High Parity and Low Education are Predictors of Late Antenatal Care initiation among Women in Maternal and Child Health Clinics in Kwale County, Kenya
Bibliographic record
Abstract
Background: Timely initiation of antenatal care (ANC) clinic attendance during pregnancy helps identify and reduce risk factors in pregnancy. The World Health Organization (WHO) recommends at least four ANC visits during pregnancy with the first being in the first trimester. In most developing countries including Kenya, the first visit occurs late in some mothers. Aim: This study describes ANC attendance by mothers at clinics in Kwale County. It was conducted with the aim of determining factors affecting ANC attendance in two dispensaries in Kwale County. Design: A cross-sectional study using quantitative research methods was adopted. Results: Two hundred and eighty pregnant women at a gestational age of 20 weeks and above were recruited and interviewed. All the mothers made at least one ANC visit with 19.6% starting in the first trimester. About a quarter of the mothers (24.0 %) came for the first time at nine months gestational age. There was a significant relationship between late ANC initiation and low or no formal education (p = 0.001) as well as higher parity (p = 0.0001). Mothers with no formal education were four times more likely to initiate ANC clinics late compared to those with secondary or tertiary education (OR = 4.687; CI 1.765 – 12.447). The likelihood of mothers whose husbands had no formal education initiating ANC later was almost three times more likely as compared to those who had secondary or tertiary education (OR = 2.775; CI 1.107 – 6.960). Multiparous women were more likely to initiate ANC clinics earlier compared to grand multiparous women (OR = 0.513; CI 0.223 – 1.183). Conclusion: Timely initiation and appropriate ANC attendance was low in Kwale. Low education level and high parity had a significant negative association with timely ANC initiation. There is need for community mobilization and enlightening on the importance of timely ANC attendance for mothers to reap the full benefits of maternal and child health care. Keywords: Maternal, Antenatal, Child, Health, Parity, Multiparous, Grand multiparous.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".