Adequacy Of Antenatal Care Service Utilization And Associated Factors Among Women Attending Delivery Service In Ambo Town, West Shoa Zone, Oromia Region, Ethiopia, 2023

Abstract

Background: Adequate antenatal care (ANC) is effective at promoting better health outcomes for both mother and child during pregnancy. Despite increased attention on antenatal care service coverage, the adequacy of service provision has not been well addressed in Ethiopia, specifically in Ambo town. Objectives: To assess adequacy of antenatal care service utilization and its associated factors among women attending delivery service at public health facilities in Ambo town, West Shoa Zone, Oromia, Ethiopia, 2023. Methods: An institution-based cross-sectional study was conducted among women attending delivery services at public health facilities in Ambo town from August 1 to October 30, 2023. A total of 407 women were selected by a systematic random sampling technique. Data were collected using pre-tested structured interviewer-administered questionnaires. The collected data were entered into Epi info version 7.2.2.6 and analyzed by SPSS version 26. Descriptive statistics; frequency, proportion, mean and standard deviation were used. Both bivariable and multi-variable analysis were computed. Those variables with p-value <0.25 during bivariable analysis, were exported to multivariable analysis, crude odd ratio and adjusted odds ratios with 95% confidence interval was reported. Statistical significance of association was determined at p-value <0.05. The model fitness was checked by Hosmer-Lemeshow test. Result; The magnitude of adequate ANC service utilization was 25.3% (95% CI: 21.4-30.0). Planned pregnancy (AOR = 2.88 (95% CI:1.61–5.17), having good knowledge (AOR = 4.98 (95% CI:2.89-8.57), higher educational level (college and above) (AOR = 3.38 (95% CI:1.72–6.62)), married women (AOR = 3.74(95% CI:1.06–13.93), younger age (AOR = 3.67 (95% CI:1.35–9.95) were factors associated with the adequate ANC service utilization. Conclusion and Recommendation: The overall adequacy of ANC service is quite low in relation to the adequacy of ANC service utilization of the WHO recommendation. Planned pregnancy, having good knowledge, higher educational level, married women, younger age were factors significantly associated with adequate ANC service utilization. Therefore, health care providers need to provide interventions related information, education and communication to improve the adequacy of ANC service utilization.