Factors associated with late antenatal care initiation among pregnant women attending a comprehensive healthcare facility in Kandahar Province, Afghanistan

Appropriate and timely care during pregnancy and delivery can improve maternal health. The present study aimed at determining factors associated with late antenatal care (ANC) initiation among pregnant women attending a comprehensive health clinic in Kandahar Province of Afghanistan. Of the 420 preg...

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Main Authors: Salda Samiah, Muhammad Haroon Stanikzai, Abdul Wahed Wasiq, Hadia Sayam
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Indian Journal of Public Health
Subjects:
Online Access:http://www.ijph.in/article.asp?issn=0019-557X;year=2021;volume=65;issue=3;spage=298;epage=301;aulast=Samiah
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author Salda Samiah
Muhammad Haroon Stanikzai
Abdul Wahed Wasiq
Hadia Sayam
author_facet Salda Samiah
Muhammad Haroon Stanikzai
Abdul Wahed Wasiq
Hadia Sayam
author_sort Salda Samiah
collection DOAJ
description Appropriate and timely care during pregnancy and delivery can improve maternal health. The present study aimed at determining factors associated with late antenatal care (ANC) initiation among pregnant women attending a comprehensive health clinic in Kandahar Province of Afghanistan. Of the 420 pregnant women, 281 (66.9%) presented late (>12 weeks) for their first ANC visit. The multivariable analysis showed that women with lack of knowledge on when to start ANC (adjusted odds ratio [AOR] =4.82; 95% confidence interval [CI]: 2.63–8.84), not planned last pregnancy (AOR = 3.07; 95% CI: 1.72–5.5), and no ANC visit in the past (AOR = 17.56; 95% CI: 5.89–52.3) were significantly associated with late ANC initiation. Cox and Snell R2 was 0.2 and Nagelkerke R2 was 0.4. This study has found high rates of late ANC initiation among pregnant women in the study area. The factors associated with late ANC initiation should be addressed to contribute to the reduction of late ANC initiation, and this in turn can improve maternal and fetal health.
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spelling doaj.art-0d2efe34a2d341879e7249719cf4e8c72022-12-21T20:40:22ZengWolters Kluwer Medknow PublicationsIndian Journal of Public Health0019-557X2021-01-0165329830110.4103/ijph.IJPH_62_21Factors associated with late antenatal care initiation among pregnant women attending a comprehensive healthcare facility in Kandahar Province, AfghanistanSalda SamiahMuhammad Haroon StanikzaiAbdul Wahed WasiqHadia SayamAppropriate and timely care during pregnancy and delivery can improve maternal health. The present study aimed at determining factors associated with late antenatal care (ANC) initiation among pregnant women attending a comprehensive health clinic in Kandahar Province of Afghanistan. Of the 420 pregnant women, 281 (66.9%) presented late (>12 weeks) for their first ANC visit. The multivariable analysis showed that women with lack of knowledge on when to start ANC (adjusted odds ratio [AOR] =4.82; 95% confidence interval [CI]: 2.63–8.84), not planned last pregnancy (AOR = 3.07; 95% CI: 1.72–5.5), and no ANC visit in the past (AOR = 17.56; 95% CI: 5.89–52.3) were significantly associated with late ANC initiation. Cox and Snell R2 was 0.2 and Nagelkerke R2 was 0.4. This study has found high rates of late ANC initiation among pregnant women in the study area. The factors associated with late ANC initiation should be addressed to contribute to the reduction of late ANC initiation, and this in turn can improve maternal and fetal health.http://www.ijph.in/article.asp?issn=0019-557X;year=2021;volume=65;issue=3;spage=298;epage=301;aulast=Samiahafghanistanantenatal care initiationfactorspregnant women
spellingShingle Salda Samiah
Muhammad Haroon Stanikzai
Abdul Wahed Wasiq
Hadia Sayam
Factors associated with late antenatal care initiation among pregnant women attending a comprehensive healthcare facility in Kandahar Province, Afghanistan
Indian Journal of Public Health
afghanistan
antenatal care initiation
factors
pregnant women
title Factors associated with late antenatal care initiation among pregnant women attending a comprehensive healthcare facility in Kandahar Province, Afghanistan
title_full Factors associated with late antenatal care initiation among pregnant women attending a comprehensive healthcare facility in Kandahar Province, Afghanistan
title_fullStr Factors associated with late antenatal care initiation among pregnant women attending a comprehensive healthcare facility in Kandahar Province, Afghanistan
title_full_unstemmed Factors associated with late antenatal care initiation among pregnant women attending a comprehensive healthcare facility in Kandahar Province, Afghanistan
title_short Factors associated with late antenatal care initiation among pregnant women attending a comprehensive healthcare facility in Kandahar Province, Afghanistan
title_sort factors associated with late antenatal care initiation among pregnant women attending a comprehensive healthcare facility in kandahar province afghanistan
topic afghanistan
antenatal care initiation
factors
pregnant women
url http://www.ijph.in/article.asp?issn=0019-557X;year=2021;volume=65;issue=3;spage=298;epage=301;aulast=Samiah
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AT muhammadharoonstanikzai factorsassociatedwithlateantenatalcareinitiationamongpregnantwomenattendingacomprehensivehealthcarefacilityinkandaharprovinceafghanistan
AT abdulwahedwasiq factorsassociatedwithlateantenatalcareinitiationamongpregnantwomenattendingacomprehensivehealthcarefacilityinkandaharprovinceafghanistan
AT hadiasayam factorsassociatedwithlateantenatalcareinitiationamongpregnantwomenattendingacomprehensivehealthcarefacilityinkandaharprovinceafghanistan