Utilization of Eight Antenatal Care Contacts among Healthcare Providers in Central Gondar Zone, Ethiopia: A Cross-Sectional Study

Document Type : Original Research Article


Lecturer, Department of Midwifery, School of Public Health, Teda Health Science College, Gondar, Ethiopia


Background & aim: Ensuring optimal maternal outcomes relies on adequate antenatal care. The World Health Organization recommends eight prenatal care contacts, yet evidence on their utilization is scarce. This study assesses the utilization and determinants of eight antenatal care contacts among healthcare providers in the central Gondar zone.
Methods: A multicenter cross-sectional study (December 2021 - January 2022) involved 421 healthcare providers in public health institutions, selected through random sampling. Data collection utilized face-to-face interviews and observations with a structured questionnaire. Epi-data version 4.6 and SPSS 23 facilitated data entry and analysis. Bivariable and multivariable logistic regressions were executed, reporting adjusted odds ratios (AOR) with a 95% confidence interval (CI). Significance was set at p < 0.05.
Results: Among 421 healthcare providers, only 20.9% utilized eight antenatal care contacts. Significant determinants included workplace (AOR=8.29; 95% CI: 1.47-1.54), understanding the importance of eight antenatal care contacts (AOR=7.9; 95% CI: 3.70-16.89), knowledge of eight antenatal care contacts (AOR=2.90; 95% CI: 1.63-5.12), and the ability to differentiate between eight and four antenatal care visit guidelines (AOR=9.00; 95% CI: 3.70-21.91).
Conclusion: Utilization of eight antenatal care contacts remains suboptimal. Strategic interventions addressing identified barriers are essential to enhance service coverage, aligning with recommended guidelines.


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