Factors Influencing Utilization of Antenatal Care Services Among Teenage Mothers in Malindi Sub-County Kenya-A Cross Sectional Study

Ndambuki Stephen Mulinge; Oyindamola Bidemi Yusuf; Chris O. Aimakhu

doi:doi:10.11648/j.sjph.20170502.12

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Factors Influencing Utilization of Antenatal Care Services Among Teenage Mothers in Malindi Sub-County Kenya-A Cross Sectional Study

Ndambuki Stephen Mulinge, Oyindamola Bidemi Yusuf, Chris O. Aimakhu

Published in Science Journal of Public Health (Volume 5, Issue 2)

Received: 22 December 2016 Accepted: 9 January 2017 Published: 24 January 2017

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Abstract

Effective antenatal care services (ANC) present an opportunity to minimize the high risk for poor perinatal outcomes and other birth complications associated with teenage pregnancy. With the failure by Kenya and majority of the Sub Saharan Countries to achieve the Millennium Development Goals (MDG 4 & 5), there is need to understand factors influencing utilization of maternal health services among special groups within the reproductive age. Therefore, this study identified factors that influence utilization of ANC services among women aged 13-19 years. A facility-based cross-sectional study was conducted among 385 teenage mothers using semi-structured questionnaires and key informants’ interviews in Malindi Sub-County. The WHO recommendation of at least 4 ANC visits was used as standard measure for good or poor ANC services utilization. Quantitative data were analyzed using descriptive statistics, chi square test and logistic regression at the 5% level of significance while qualitative data were analyzed thematically. Mean age of the participants was 18.10 ± 1.11 and about 69% were married. In total, 91.2% of the participants reported poor utilization of ANC services with less than 4 ANC visits. About 54.7% reported late/inappropriate booking time. Knowledge of the recommended ANC visits, marital status, occupation, and the person making the decision to attend ANC were strong determinants of ANC utilization. Participants with good knowledge of the recommended ANC visits were about 3 times more likely to have good utilization of ANC services than participants with poor knowledge (OR=2.734, p=0.006, 95% CI: 1.34, 5.58).Participants who made the decision to start ANC clinics were 3 times more likely to have good ANC services utilization compared to participants whose decision was made by others (OR=2.914, p=0.009, 95% CI: 2.91, 6.48).Utilization of ANC services among teenage mothers remains significantly poor in Malindi sub-County. Immense efforts should be directed towards creation of awareness about ANC and its importance in the communities, and implementation of innovative programs targeting pregnant teenage girls to encourage them to seek ANC services.

Published in	Science Journal of Public Health (Volume 5, Issue 2)
DOI	10.11648/j.sjph.20170502.12
Page(s)	61-67
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Teenage Mothers, Antenatal Care, Perinatal Outcomes, Knowledge, Decision

References

[1]	WHO. (2015). Maternal mortality. Retrieved fromhttp://www.who.int/mediacentre/factsheets/fs348/en/.
[2]	UNFPA, Kenya. (2014). Counties with the highest burden of maternal mortality. News, 2014. Retrieved September 4, 2015, http://countryoffice.unfpa.org/kenya/2014/08/13/10333/counties_with_the_highest_burden_of_maternal_mortality/.
[3]	Kenya Demographic and Health Survey (2014). Key Indicators. Retrieved August 22, 2015.
[4]	Althabe, F. et al. (2015). Adverse maternal and perinatal outcomes in adolescent pregnancies: The Global Network’s Maternal Newborn Health Registry study. Reproductive Health 12 (2) 1-9.
[5]	Kisuule, I. et al. (2013). Timing and reasons for coming late for the first antenatal care visits by pregnant women at Mulango, Kampala Uganda. BMC Pregnancy and Childbirth 13 (12), 11-7.
[6]	Kenya Inter-Agency Rapid Assessment. (2014). Kilifi Secondary Data Review as at February 2014. KIRA. Retrieved from https://www.humanitarianresponse.info/system/files/documents/files/Kilifi%20Secondary%20Data%20Review_20141112.pdf.
[7]	African Institute for Development Policy (AFIDEP). (2016). Adolescent sexual and Reproductive health in Kilifi County: Fact Sheet. Ministry of Health, Print.
[8]	Kiptanui, C., Kindiki, J & Lelan, J. (2015). Impact of teenage motherhood on the academic performance in public primary schools in Bungoma County, Kenya. International Journal of Educational Administration and Policy, 7 (2), 61-71.
[9]	Leerlooijer, J et al. (2014). Applying intervention mapping to develop a community-based intervention aimed at improved psychological and social well-being of unmarried teenage mothers in Uganda. Health Education Research, 31 (4) 1-13.
[10]	Rai, RK., Singh, PK & Singh, L. (2012). Utilization of maternal health care services among married adolescent women: Insight from the Nigerian Demographic and Health Survey, 2008. Women’s Health Issues 22 (4). 407-414.
[11]	Mabitsela, O. (2010). Adolescent health service in South Africa. The National Adolescents Friendly Clinic Initiative. Retrieved from http://www.ppdafrica.org/docs/southafricaadolescent.pdf.
[12]	Dairo, M, D & Owoyukun, K. E. (2010). Factors affecting utilization of antenatal care servicesin Ibadan, Nigeria. 12 (1), 4-13.
[13]	Nansubuga, R. (2011). Factors affecting the utilization of antenatal care services among adolescent pregnant mothers. A case study of Naguru Teenage Health Center, Kampala, Uganda. Proc. 58^th World Statistical Congress, Bublin.
[14]	Muyunda, B., Makasa, M., Jacobs, C., Musonda, P & Michelo, C. (2016). Higher education attainment association with optimal antenatal care visits among childbearing women in Zambia. Frontiers in Public Health. Retrieved from http://journal.frontiersin.org/article/10.3389/fpubh.2016.00127/full.
[15]	Ochako, R., Fotso, J., Ikamari, L., & Khasakhala, A. (2011). Utilization of maternal health services among young women in Kenya: Insights from the Kenya Demographic and Health Survey, 2003. BMC Pregnancy and Childbirth 11 (1), 1-9.
[16]	Wamalwa, E. (2015). Implementation challenges of free maternity services policy in Kenya: The health workers’ perspective. The Pan African Medical Journal, 22 (375), 1-5.
[17]	Ministry of Devolution and Planning. (2013). Millennium Development Goals. Status Report for Kenya.

