UTILIZATION OF FOCUSED ANTENATAL CARE SERVICES AMONG PREGNANT WOMEN IN HEALTH FACILITIES IN BAUCHI STATE
Abstract
The aim of this study was to assess the focused antenatal care services utilization. A cross sectional descriptive design was adopted. A total of three hundred and eighty four pregnant women attended antenatal care clinic in twenty two health care facilities in Bauchi State were recruited. Multi-stage sampling technique was used. The data collected by used semi-structured questionnaire and observational checklist through face to face interview and audit observation check list during the period of first May to the end August 2016. All official approval was collected and all ethical considerations were kept. Donabedian Bruce quality model (1980) was adopted as a theoretical framework. The result revealed that: Eighty percent of the respondents were over 35 years old, 66% of them were Hausa/Fulani, almost half of them had secondary school certificate, and more than half of them had parity above six times. Eighty percent of the sample utilized focused antenatal care always. there were inadequate material resources, shortage of human resources , high utilization of focused antenatal care services and the client satisfaction was little bit low. Recommendations: Government should Ensure adequate material resources for focused antenatal care services in each facility in Bauchi State, Ensure adequate health care providers to improve quality focused antenatal care services, Periodic In-service training ,monitoring and evaluation to improve the quality services, Health education for the clients to increase the awareness and the importance of focused antenatal care.
References
Adeniyi F and Erhabor S (2015) Assessment of quality of antenatal care services in Nigeria: evidence from a population-based survey,12:88 DOI: 10.1186/s12978-015-0081-0 retrieved December 16,2015 fromhttp://reproductive-health-journal.biomedcentral.com/
articles/10.1186/s12978-015-0081-0
Babalola S, Fatusi A (2009). Determinants of use of maternal health services in Nigeria-looking beyond individual and household factors. BMC Pregnancy and Childbirth;9:43
Darmstadt DL, Bhutta ZA, Cousens S, Adam T, Walker N, de Bernis L(2005). Evidence-based, cost-effective interventions: how many newborn babies can we save? Lancet;365:977-88.
Donabedian, A. (1980).Explorations in quality assessment and monitoring. Ann Arbor, MI: Health Administrator Press.
Emelumadu O, Ukegbu A, Ezeama N, Kanu O, Ifeadike C and Onyeonoro U (2014) Socio-demographic determinants of maternal health care service Utilization among rural women in Anambra. Pubmed 4(3):374-382. Dol: 10. 410/2141-9248.133463. Retrieved June, 2016 Fromhttp://www.amhsr.org/article.asp?issn=2141-9248.133463.
Fantaye C, Fessahaye A. and Desta W (2014). Satisfaction with focused antenatal care service and associated factors among pregnant women attending focused antenatal care at health centers in Jimmatown. Biomedicentral. ResearchNotes, 7:164 doi:10.1186/1756-0500-7-164 Retrieved April 10,2016 from http://www.biomedcentral.com/1756-0500/7/164
Global Health(2014) Technical brief on focused antenatal care. Retrieved February 13,2016
fromhttp://www.who.int/globalatlas/autologin/hrh_login.asp
Grace A, Oyin O, Muyideen H, and Charles E (2012) Nugent Scores of pregnant women in tertiary institution in Nigeria. Scientific Research Journal. Vol 2, pp 531-536. Doi:10.4236/aim.2012.24068. Retrieved June, 2016 from http://www.scirp.org/journal/aim
Institute of Medicine (IOM)(2001). Crossing the Quality Chasm: A New Health System for the 21stCentury. Washington, D.C: National Academy Press.
Johnson (2015) Objectives Of Antenatal Care; Retrieved February 11,2016 From
https://pgblazer.com/objectives-of-antenatal-care/
Kerlinger F (2003) Foundation of behavioral research. London Hal Renegade & Wiston National Population commission (2016) population Implication and challenges. Retrieved May12,2016fromhttp: //www.population.gov.ng /index.php/ component/content/article/84-news/latest/106 nigeria over 167 million population challenges.
Nicholas N, Collins C, and Sabine G, (2012)Quality of antenatal care in Zambia: a national assessment.DOI:10.1186/1471-2393-12-151. Retrieved on 17th October, 2016 from
https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/1471-2393-12-151
Nigeria Demographic and HealthSurvey (2013) Maternal Mortality.Retrieved on 13th July,2016 from http://www.dhsprogram.com/pubs/.../ FR293.P…
Nwagha O, NwaghaT,Anyaehie B (2008) The influence of parity on the gestational age among pregnant women in Enugu. Nigerian journal of physiological Science, 23(2) 67-70. Retrieved August,2016 from http://www.bioline.org.br/nps
Nyarko P, Birungi H, Armar-klemesu M, Arhinful D and Deganus S (2006) Acceptability and feasibility of introducing the WHO focused antenatal care package. Ghana. Popline. Retrieved May 22, 2016 from http://www.popline.org/node/177149
Nweze ,Enabor , Oluwasola , and Aimakhu (2013) Perception And Satisfaction With
Quality Of Antenatal Care ServicEs Among Pregnant Women At The University College Hospital, Ibadan, Nigeria.Ajol.Info Vol.11, No.1 22-28 Retrieved May 21,2016 From http://www.ajol.info/index.php/aipm/article/viewFile/92990/82402
Onasoga O, Afolayan J, and Oladimeji B (2012) Factors influencing utilization of antenatal care services among pregnant women in Ife.Advance applied science research,3(3):1309-1315. Retrieved 12 september,2016 from http://www.pelagiaresearchlibrary.com
Paul C, Gerhrd S, Justin T, Arinaitwe M, Silva K, Florian N, Olaf M andMalabiki S (2011) Compliance with focused antenatal care services: do health workers in rural Burkina Faso, Uganda and Tanzania perform all ANC procedures? European Journal:doi: 10.11911/j.1365-3156.2011.02923.xRetrieved on 7th October,2016 from
http://onlinelibrary.wiley.com/doi/10.1111/j.1365-3156.2011.02923.x/full
Robert J, Sealy D, Marshak H, Manda L, Gleason P, and Mataya R (2014)The patient-provider relationship and antenatal care uptake at two referral hospitals in Malawi: A qualitative study.
Sholeye O, Abosede A, and Jeminusi A (2013)Client Perception of Antenatal Care Services at Primary Health Centers in an Urban Area of Lagos, Nigeria. World Journal of MedicalSciences 8 (4): 359-364, retrieved August 15,2015 from http://www.idosi.org
USAID (2009) Focused Antenatal Care Malaria And Syphilis In Pregnancy. Retrieved May 20, 2015 from http://www.pdf.usaid.gov/pdf_docs/pnaea268.pdf
Villar J, Bergsgo P.(2001) Scientific basis for the content of Routine Antenatal care. Acta
ObstetricaetGynacologica. 76(1): 1-14.
From http://www.who.int/mediacentre/factsheets/fs348/en/
WHO, (2016) Global Health Observatory (GHO) on Antenatal care Retrieved from
www.who.int/gho/maternal_health/reproductive_health/antenatal_care_text/en/
WHO (2012) Antenatal Care Randomized Trial: Manual for Implementation of the New Model. Ref. WHO/RHR/01.30-45 pages.
WHO (2014) Antenatal care services. Retrieved May 15,2015 from
www.who.int/pmnch/..../aonsection III-2
World Health Organization.(2010) Workload Indicators of Staffing Need (WISN): User's
manual. Geneva, Retrieved December 14,2015 from
http://www. who.int/hrh/resources/
Zolot and pa (2016) Trend in maternal mortality. American journal of Nursing.vol 116 issue 2:p17 Retrieved from
