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  • Title: Factors related to antenatal clinic choice and reported activities of antenatal care clinics by pregnant women in Gulele district, Addis Abeba.
    Author: Fantahun M, Olwit G.
    Journal: Ethiop Med J; 1995 Jan; 33(1):51-8. PubMed ID: 7895746.
    Abstract:
    Two-hundred-seventy pregnant women in the third trimester in 24 kebeles of Gulele district, Addis Abeba were included in the study to assess the factors associated with the choice of antenatal care (ANC) clinics and the women's views concerning activities at antenatal care clinics. Questionnaire were administered to pregnant women at their homes by trained assistants. Majority of the respondents attended ANC in a health station and the most frequent reason for choice of place of attendance was closeness of health institution to which the pregnant woman lives followed by little or no expenses for antenatal care. One fourth of the women attending antenatal care said that health education is never given at the health institution where they attend antenatal care. About 80% of the attendants reported that their blood pressure was always taken. Blood examinations were said to have been performed for 85.6% of the attendants and 74.1% said their urine was checked. We recommend that activities of ANC clinics be assessed thoroughly by different methods and well designed studies addressing the effect of ANC attendance on pregnancy outcome. Refresher courses for health workers on health education and maternal and child health are suggested. 12 research assistants visited 17,496 homes and interviewed pregnant women within the framework of a cross-sectional study from October to December 1991. 270 pregnant women in the 3rd trimester in 24 kebeles of Gulele district, Addis Abeba, were included in the study to assess the factors associated with the choice of antenatal care (ANC) clinics and the women's views concerning activities at antenatal care clinics. 48.1% of respondents were in the 25-34 year age group; 59.2% were illiterate; and 93.3% were married. About 1/4 were nulliparous and the rest had delivered at least once. 140 (52%) of the respondents attended ANC in a nearby health station. 24% attended ANC clinics in a central referral hospital; 10% attended a health station in the district; and 14% attended other health institutions outside the district. The most frequent reason for choice of place of attendance was living close to a health institution (169 responses) followed by little or no expenses for antenatal care (70 responses). 37 cited convenient time and high quality of service, while 35 cited the helpful attitude of health workers. 136 women (50.4%) said that health education was given at every ANC session, while 24.4% claimed that health education was never given at the health institution where they attended antenatal care. 226 (83.7%) said that their weight was always recorded, while 35 (13%) said that it was sometimes taken. About 80% of the attendants reported that their blood pressure was always taken. 14% said it was sometimes measured, while 5.6% did not know. Blood examinations were said to have been performed for 231 (85.6%) of the patients and 74.l% said their urine was checked. Activities of ANC clinics should be assessed thoroughly by different methods and well designed studies addressing the effect of ANC attendance on pregnancy outcome. Refresher courses for health workers on health education and maternal and child health are suggested.
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