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Ndambuki Stephen Mulinge, Oyindamola Bidemi Yusuf, Chris O. Aimakhu. (2017). Factors Influencing Utilization of Antenatal Care Services Among Teenage Mothers in Malindi Sub-County Kenya-A Cross Sectional Study. Science Journal of Public Health, 5(2), 61-67. https://doi.org/10.11648/j.sjph.20170502.12

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ACS Style

Ndambuki Stephen Mulinge; Oyindamola Bidemi Yusuf; Chris O. Aimakhu. Factors Influencing Utilization of Antenatal Care Services Among Teenage Mothers in Malindi Sub-County Kenya-A Cross Sectional Study. Sci. J. Public Health 2017, 5(2), 61-67. doi: 10.11648/j.sjph.20170502.12

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AMA Style

Ndambuki Stephen Mulinge, Oyindamola Bidemi Yusuf, Chris O. Aimakhu. Factors Influencing Utilization of Antenatal Care Services Among Teenage Mothers in Malindi Sub-County Kenya-A Cross Sectional Study. Sci J Public Health. 2017;5(2):61-67. doi: 10.11648/j.sjph.20170502.12

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@article{10.11648/j.sjph.20170502.12,
  author = {Ndambuki Stephen Mulinge and Oyindamola Bidemi Yusuf and Chris O. Aimakhu},
  title = {Factors Influencing Utilization of Antenatal Care Services Among Teenage Mothers in Malindi Sub-County Kenya-A Cross Sectional Study},
  journal = {Science Journal of Public Health},
  volume = {5},
  number = {2},
  pages = {61-67},
  doi = {10.11648/j.sjph.20170502.12},
  url = {https://doi.org/10.11648/j.sjph.20170502.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20170502.12},
  abstract = {Effective antenatal care services (ANC) present an opportunity to minimize the high risk for poor perinatal outcomes and other birth complications associated with teenage pregnancy. With the failure by Kenya and majority of the Sub Saharan Countries to achieve the Millennium Development Goals (MDG 4 & 5), there is need to understand factors influencing utilization of maternal health services among special groups within the reproductive age. Therefore, this study identified factors that influence utilization of ANC services among women aged 13-19 years. A facility-based cross-sectional study was conducted among 385 teenage mothers using semi-structured questionnaires and key informants’ interviews in Malindi Sub-County. The WHO recommendation of at least 4 ANC visits was used as standard measure for good or poor ANC services utilization. Quantitative data were analyzed using descriptive statistics, chi square test and logistic regression at the 5% level of significance while qualitative data were analyzed thematically. Mean age of the participants was 18.10 ± 1.11 and about 69% were married. In total, 91.2% of the participants reported poor utilization of ANC services with less than 4 ANC visits. About 54.7% reported late/inappropriate booking time. Knowledge of the recommended ANC visits, marital status, occupation, and the person making the decision to attend ANC were strong determinants of ANC utilization. Participants with good knowledge of the recommended ANC visits were about 3 times more likely to have good utilization of ANC services than participants with poor knowledge (OR=2.734, p=0.006, 95% CI: 1.34, 5.58).Participants who made the decision to start ANC clinics were 3 times more likely to have good ANC services utilization compared to participants whose decision was made by others (OR=2.914, p=0.009, 95% CI: 2.91, 6.48).Utilization of ANC services among teenage mothers remains significantly poor in Malindi sub-County. Immense efforts should be directed towards creation of awareness about ANC and its importance in the communities, and implementation of innovative programs targeting pregnant teenage girls to encourage them to seek ANC services.},
 year = {2017}
}

