Godfrey Tumwizere
Action 4 Health , UgandaTitle: Determinants of Late Antenatal Care Attendance Among High Parity Women in Uganda
Abstract
Timely
and adequate Antenatal Care (ANC) is vital in preventing adverse pregnancy
outcomes and reducing maternal and neonatal mortality. High-parity women (those
with five or more children) face a high risk of maternal mortality. Yet,
insufficient information on late ANC timing in this group hinders Uganda's
efforts to improve maternal and child survival. This study aimed to identify
factors associated with delayed initiation of the first ANC visit after 12
weeks of gestation among high-parity women in Uganda.
Utilizing
nationally representative data from the 2016 Uganda Demographic and Health
Survey, the study included 5266 women aged 15–49 with five or more children.
Employing a complementary log-log regression model, the research revealed that
73% of high-parity women delayed their first ANC visit. Late ANC attendance was
associated with proximity to health facilities, partner cohabitation, partner's
education, previous delivery in a health facility, and the desire for more
children.
The study suggests promoting and reinforcing
health facility deliveries to enhance timely attendance and maternal survival
among high-parity women. Integrating family planning services with ANC and
postnatal care education is recommended to encourage early ANC visits within
the recommended first trimester. The study also advocates for increased support
for education, sensitization, and advocacy programs, specifically focusing on
health facility-based deliveries. Strengthening Volunteer Health Team (VHT)
activities and community engagement initiatives are highlighted as potential avenues
for achieving this.
Biography
Godfrey Tumwizere is a demographer with
research interest in Adolescent and Maternal Health, Family planning, and
Sexual Reproductive Health and rights. He is a graduate of the Master of
Science in Population and Reproductive Health of Makerere University, Kampala,
Uganda. He works with Action 4 Health Uganda as a Technical Specialist-Sexual
Reproductive Health and Rights.
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