Factors Associated with Utilization of Skilled Antenatal Care among Teenage Mothers in Zombo District, Uganda: Evidence from a Community Based Cross Sectional Study

Jerry Ictho, Doctors with Africa CUAMM
Christopher G. Orach, Makerere University
Peter lochoro, Doctors with Africa CUAMM
Sam Ali, Makerere University Clinical Epidemiology Unit
Joanita Nangendo, Makerere University Clinical Epidemiology Unit
Charles Karamagi, Makerere University Clinical Epidemiology Unit

Aiming at establishing the factors associated with use of skilled antenatal care (ANC) among teenage mothers, we conducted community based cross-sectional study in Zombo district, Uganda. We used two-staged cluster sampling to include 564 mothers aged 12-19 years from 51 villages and 558 households within January to March 2016. Semi-structured interviewer administered questionnaire was used for data collection. Utilization of ANC was measured by the number of ANC visits and categorized into adequate ANC utilization (4 or more ANC visits) and inadequate ANC utilization (less than 4 ANC visits). We used Poisson regression to determine Prevalence Ratios (PR) as the measure of association. Adequate ANC utilization was at 60.9%. This was associated with initiation of ANC attendance within first trimester (PR: 2.97, P<0.001) and second trimester (PR: 2.34, P<0.001) of pregnancy, living within male headed (PR: 1.21, P=0.053) and richer (PR: 1.30, P=0.036) households.