Contextual Factors Influencing Utilization of Antenatal Care Services by Pregnant Women at Enzaro Health Centre, Vihiga County, Kenya

Abstract

Antenatal care contributes to good pregnancy outcomes and benefits of antenatal care depend on timing and quality of care provided. It reduces probability of maternal and fetal mortality and morbidity. This study sought to establish contextual factors influencing utilization of antenatal care services by pregnant women in Enzaro Health Centre, South Maragoli ward, Ideleri sub-location, Vihiga Sub-county, Vihiga County, Kenya. A descriptive cross-sectional study was conducted involving mothers with children under one year within the mother-child welfare clinic. Results showed that long waiting hours, delays due to difficult geographical terrain and poverty influenced utilization of antenatal services. There is need to strengthen routines outreach services to the far catchment areas, home visits and defaulter tracing be strengthened and communication skills training be given to staff to improve staff client interpersonal relations at the clinics. Keywords: Antenatal Care, Pregnant Women, Enzaro Health Centre, Vihiga County, Kenya