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TY  - JOUR
T1  - Factors Influencing Utilization of Antenatal Care Services Among Teenage Mothers in Malindi Sub-County Kenya-A Cross Sectional Study
AU  - Ndambuki Stephen Mulinge
AU  - Oyindamola Bidemi Yusuf
AU  - Chris O. Aimakhu
Y1  - 2017/01/24
PY  - 2017
N1  - https://doi.org/10.11648/j.sjph.20170502.12
DO  - 10.11648/j.sjph.20170502.12
T2  - Science Journal of Public Health
JF  - Science Journal of Public Health
JO  - Science Journal of Public Health
SP  - 61
EP  - 67
PB  - Science Publishing Group
SN  - 2328-7950
UR  - https://doi.org/10.11648/j.sjph.20170502.12
AB  - Effective antenatal care services (ANC) present an opportunity to minimize the high risk for poor perinatal outcomes and other birth complications associated with teenage pregnancy. With the failure by Kenya and majority of the Sub Saharan Countries to achieve the Millennium Development Goals (MDG 4 & 5), there is need to understand factors influencing utilization of maternal health services among special groups within the reproductive age. Therefore, this study identified factors that influence utilization of ANC services among women aged 13-19 years. A facility-based cross-sectional study was conducted among 385 teenage mothers using semi-structured questionnaires and key informants’ interviews in Malindi Sub-County. The WHO recommendation of at least 4 ANC visits was used as standard measure for good or poor ANC services utilization. Quantitative data were analyzed using descriptive statistics, chi square test and logistic regression at the 5% level of significance while qualitative data were analyzed thematically. Mean age of the participants was 18.10 ± 1.11 and about 69% were married. In total, 91.2% of the participants reported poor utilization of ANC services with less than 4 ANC visits. About 54.7% reported late/inappropriate booking time. Knowledge of the recommended ANC visits, marital status, occupation, and the person making the decision to attend ANC were strong determinants of ANC utilization. Participants with good knowledge of the recommended ANC visits were about 3 times more likely to have good utilization of ANC services than participants with poor knowledge (OR=2.734, p=0.006, 95% CI: 1.34, 5.58).Participants who made the decision to start ANC clinics were 3 times more likely to have good ANC services utilization compared to participants whose decision was made by others (OR=2.914, p=0.009, 95% CI: 2.91, 6.48).Utilization of ANC services among teenage mothers remains significantly poor in Malindi sub-County. Immense efforts should be directed towards creation of awareness about ANC and its importance in the communities, and implementation of innovative programs targeting pregnant teenage girls to encourage them to seek ANC services.
VL  - 5
IS  - 2
ER  -

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Author Information

Ndambuki Stephen Mulinge

Department of Reproductive Health, Pan African University, Ibadan, Nigeria
Oyindamola Bidemi Yusuf

Department of Epidemiology and Medical Statistics, University of Ibadan, Ibadan, Nigeria
Chris O. Aimakhu

Department of Obstetrics and Gynaecology, University College Hospital (UCH), Ibadan, Nigeria

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APA Style

Ndambuki Stephen Mulinge, Oyindamola Bidemi Yusuf, Chris O. Aimakhu. (2017). Factors Influencing Utilization of Antenatal Care Services Among Teenage Mothers in Malindi Sub-County Kenya-A Cross Sectional Study. Science Journal of Public Health, 5(2), 61-67. https://doi.org/10.11648/j.sjph.20170502.12

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ACS Style

Ndambuki Stephen Mulinge; Oyindamola Bidemi Yusuf; Chris O. Aimakhu. Factors Influencing Utilization of Antenatal Care Services Among Teenage Mothers in Malindi Sub-County Kenya-A Cross Sectional Study. Sci. J. Public Health 2017, 5(2), 61-67. doi: 10.11648/j.sjph.20170502.12

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AMA Style

Ndambuki Stephen Mulinge, Oyindamola Bidemi Yusuf, Chris O. Aimakhu. Factors Influencing Utilization of Antenatal Care Services Among Teenage Mothers in Malindi Sub-County Kenya-A Cross Sectional Study. Sci J Public Health. 2017;5(2):61-67. doi: 10.11648/j.sjph.20170502.12

