Prevalence and factors associated with the use of ANC services in first trimester among public health facilities in Mbale city.
| dc.contributor.author | Gemagaine, Daniel | |
| dc.date.accessioned | 2026-07-16T09:29:49Z | |
| dc.date.available | 2026-07-16T09:29:49Z | |
| dc.date.issued | 2026 | |
| dc.description | Undergraduate research report | |
| dc.description.abstract | Background: Early initiation of ANC within the first trimester optimizes maternal and perinatal outcomes because it allows timely detection, prevention, and management of pregnancy-related complications. In Uganda, only a small proportion of pregnant women initiated ANC within the first trimester, with Eastern Uganda, persistently reporting the lowest rates as compared to other regions. Study aim. This study aimed to determine the prevalence of first trimester ANC use and the factors associated with its utilization among pregnant women attending public health facilities in Mbale City. Methods: A facility-based cross-sectional study was conducted among pregnant women attending Mbale Regional Referral Hospital (MRRH), Namatala HCIV and Namakwekwe HCIII in Mbale City. A total of 355 participants were recruited using a multi stage sampling technique. Data was collected using an interviewer-administered questionnaire and analyzed using Stata. Descriptive statistics and multivariable logistic regression were performed to identify predictors of first trimester ANC use. Results: The prevalence of first trimester antenatal care (ANC) use was 42%. Women who were occupied with home activities were more likely to initiate ANC beyond the first trimester (AOR=1.47, 95% CI: 1.10–1.96, p=0.009). Women who reported negative experiences during (AOR=4.88, 95% CI: 1.24–19.18, p=0.023). Additionally, women who did not receive partner transport or financial support had higher odds of delayed ANC initiation compared to those who received support (AOR=10.06, 95% CI: 1.14–88.53, p=0.037). Conclusions: The prevalence of first trimester ANC use was 42%, indicating that timely ANC initiation remained below recommended levels. Strengthening male partner involvement, improving client experiences during ANC visits and addressing barriers related to domestic responsibilities may improve timely utilization of ANC. | |
| dc.description.sponsorship | Ms. Mildred Irene Neume ; Mr. Joshua Epuitai ; Busitema University. | |
| dc.identifier.citation | Gemagaine, D. (2026). Prevalence and factors associated with the use of ANC services in first trimester among public health facilities in Mbale city. (Unpublished undergraduate research)Busitema University. | |
| dc.identifier.uri | https://bdears.busitema.ac.ug/handle/123456789/7741 | |
| dc.language.iso | en | |
| dc.publisher | Busitema University | |
| dc.title | Prevalence and factors associated with the use of ANC services in first trimester among public health facilities in Mbale city. | |
| dc.type | Thesis |