PUBLICATION: BMC Pregnancy and Childbirth
Ochako, R., Fotso, J.C., Ikamari, L., & Khasakhala, A.
Background: Use of maternal health services is an effective means for reducing the risk of maternal morbidity and
mortality, especially in places where the general health status of women is poor. This study was guided by the
following objectives: 1) To determine the relationship between timing of first antenatal care (ANC) visit and type of
delivery assistance 2) To establish the determinants of timing of first ANC visit and type delivery assistance.
Methods: Data used were drawn from the 2003 Kenya Demographic and Health Survey, with a focus on young
women aged 15-24. The dependent variables were: Timing of first ANC visit coded as “None”; “Late” and “Early”, and
type of delivery assistance coded as “None”; “Traditional Birth Attendant (TBA)” and “Skilled professional”. Control
variables included: education, household wealth, urban-rural residence, ethnicity, parity, age at birth of the last
child and marital status. Multivariate ordered logistic regression model was used.
Results: The study results show that place of residence, household wealth, education, ethnicity, parity, marital
status and age at birth of the last child had strong influences on timing of first ANC visit and the type of delivery
assistance received. The major finding is an association between early timing of the first ANC visit and use of
skilled professionals at delivery.