Health and nutrition knowledge, attitudes and practices of pregnant women attending and not-attending ANC clinics in Western Kenya: a cross-sectional analysis
Open Access
- 11 July 2013
- journal article
- research article
- Published by Springer Science and Business Media LLC in BMC Pregnancy and Childbirth
- Vol. 13 (1), 146-12
- https://doi.org/10.1186/1471-2393-13-146
Abstract
Antenatal care (ANC) is a key strategy to decreasing maternal mortality in low-resource settings. ANC clinics provide resources to improve nutrition and health knowledge and promote preventive health practices. We sought to compare the knowledge, attitude and practices (KAP) among women seeking and not-seeking ANC in rural Kenya. Data from a community-based cross-sectional survey conducted in Western Province, Kenya were used. Nutrition knowledge (NKS), health knowledge (HKS), attitude score (AS), and dietary diversity score (DDS) were constructed indices. χ2 test and Student’s t-test were used to compare proportions and means, respectively, to assess the difference in KAP among pregnant women attending and not-attending ANC clinics. Multiple regression analyses were used to assess the impact of the number of ANC visits (none, <4, ≥4) on knowledge and practice scores, adjusting for maternal socio-demographic confounders, such as age, gestational age, education level and household wealth index. Among the 979 pregnant women in the survey, 59% had attended ANC clinics while 39% had not. The mean (±SD) NKS was 4.6 (1.9) out of 11, HKS was 6.2 (1.7) out of 12, DDS was 4.9 (1.4) out of 12, and AS was 7.4 (2.2) out of 10. Nutrition knowledge, attitudes, and DDS were not significantly different between ANC clinic attending and non-attending women. Among women who attended ANC clinics, 82.6% received malaria and/or antihelmintic treatment, compared to 29.6% of ANC clinic non-attendees. Higher number of ANC clinic visits and higher maternal education level were significantly positively associated with maternal health knowledge. Substantial opportunities exist for antenatal KAP improvement among women in Western Kenya, some of which could occur with greater ANC attendance. Further research is needed to understand multi-level factors that may affect maternal knowledge and practices.Keywords
This publication has 27 references indexed in Scilit:
- Client education experiences and expectations of women at the first level of maternal and child care in Kaduna state, NigeriaMidwifery, 2012
- Beliefs, attitudes and behaviours of pregnant women in BaliMidwifery, 2011
- How much time is available for antenatal care consultations? Assessment of the quality of care in rural TanzaniaBMC Pregnancy and Childbirth, 2011
- Utilization of maternal health services among young women in Kenya: Insights from the Kenya Demographic and Health Survey, 2003BMC Pregnancy and Childbirth, 2011
- Countdown to 2015 decade report (2000–10): taking stock of maternal, newborn, and child survivalThe Lancet, 2010
- Antenatal and delivery care in rural western Kenya: the effect of training health care workers to provide "focused antenatal care"Reproductive Health, 2010
- Antenatal care in The Gambia: Missed opportunity for information, education and communicationBMC Pregnancy and Childbirth, 2008
- Antenatal care and perinatal outcomes in Kwale district, KenyaBMC Pregnancy and Childbirth, 2008
- Health seeking behaviour and health service utilization in Pakistan: challenging the policy makersJournal of Public Health, 2004
- Knowledge, attitude and practice of maternal health care amongst the married women in a rural area of BangladeshIbrahim Medical College Journal, 1970