinic (aOR: 1.79, 95% CI: 1.03 to 3.13) were more likely to attend ANC early.
Despite the fact that the WHO recommends that all women begin ANC within 12 weeks after conception, Lira City in Northern Uganda had a low overall incidence of timely ANC initiation. Being unmarried, distance to reach a health facility, and being visited by village health teams or healthcare workers at home were all linked to timely ANC commencement. As a result, intervention efforts should concentrate on the highlighted determinants in order to promote ANC initiation in Lira City, Northern Uganda. This can be accomplished by providing information and education to the community on the timing and necessity of ANC in Northern Uganda.
本研究旨在评估在乌干达北部利拉市，影响孕妇在怀孕 12 周内首次接受产前保健（ANC）的因素。
横断面研究。
研究在利拉市提供 ANC 服务的卫生机构中进行。
本研究纳入了在利拉市三个选定的设施（利拉地区转诊医院、Ober 健康中心 IV 和 Pentecostal Assembly of God 使命健康中心 IV）首次接受 ANC 的 368 名孕妇。
在怀孕 12 周内首次接受 ANC 的水平及相关因素。
早期 ANC 就诊率为 36.1%。以下因素与早期 ANC 就诊相关：未婚（调整后的比值比（aOR）：0.40，95%置信区间（CI）：0.16 至 0.99）、到达卫生机构需用时超过 2 小时（aOR：0.21，95%CI：0.07 至 0.62）、未接受村庄卫生工作队或保健工作者家访（aOR：0.33，95%CI：0.12 至 0.92）。而以下因素与早期 ANC 就诊相关：不知道 ANC 可指导父母育儿（aOR：2.22，95%CI：1.06 至 4.67）、未经配偶同意怀孕（aOR：4.29，95%CI：1.75 至 10.55）、在私立机构接受 ANC（aOR：2.89，95%CI：1.27 至 6.15）和 ANC 诊室有 2 至 3 名保健工作者（aOR：1.79，95%CI：1.03 至 3.13）。
尽管世界卫生组织建议所有妇女在受孕后 12 周内开始 ANC，但乌干达北部的利拉市及时开始 ANC 的整体发生率较低。未婚、到达卫生机构的距离以及是否接受村庄卫生工作队或保健工作者家访均与及时开始 ANC 相关。因此，干预措施应集中于这些重点决定因素，以促进乌干达北部利拉市 ANC 的开展。可以通过向乌干达北部社区提供有关 ANC 时间和必要性的信息和教育来实现这一目标。
