Factors that lead to utilisation of antenatal care in Ruhinda Health Centre 111 Rukungiri District

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Kampala International University, School of Allied Health Sciences
Globally every year 529000 maternal deaths occur, 99% of this are in developing countries. Provision of early ANC was regarded as a cornerstone for improving maternal and perinatal outcomes and it included improving women's knowledge on Prevention of Mother to Child Transmission of HIV (PMTCT) services. The World Health Organization (WHO) recommended a minimum of four antenatal visits, which ideally should have been initiated in the first 12 weeks of gestation (UNAIDS 2010). This recommendation was based on a review of the effectiveness of different models of ANC. The recommended care included: blood testing to detect syphilis and anemia, blood pressure measurement, urine test, weight and height and HIV counseling and testing which was included at a later stage (UNAIDS 2010). Globally 70% of women accessed ANC at a least once in pregnancy, thus making an opportunity to provide a broad range of health activities (WHO 2011). According to the United Nations (UN 2010) 150 million women become pregnant and out of these 25 million that was 15% developed complications which required skilled treatment. It was also reported that out of these 500,000 died as a result of these complications in Africa. Utilization of the health services was a combination of the supply side and demand side where demand side were issues like perception of the quality offered and supply side included issues like access to health services, financial and geographical(MOH,2013), If these two sides were moving in the same direction the perception of care was said to be good.
A research dissertation submitted to the School of Allied Health Science in partial fulfilment for the requirements of award of a health at Kampala International University
Antenatal care, Ruhinda Health Centre 111, Rukungiri District