Utilisation of antenatal care services among women in the Asutifi South District of the Brong-Ahafo Region, Ghana

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JUNE, 2019
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Maternal and neonatal health remain a global concern. Many interventions have been initiated over the years to improve the health of the mother and the baby before and during pregnancy and after delivery. Antenatal care services have been found to be one of the effective measures to improve maternal and neonatal heath. Currently, the WHO has developed a new model of ANC services that requires every pregnant woman to have a minimum of 8 ANC visits during pregnancy. This study seeks to assess the utilisation of ANC services among women in the Asutifi South District of the Brong-Ahafo Region. It is a cross-sectional study involving 422 participants aged 15-49 who have recently delivered in the district attending post-natal services who were selected by using simple random technique. Data were analysed using STATA version 14.0. Logistic regressions were run to assess the factors influencing utilisation of ANC services and pregnancy outcomes. From the study, 18.5% of respondents made eight or more ANC visits during pregnancy. Although, all the respondents in the study ever attended ANC services during pregnancy, the study revealed a knowledge gap in the timing for ANC among respondents. Among the factors studied, ANC utilisation was significantly influenced by marital status, knowledge on the required number of ANC visits, partner and family accompaniment. Respondents who had knowledge on the number of required ANC visits during pregnancy had higher odds of making eight or more visits (AOR=11.769, CI=5.459-25.370). Additionally, respondents who made eight or more ANC visits had significantly higher odds of having babies with birth weight of 2.5kg and above (AOR= 3.623, 95%CI= 1.274- 10.301). Therefore, there is a need to create awareness on the required number of ANC visits to be made during pregnancy among pregnant women in the district. Additionally, families, partners and community members should be encouraged to support and accompany pregnant women for ANC services.
A thesis submitted to the School of Graduate Studies, Kwame Nkrumah University of Science and Technology in partial fulfilment of the requirements for the Degree of Master of Public Health in Health Services Planning and Management.
Utilisation, Antenatal Care Services, Women, Asutifi South District, Ghana, Brong-Ahafo Region