Prevalence and determinants of antenatal care service utilisation among pregnant youths (15-35) years in Harare: A cross-sectional analysis of the 2015 Zimbabwe demographic and health survey.
Keywords:
youths, antenatal care services, utilization, harareAbstract
Maternal mortality remains a public health challenge in most developing countries. Effective and efficient utilisation of maternal health care services can aid in alleviation of maternal mortality and morbidity. Antenatal care (ANC) is regarded as a vital health care and health promotion activity that seeks to enhance maternal and fetal well-being throughout pregnancy as well as favorable pregnancy outcomes. The study examines the factors associated with ANC service utilisation among pregnant youths (15-35) years in Harare, Zimbabwe. The study utilised secondary data extracted from the 2015 Zimbabwe Demographic and Health Survey to explore ANC service utilisation among pregnant youths (15-35) in Harare, Zimbabwe. Univariate, bivariate, and multivariate analysis was done. The results showed that 67.6% of the respondents utilized ANC services. Wealth influenced ANC utilisation, the poorer were 11.1 times more likely to utilize ANC services in Harare. ANC service utilization in Harare was (OR=0.323, p<0.05) less likely among respondents who belonged to mainline churches compared to other religious groups. Only, the tetanus toxoid injection model was found to have significant background variables (Education and Wealth index). Respondents with primary education levels were less likely (OR=0.228, p<0.05), and those with secondary education were less likely to go for tetanus vaccination compared to those with tertiary education (OR=0.144, p<0.05). The poor were 5.6 times more likely to take Tetanus toxoid injections than the richest. There is a need to raise some awareness of the importance of Tetanus toxoid injection among the primary and secondary educated youth so as to meet the globally set developmental goals and targets with regards to maternal mortality and child health.
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