Abstract:
Background: Antenatal care is a World Health Organization (WHO) initiative for
improving pregnancy outcomes. WHO recommends eight antenatal care contacts.
Objective: Determining the level and factors associated with Antenatal Care (ANC)
uptake.
Design: Cross-sectional study design utilizing census to pick participants.
Setting: Nyamira County.
Participants: Expectant women on their first trimester.
Data collection tools: Structured questionnaire
Main outcome measures: Antenatal care four contacts.
Result: The odds of a respondent making all the ANC contacts as required was
0.385 (95% CI 0.297 to 0.499) compared to the odds of 24.219 (95%CI 9.093 to 64.5)
not making all the ANC contacts. It was found that 47.4% (CI: 37.6 to 57.95)
expectant women completed the required ANC contacts while 29.7 % (CI: 21 to 39.7)
never completed. Those in formal employment were 29 times more likely to
complete the ANC contacts as compared to those who were unemployed (AOR:
29.212; 95%CI: 1.535 to 555.9; p-value 0.025). Clients who disagreed that the opening
times were convenient were 98 % less likely to complete ANC contacts as compared
to those who strongly agreed (AOR 0.021; 95%CI: 0.001 to 0.387; p-value 0.009).
Conclusion: Formal employment, increase in the number of children, accessibility
and convenient opening hours increased the odds of completing the ANC contacts.
