Abstract: Focused Antenatal care was introduced following failure of the Standard ANC model, to limit the number of visits to the clinic, restrict tests, clinical procedures and actions to those which would improve the outcome of both the mother and the newborn. FANC is intended to prevent or identify and treat conditions that may threaten the health of the newborn and/or the mother, and help a woman to approach pregnancy and birth as a positive experience, and to a large extent it helps to provide a good start for the newborn child. This study assessed the predictors of compliance of FANC among pregnant women at Kisumu East District Hospital. Data was collected from 258 women of reproductive age group through cross-sectional study, and one-stage exit interviews from the Antenatal clinic (ANC) and post natal ward. 74.1% of women reported satisfaction with history taking and clinical examination. On the other hand, history taking and obstetric examination were only carried out in 75.3% and 93.5% respectively at the first visit but the rates were lower with consecutive visits. Significant predictors of FANC compliance that were found to have a p-value < 0.05 were: residence (p-value= 0.001, OR=1.1, CI=.5-2.36), maternal education (OR= 3.6, CI=1.7-7.7), Household financial status (OR= 5.2, CI= 2.8-9.6), woman’s source of income (OR=4.1, CI=.7-3.3) and awareness of FANC (OR=1.9, CI=1.1-3.5). This study showed that the compliance to FANC service was very low despite the presence of skilled and friendly service providers in the facilities. Factors associated with poor compliance included limited knowledge and poor attitude among participants and KEDH staff. Based on this study, it is recommended that stakeholders improve awareness of the new FANC model, improve counseling/ health education and upgrade antenatal clinic infrastructure as well as supplies at KEDH. It is also recommended for further research to elucidate the implications of poor compliance.
Keywords: Significant predictors, Focused Antenatal Care, compliance, World Health Organisation, enabling Factors.
Title: Assessment of Focused Antenatal Care Compliance Predictors in Kisumu East District Hospital, Kenya
Author: Anne Ayieko Ibworo, Vincent Ibworo
International Journal of Healthcare Sciences
ISSN 2348-5728 (Online)
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