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@article{10.11648/j.sjph.20170502.12,
  author = {Ndambuki Stephen Mulinge and Oyindamola Bidemi Yusuf and Chris O. Aimakhu},
  title = {Factors Influencing Utilization of Antenatal Care Services Among Teenage Mothers in Malindi Sub-County Kenya-A Cross Sectional Study},
  journal = {Science Journal of Public Health},
  volume = {5},
  number = {2},
  pages = {61-67},
  doi = {10.11648/j.sjph.20170502.12},
  url = {https://doi.org/10.11648/j.sjph.20170502.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20170502.12},
  abstract = {Effective antenatal care services (ANC) present an opportunity to minimize the high risk for poor perinatal outcomes and other birth complications associated with teenage pregnancy. With the failure by Kenya and majority of the Sub Saharan Countries to achieve the Millennium Development Goals (MDG 4 & 5), there is need to understand factors influencing utilization of maternal health services among special groups within the reproductive age. Therefore, this study identified factors that influence utilization of ANC services among women aged 13-19 years. A facility-based cross-sectional study was conducted among 385 teenage mothers using semi-structured questionnaires and key informants’ interviews in Malindi Sub-County. The WHO recommendation of at least 4 ANC visits was used as standard measure for good or poor ANC services utilization. Quantitative data were analyzed using descriptive statistics, chi square test and logistic regression at the 5% level of significance while qualitative data were analyzed thematically. Mean age of the participants was 18.10 ± 1.11 and about 69% were married. In total, 91.2% of the participants reported poor utilization of ANC services with less than 4 ANC visits. About 54.7% reported late/inappropriate booking time. Knowledge of the recommended ANC visits, marital status, occupation, and the person making the decision to attend ANC were strong determinants of ANC utilization. Participants with good knowledge of the recommended ANC visits were about 3 times more likely to have good utilization of ANC services than participants with poor knowledge (OR=2.734, p=0.006, 95% CI: 1.34, 5.58).Participants who made the decision to start ANC clinics were 3 times more likely to have good ANC services utilization compared to participants whose decision was made by others (OR=2.914, p=0.009, 95% CI: 2.91, 6.48).Utilization of ANC services among teenage mothers remains significantly poor in Malindi sub-County. Immense efforts should be directed towards creation of awareness about ANC and its importance in the communities, and implementation of innovative programs targeting pregnant teenage girls to encourage them to seek ANC services.},
 year = {2017}
}

Copy | Download

TY  - JOUR
T1  - Factors Influencing Utilization of Antenatal Care Services Among Teenage Mothers in Malindi Sub-County Kenya-A Cross Sectional Study
AU  - Ndambuki Stephen Mulinge
AU  - Oyindamola Bidemi Yusuf
AU  - Chris O. Aimakhu
Y1  - 2017/01/24
PY  - 2017
N1  - https://doi.org/10.11648/j.sjph.20170502.12
DO  - 10.11648/j.sjph.20170502.12
T2  - Science Journal of Public Health
JF  - Science Journal of Public Health
JO  - Science Journal of Public Health
SP  - 61
EP  - 67
PB  - Science Publishing Group
SN  - 2328-7950
UR  - https://doi.org/10.11648/j.sjph.20170502.12
AB  - Effective antenatal care services (ANC) present an opportunity to minimize the high risk for poor perinatal outcomes and other birth complications associated with teenage pregnancy. With the failure by Kenya and majority of the Sub Saharan Countries to achieve the Millennium Development Goals (MDG 4 & 5), there is need to understand factors influencing utilization of maternal health services among special groups within the reproductive age. Therefore, this study identified factors that influence utilization of ANC services among women aged 13-19 years. A facility-based cross-sectional study was conducted among 385 teenage mothers using semi-structured questionnaires and key informants’ interviews in Malindi Sub-County. The WHO recommendation of at least 4 ANC visits was used as standard measure for good or poor ANC services utilization. Quantitative data were analyzed using descriptive statistics, chi square test and logistic regression at the 5% level of significance while qualitative data were analyzed thematically. Mean age of the participants was 18.10 ± 1.11 and about 69% were married. In total, 91.2% of the participants reported poor utilization of ANC services with less than 4 ANC visits. About 54.7% reported late/inappropriate booking time. Knowledge of the recommended ANC visits, marital status, occupation, and the person making the decision to attend ANC were strong determinants of ANC utilization. Participants with good knowledge of the recommended ANC visits were about 3 times more likely to have good utilization of ANC services than participants with poor knowledge (OR=2.734, p=0.006, 95% CI: 1.34, 5.58).Participants who made the decision to start ANC clinics were 3 times more likely to have good ANC services utilization compared to participants whose decision was made by others (OR=2.914, p=0.009, 95% CI: 2.91, 6.48).Utilization of ANC services among teenage mothers remains significantly poor in Malindi sub-County. Immense efforts should be directed towards creation of awareness about ANC and its importance in the communities, and implementation of innovative programs targeting pregnant teenage girls to encourage them to seek ANC services.
VL  - 5
IS  - 2
ER  -

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