College of Health Sciences

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Author: search.filters.author.ADISU TESFU

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    UTILIZATION AND FACTORS ASSOCIATED WITH MINIMUM EIGHT CONTACT ANTENATAL CARE AMONG MOTHERS WHO DELIVERED IN PUBLIC HOSPITALS OF CENTRAL ZONE, TIGRAY, NORTH ETHIOPIA, 2024.
    (Mekelle University, 2025-03-28) ADISU TESFU
    Background: Maternal mortality, a largely preventable global health concern, remains high, particularly in sub-Saharan Africa. The WHO recommends eight or more antenatal care (ANC) contacts, yet only 65% of women globally achieve this, with lower rates in high-mortality regions. In Ethiopia, only 43% receive four or more ANC visits, and 32% receive none. Data on eight+ ANC utilization in central Tigray, Ethiopia, was previously lacking. Objective: To assess utilization and factors associated with eight+ ANC contacts among mothers who delivered in public hospitals in central Tigray, Ethiopia, in 2024. Methods: A hospital-based cross-sectional study was conducted among 614 mothers from November 15 to December 15, 2024. A systematic sampling method was used, with proportional allocation to each hospital. Ethical clearance was obtained from Mekelle University, and permissions were secured from the Tigray Regional Health Bureau and hospitals. Data were entered into Epi Data and analyzed using SPSS version 27, with statistical significance set at p < 0.05. Results: The magnitude of eight+ ANC utilization was 36.2%. Factors significantly associated with eight+ ANC utilization included having a trader partner [AOR = 1.755, 95% CI: 1.097– 2.807], presence of danger signs [AOR = 2.131, 95% CI: 1.362–3.333], planned pregnancy [AOR = 2.287, 95% CI: 1.394–3.751], ANC initiation within 12 weeks [AOR = 3.275, 95% CI: 2.204–4.868], living <30 minutes [AOR = 3.683, 95% CI: 1.777–7.632] or 30–60 minutes [AOR = 2.099, 95% CI: 1.055–4.174] from a health facility, and positive attitude toward ANC [AOR = 2.364, 95% CI: 1.039–5.379]. Conclusion and Recommendation: Utilization of eight+ ANC contacts in central Tigray remains low. Key factors include partner occupation, presence of danger signs, pregnancy planning, ANC initiation timing, distance to health facilities, and maternal attitudes. Targeted interventions, such as community education, improved accessibility, and strengthened healthcare systems, are needed to increase ANC8+ utilization.