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posted on 2024-06-19, 18:50 authored by Beker AhmedBeker Ahmed

Antenatal care (ANC) is the care given to pregnant by qualified medical experts in order to guarantee the optimal health conditions for the mother and the unborn child during pregnancy. Four or fewer antenatal care (ANC) visits are strongly linked to maternal and perinatal death. Because of this, the World Health Organization created a new model known as minimum of eight antenatal care (ANC8+) contact. This study aims to focus on the current antenatal care contact which not previously addressed. Therefore, the aim of this to investigate time to first antenatal care contact and its predictors among pregnant women at Bishoftu General Hospital 2023/24

Methods: An institutional-based cross-sectional study design was conducted among 347 study participants which was selected by systematic random sampling method. The data was collected using pretested, structured questionnaires. Data was entered into Epi Data version 4.6 and analyzed using STATA 15. Descriptive summary statistics like median survival time, Kaplan Meier survival curve, and Log-rank test were computed. Bivariate and multivariable Weibull regresion models were fitted to identify the time to first antenatal care contact and predictors. A hazard ratio with a 95% confidence interval was calculated and p-values < 0.05 were considered statistically significant

Ethical approval and informed consent

Ethical clearance was obtained from an institutional Research Ethics Review Board (IRB) of the University of Arsi University (with Reference number, A/CHS/18/2023). In addition, a letter of ethical approval was sent to Bishoftu General Hospital to be obtained from the hospital’s administrators. Informed, voluntary, and verbal were obtained from the head of the hospital and mothers. There are no study participants under the age of 18 years. Before conducting the interviews, information was given to the participants, and were assured of voluntary participation, confidentiality, and freedom to withdraw from the study at any time. The nature and significance of the study were explained to the participants

Data collection tool and procedures

To ensure the quality of data at the beginning, a data collection questionnaire was pre-tested on 5% of the calculated sample size at Chelelaka Health Center and necessary modifications will be made based on gaps identified in the questionnaire. Any error found during the process of checking will be corrected and modifications will be made to the final version of the data abstraction format. Training will be given to data collectors and supervisors for 01 days before the actual data collection task on the already existing records, half-day theoretical and half-day practical training. Data quality will be controlled by designing the proper data collection materials, through continuous supervision. All completed data collection forms will be examined for completeness and consistency during data management, storage, cleaning, and analysis. The data will be entered and cleaned by the principal investigator before analysis. Midwives, who are working in the maternity ward, will collect the data. The principal investigator of the study will control the overall activity.


Funding

not available

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