Utilization of Antenatal Care Services by Women of Reproductive Age at Kyabugimbi Health Center Iv, Bushenyi District

Table of Contents

APPROVAL ................................................................................................................................III

ACKNOWLEDGEMENT..........................................................................................................IV

DEDICATION.............................................................................................................................. V

LIST OF FIGURES..................................................................................................................... X

LIST OF TABLES....................................................................................................................... X

CHAPTER ONE ........................................................................................................................... 1

INTRODUCTION......................................................................................................................... 1

1.0 GENERAL INTRODUCTION ............................................................................................. 1

1.1 Background........................................................................................................................ 1

1.2.0 Problem Statement.......................................................................................................... 3

1.3.0 Objectives of the Study................................................................................................... 4

1.4.0 Research Questions......................................................................................................... 4

1.5.0 Study Justification .......................................................................................................... 4

1.6.0 Scope of the study........................................................................................................... 5

1.7.0 Conceptual frame work .................................................................................................. 6

CHAPTER TWO .......................................................................................................................... 7

LITERETURE REVIEW ............................................................................................................ 7

2.0 Introduction ....................................................................................................................... 7

2.1 Attendance of ANC ........................................................................................................... 7

2.2 Services utilized during ANC............................................................................................ 8

2.4 Factors for early ANC Utilization ................................................................................... 11

2.5Factors associated with inadequate ANC utilization........................................................ 11

CHAPTER THREE.................................................................................................................... 14

METHODOLOGY.................................................................................................................... 14

3.0 Introduction ..................................................................................................................... 14

3. 1 Study Design................................................................................................................... 14

3.2 Study Setting.................................................................................................................... 14

3.3 Study Population.............................................................................................................. 14

3.4 Sample Size Determination ............................................................................................. 14

3.5 Sampling Procedure......................................................................................................... 15

3.6.0 Selection criteria ........................................................................................................... 15

3.6.1 Inclusion Criteria .......................................................................................................... 15

3.6.2 Exclusion Criteria......................................................................................................... 15

3.7 Definition of Variables.................................................................................................... 15

ix

3.8 Research Instruments....................................................................................................... 15

3.9 Data Collection Procedures............................................................................................. 15

3.1.1 Ethical Considerations.................................................................................................. 16

3.12 Limitations for the study................................................................................................ 16

3.1.3 Plans for data dissemination......................................................................................... 16

CHAPTER FOUR....................................................................................................................... 17

RESULTS .................................................................................................................................... 17

4.0 INTRODUCTION:.................................................................................................................... 17

4.1.1 Social Demographic characteristics of respondents. .................................................... 17

4.1.2 ANC care service Utilization........................................................................................ 19

4.1.4 Association between Obstetric factors and Utilization of ANC Services. ................... 19

4.1.5 Association between Distance to the Health Facility and ANC Utilization................. 20

4.1.6 Reasons for early ANC Attendance.............................................................................. 20

4.1.7 Reasons for late ANC Attendance................................................................................ 21

4.1.9 Factors that influence Women’s access to ANC Services............................................ 23

4.2.1 Association between the Services and their Utilization at the Health Facility............. 23

4.2.2 Tabulation between age of the mother with First ANC Visit....................................... 24

4.2.3 Association between marital status and ANC Utilization. ........................................... 25

4.2.5 Association between educational levels with ANC utilization. ................................... 26

4.2.5 Association between unplanned pregnancy and ANC utilization. ............................... 26

CHAPTER FIVE ........................................................................................................................ 27

DISCUSSION ........................................................................................................................... 27

5.0 Introduction ..................................................................................................................... 27

5.1 Attendances and timing of ANC services........................................................................ 27

5.2 Factors for late ANC service utilization.......................................................................... 29

5.3. Factors for early attendance of ANC Services. .............................................................. 31

CONCLUSION ........................................................................................................................... 33

RECOMMENDATIONS............................................................................................................ 34

Common ANC practice Utilization. ...................................................................................... 34

Early ANC Attendance.......................................................................................................... 34

Late ANC Attendance. .......................................................................................................... 35

APPENDIX 1: DATA COLLECTION TOOL....................................................................................... 40

APPENDIX: II WORK PLAN.................................................... ERROR! BOOKMARK NOT DEFINED.

APPENDIX IV: MAP OF BUSHENYI SHOWING KYABUGIMBI SUB- COUNTY.................................. 44

APPENDIX IV: MAP OF UGANDA ....................................................................................... 45