Time spent on provision of Antenatal Care and associated factors among public and private health facilities in Axum town, North Ethiopia: Comparative cross sectional study
Background In most developing countries the contact time among antenatal care attendees and care providers have effects on quality of antenatal services and health outcomes. Effectiveness of focused antenatal care relies on standard time spent provisions. Hence this study evaluated the time spent and associated factors on provision of antenatal care in public and private health facilities in Axum Town, Northern Ethiopia. Methods Institutional based comparative cross-sectional mixed quantitative
... mixed quantitative and qualitative methods were used. Data were collected through exit interviews from 456 antenatal care attendees. Qualitative data were also collected using an in-depth interview with providers. The collected data were entered using EPI info version 3.5.1 software then exported to SPSS version 21 software for analysis. Multivariate logistic regression model was used to identify determinant factors of time spent on antenatal care provision at p-value < 0.05. Results Majority, 378 (84.8%) of pregnant woman were served below the mean standard time in both public and private health facilities. The mean (± SD) time spent for first antenatal care provision in private was 19.7 (± 8.5) minutes, which is higher than public health facilities with mean time spent (± SD) of 13.2 (± 3.8) minutes. The mean time spent on antenatal care was significantly different in public and private health facilities. Factors that significantly affect time spent on provision of antenatal care were: type of health facilities [AOR = 2.60; 95% CI, 1.07–6.33], frequency of antenatal care visit [AOR = 3.50; 95% CI, 1.92–6.36] and language similarity with provider [AOR = 2.74; 95% CI, 1.23–6.12]. Conclusions The mean time spent for first and revisit of ANC at both health facilities were lower than the WHO standards. Type of health facilities, frequency of antenatal care visit and language similarity with provider were predictors for time spent on ANC provision. Efforts should be targeted on standard provision of antenatal care.