Abstract:
Background: Early Antenatal care contact is used within 12 weeks of pregnancy, which is 
given to pregnant women for prevention, early diagnosis and treatment of general medical 
and pregnancy related complications. Failure to attend early antenatal care contact results in 
the potential for complications during pregnancy and delivery. 
Objective: To assess early Antenatal care contact and associated factors among pregnant 
women attending antenatal care at Sendafa town public Health facilities, Ethiopia, 2024
Methods: A cross-sectional study design was used. Systematic random sampling was used to 
select 411 pregnant women attending antenatal care in Sendafa town public health 
facilities.Interviewer administered structured questionnaire was used and descriptive statistics 
like mean, frequency, proportion and standard deviation were summarized the data. Data 
entry done into Epi-data version 3.1 and exported to SPSS version 25.0 for analysis. 
Bivariable and Multivariable logistic regression methods were used to analyze the data. 
Variables with p- value< 0.25 at bivariate analysis transferred to multivariable logistic 
regression and a P-value <0.05 at 95% CI has been set as cut of point to show the association 
between independent variables and outcome variable.
Results:From a total of 411 pregnant women recruited, 403 pregnant women were responded 
to the questionnaire with the response rate of 98%. This study found that 44% (39%-47% at 
95% CI) of the study respondents attended early antenatal care contact within12 weeks of 
gestation.Planned pregnancy (AOR, 21.69(2.42-94.08), Previous history of obstetric problem 
(AOR, 38.03(4.86-49.33), household monthly income less than 6000 (AOR, 0.34(0.12-0.93), 
women who have a knowledge on early ANC Contact (AOR, 10.99 (5.37-22.50), diagnosed 
for current pregnancy complication (AOR, 9.195 (2.75-30.80),women who have less than 
four family size (AOR,0.34 (0.12-0.93), Age<35 (AOR=0.33 (0.11-0.98) were variables 
significantly associated with early antenatal care contact.
Conclusion and Recommendation: The proportion of early ANC contactwas low, Age, 
previous history of obstetric problem, women‟s knowledge on Early ANC Contact, planned 
pregnancy, household monthly income and current pregnancy complication were significant 
with early antenatal care contact.
Improving women‟s knowledge and strengthened health education on early antenatal care 
contact is vital and promotion of family planning to reduce unplanned pregnancy