Timing and Quality of Antenatal Care Among Adolescent Mothers in a Rural Community, Uganda.

IF 1.7 Q2 PEDIATRICS
Adolescent Health Medicine and Therapeutics Pub Date : 2023-02-11 eCollection Date: 2023-01-01 DOI:10.2147/AHMT.S374296
Vincent Kayemba, Allen Kabagenyi, Patricia Ndugga, Ronald Wasswa, Peter Waiswa
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Abstract

Background: Most adolescent mothers attend their first antenatal care (ANC) visit later than the recommended time while others do not receive good quality antenatal care (all the required components of ANC such as iron tablets). This study sought to examine the factors associated with timing of the first ANC visit and quality of ANC among adolescent mothers in Uganda.

Methods: This study was based on quantitative data from 248 adolescent mothers aged 10-19 years in Luuka district, Eastern Uganda. We selected adolescent mothers who were either pregnant or had infants aged 0-3 months. We used logistic regression to identify factors associated with timing and receipt of good quality ANC.

Results: The majority of the adolescents (82%) attended ANC for their most recent pregnancy. Of these, 47% made the first visit in the first trimester while 36% received good quality ANC. Having knowledge of danger signs in pregnancy was a determinant of both timing of first ANC visit (aOR = 2.89, 95% CI: 1.04-8.06) and receipt of good quality ANC (aOR = 6.57, 95% CI: 1.75-24.65). Other determinants for timing of first ANC visit were mother's age, partner's age, having ever given birth, decision maker on health care and daily earnings. Other determinants for quality of ANC included distance to health facility and knowledge of family planning methods.

Conclusion: This study recommends expanding the network of public health facilities further into the rural communities in the district as a means of bringing health services closer to adolescent mothers, deliberate efforts to equip adolescent girls with reproductive health information on pregnancy danger signs, and family planning and empowering adolescent girls to start income-generating activities.

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乌干达农村社区少女母亲产前护理的时间和质量。
背景:大多数未成年母亲的首次产前检查(ANC)时间晚于建议时间,而其他未成年母亲则没有得到高质量的产前检查(ANC 的所有必要组成部分,如铁片)。本研究旨在探讨与乌干达少女母亲首次产前检查时间和产前检查质量有关的因素:本研究基于乌干达东部卢卡地区 248 名 10-19 岁未成年母亲的定量数据。我们选择了怀孕或有 0-3 个月婴儿的未成年母亲。我们采用逻辑回归法来确定与接受优质产前护理的时间和接受情况有关的因素:大多数青少年(82%)在最近一次怀孕时接受了产前保健。其中,47%的青少年在怀孕前三个月进行了首次产前检查,36%的青少年接受了优质产前检查。对孕期危险信号的了解是首次产前检查时间(aOR = 2.89,95% CI:1.04-8.06)和接受优质产前检查(aOR = 6.57,95% CI:1.75-24.65)的决定因素。首次产前检查时间的其他决定因素包括母亲的年龄、伴侣的年龄、是否生育过、医疗保健决策者和日收入。产前护理质量的其他决定因素包括到医疗机构的距离和对计划生育方法的了解:本研究建议将公共卫生设施网络进一步扩展到该地区的农村社区,以便为未成年母亲提供更贴近她们的医疗服务,并有意识地向少女提供有关怀孕危险征兆和计划生育的生殖健康信息,以及增强少女开始创收活动的能力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
自引率
0.00%
发文量
13
审稿时长
16 weeks
期刊介绍: Adolescent Health, Medicine and Therapeutics is an international, peer reviewed, open access journal focusing on health, pathology, and treatment issues specific to the adolescent age group, including health issues affecting young people with cancer. Original research, reports, editorials, reviews, commentaries and adolescent-focused clinical trial design are welcomed. All aspects of health maintenance, preventative measures, disease treatment interventions, studies investigating the poor outcomes for some treatments in this group of patients, and the challenges when transitioning from adolescent to adult care are addressed within the journal. Practitioners from all disciplines are invited to submit their work as well as health care researchers and patient support groups. Areas covered include: Physical and mental development in the adolescent period, Behavioral issues, Pathologies and treatment interventions specific to this age group, Prevalence and incidence studies, Diet and nutrition, Specific drug handling, efficacy, and safety issues, Drug development programs, Outcome studies, patient satisfaction, compliance, and adherence, Patient and health education programs and studies.
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