DETERMINANTS OF ANTENATAL CARE SERVICE UTILIZATION AMONG MOTHERS IN ANEDED WOREDA, AMHARA REGION, NORTH WEST ETHIOPIA DETERMINANTS OF ANTENATAL CARE SERVICE UTILIZATION AMONG MOTHERS IN ANEDED WOREDA, AMHARA REGION, NORTH WEST ETHIOPIA DETERMINANTS OF ANTENATAL CARE SERVICE UTILIZATION AMONG MOTHERS IN ANEDED WOREDA, AMHARA REGION, NORTH WEST ETHIOPIA

Abstract

Improved access to and utilization of quality of ANC services may contribute to positive maternal and child health outcomes, making it achievable to reduce maternal mortality rates and infant mortality rates. This study aimed to determining the prevalence of antenatal care utilization and associated factors among women of Aneded woreda who give birth in the past 12 months before the survey. Community based cross sectional combining both quantitative and qualitative study design with total sample size of 415 is used. The data is entered and analyzed using statistical package for social science version 20 and binary logistic regression model is used to see the association of different variables with the outcome variable. Odds ratio at 95% confidence interval was used to measure strength, and statistical significance of associations. The overall mothers utlization of antenatal care and first ANC booking is 60.5%(55.4,65.3) and 45.1%(38.8,51.9) respectively. Multivariable analysis shows being rural resident, no pregnancy complication, get health education about ANC, give birth at health center and traveling less than or equal to 1 hour distance on foot from home to health center are significant factors for ANC service utilization, and also being illiterate mother, having planned pregnancy and age of the mother are determinants of first ANC booking. In this study even though the result revealed that percentage of women who utilized ANC service were greater than women who did not utilize; the difference is slightly lower as compared to the regional and national averages and more efforts should be needed to improve ANC utilization and first ANC booking of mother.