Abstract:
ABSTRACT
When implemented according to the set standards and guidelines, antenatal care (ANC) contributes greatly to better health outcomes for women and their infants. Despite the implementation of World Health Organisation (WHO) guidelines for focussed antenatal care (FANC) known to improve quality and high utilisation of antenatal care services in Kenya, maternal mortality rates remains unacceptably high at 414 per 100,000 live births. Only 42% of women deliver with a skilled provider indicating a deficiency in the quality of care provided. This descriptive-cross sectional study examined the factors affecting the utilization of ANC by university students in Maasai Mara University. A questionnaire-based survey was done among 50 students, ten students form the five faculties of study in the university. Analysis was done using frequency tables and SPSS software and variables computed appropriately. Findings reveal missed opportunities in almost all items of care particularly in health education and promotion. Proximity to place of residence, affordability and perceived good services were the main reasons for ANC facility choice. Clients portray high level of satisfaction with care as shown by high overall rating of quality at 80%. Only 14.9% of women book for ANC during the WHO recommended first trimester of pregnancy. Influences to quality ANC were timing of first visits, frequency of visits, waiting time, patient load, adherence to standards, adequacy of laboratory services and provider training. A proper approach targeting facility, universities, care providers, ANC mothers and the community at large is needed in order to improve the utilization of ANC by university students. Findings from this study will go a long way in strengthening the credibility of public ANC thus ensuring that mothers reap maximum benefits from care resulting in a decline in MMR and sustained use of ANC and delivery services.
