Completion Of Four Antenatal Care Visits And Associated Factors Among Mothers Having Infants Less Than Two Months Of Age In Public Health Facilities, Wolisso Town, Central Ethiopia, 2021

Abstract

Background: Completion of four ANC visit improves pregnancy outcome and minimizes the chance of having pregnancy and birth related complications. Completion of ANC4+ was 12% in 2005,19% in 2011, 32% in 2016 and 43% in 2019 in Ethiopia. Objective: To assess the magnitude of completion of four antenatal care visits and associated factors among mothers having infants less than two months of age in public health facilities, wolisso town, central Ethiopia, 2021. Method: A facility based cross-sectional study was conducted using consecutive sampling among 325 mothers of infants less than two months of age who came to two health centers from November22, 2021 to January 22, 2022. The data were collected using pre-tested and structured questionnaire through face to face interview. Data entry and analysis were made using EPI info version 7 software and SPSS version 20. Association between dependent and independent variables was tested in bivariate and multivariate binary logistic regression model and variables with p-value ≤ 0.25 were entered once stepwise forward in to multivariate logistic regression. Summary result was presented using frequency table and cross- tabulation. Statistical significance was declared at P-value ≤ 0.05 in multivariate logistic regression. Adjusted odds ratio with corresponding 95% CI was used for the interpretation purpose. Result: A total of 325 participants were enrolled into this study giving a response rate of 100%. One hundred ninety (58.5%, 95% CI: 53.2, 64) had completed their ANC4 visit. Educational status being college and university education (AOR=6.`122, 95% CI: 2.25,16.66), secondary education (AOR=2.529, 95% CI :(1.06, 6.03), initiation time within the first three months of pregnancy (AOR-6.802, 95% CI:3.54,13.07), having awareness about ANC service (AOR=5.464, 95% CI: 2.37,12.58) and hospital visit for ANC service (AOR= 1.879, 95% CI:1.03,3.44) were statistically associated with completion of ANC4. Conclusion: This study revealed that ANC four completion is higher in the study area than National and local findings. Improved educational level, initiation of ANC service in the first three months of pregnancy, having knowledge on ANC service and getting service at Hospital had positive statistical association with completion of four antenatal care service. Recommendation: motivating women to learn up to higher level, increasing awareness on benefits antenatal care and starting ANC service early in the first trimester of pregnancy are recommended to help the mothers to complete their ANC4+ service.