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35-49 (17 percent). Similarly, marital status was also found to be signific<strong>an</strong>tly (X 2 = 18.797; p= 0.001)<br />

associated with tim<strong>in</strong>g <strong>of</strong> first <strong>an</strong>tenatal <strong>care</strong> visit. Currently married women were signific<strong>an</strong>tly more<br />

likely to <strong>in</strong>itiate <strong>the</strong>ir first <strong>an</strong>tenatal <strong>care</strong> visit <strong>in</strong> <strong>the</strong>ir first trimester (28 percent) compared with never<br />

married (18 percent) <strong>an</strong>d formerly married women (19.7 percent).<br />

Parity had a signific<strong>an</strong>t (X 2 = 27.024; p= 0.000) relationship with tim<strong>in</strong>g <strong>of</strong> first <strong>an</strong>tenatal <strong>care</strong> visit.<br />

Women with six or more children were less likely to visit <strong>an</strong> <strong>an</strong>tenatal <strong>care</strong> facility <strong>in</strong> <strong>the</strong>ir first<br />

trimester compared with o<strong>the</strong>r groups. Only 8.4 percent <strong>of</strong> women with six or more children reported<br />

<strong>in</strong>itiat<strong>in</strong>g <strong>the</strong>ir first <strong>an</strong>tenatal <strong>care</strong> visit <strong>in</strong> <strong>the</strong>ir first trimester, compared with women with few children.<br />

Level <strong>of</strong> education was also signific<strong>an</strong>tly (X 2 = 7.544; p = 0.23) associated with tim<strong>in</strong>g <strong>of</strong> first <strong>an</strong>tenatal<br />

<strong>care</strong>. More th<strong>an</strong> 24 percent <strong>of</strong> women with secondary or higher level <strong>of</strong> education reported <strong>in</strong>itiat<strong>in</strong>g<br />

<strong>the</strong>ir first <strong>an</strong>tenatal <strong>care</strong> visit <strong>in</strong> <strong>the</strong>ir first trimester, compared with 21 percent <strong>of</strong> women with primary<br />

or less education.<br />

Similarly, socio-economic status was also found to be signific<strong>an</strong>tly (X 2 = 96.265; p= 0.000) associated<br />

with tim<strong>in</strong>g <strong>of</strong> first <strong>an</strong>tenatal <strong>care</strong> visit. The majority <strong>of</strong> women with a high API (59.8 percent) reported<br />

<strong>in</strong>itiat<strong>in</strong>g <strong>the</strong>ir first <strong>an</strong>tenatal <strong>care</strong> visit <strong>in</strong> <strong>the</strong>ir first trimester compared with women with a low (9.8<br />

percent), medium (17.9 percent) <strong>an</strong>d medium high API (25.3 percent).<br />

4.6 Adverse birth outcomes by tim<strong>in</strong>g <strong>an</strong>d frequency <strong>of</strong> <strong>an</strong>tenatal, delivery site <strong>an</strong>d<br />

background characteristics<br />

Table 4.7 shows <strong>the</strong> relationship between birth outcomes <strong>an</strong>d number <strong>of</strong> <strong>an</strong>tenatal <strong>care</strong>, site <strong>of</strong> delivery<br />

<strong>an</strong>d socio-demographic factors. The f<strong>in</strong>d<strong>in</strong>g suggest that women with no <strong>an</strong>tenatal <strong>care</strong> (28.6 percent)<br />

are more likely to have adverse birth outcomes compared with those attend<strong>in</strong>g <strong>in</strong> <strong>the</strong>ir first trimester<br />

(26.1 percent) <strong>an</strong>d those attend<strong>in</strong>g <strong>in</strong> <strong>the</strong>ir second to third trimester (27.1 percent). However, <strong>the</strong> results<br />

were found not to be statistically signific<strong>an</strong>t (X 2 = 0.163; p = 0.922).<br />

43

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