Time spent on provision of Antenatal Care and associated factors among public and private health facilities in Axum town, North Ethiopia: Comparative cross sectional study

Résumé

Abstract BackgroundIn most developing countries contact time between antenatal care attendees and providers have effects on health outcomes and quality of antenatal services. Effectiveness of focused antenatal care relies on standard time spent provisions. Hence this study evaluated the time spent & associated factors on provision of antenatal care in public and private health facilities in Axum Town, Northern Ethiopia.MethodsInstitutional based comparative cross-sectional mixed quantitative and qualitative methods were used. Data was collected through exit interviews with 456 antenatal care attendees. Qualitative data were also collected using an in-depth interview with providers. The collected data were entered using EPI info version 3.5.1 software then exported to SPSS version 21 software for analysis. Finally, multivariate logistic regression was employed to identify determinants of time spent on antenatal care provision at p-value < 0.05.ResultsMajority 378 (84.8%) of pregnant woman were served below the mean standard time in both public and private health facilities. The mean (± SD) time spent for first antenatal care provision in private was 19.7 (± 8.5) minutes, which is higher than public health facilities with mean time spent (± SD) of 13.2 (± 3.8) minutes. The mean time spent on antenatal care was significantly different in public and private health facilities. Factors that significantly affect time spent on provision of antenatal care were: type of health facilities [AOR = 2.60; 95% CI, 1.07–6.33], frequency of antenatal care visit [AOR = 3.50; 95% CI, 1.92–6.36] and language similarity with provider [AOR = 2.74; 95% CI, 1.23–6.12].ConclusionThe mean time spent for first and revisit of ANC in both health facilities was lower than the WHO standards. Type of health facilities, frequency of antenatal care visit and language similarity with provider were predictors for time spent on ANC provision. Efforts should be targeted on standard provision of antenatal care.

Citer ce document

Accès au document

Ce document est hébergé sur son dépôt institutionnel d'origine.

Auteur(s)

Statistiques

Consultations : 1

Téléchargements : 0