Utilization of quality antenatal care and associated factors among immediate postnatal women in Jimma town public hospitals, Oromia, Ethiopia. Cross Sectional Study Design

Background- It is evidenced that good-quality antenatal care services can reduce the risk of maternal morbidity and mortality during pregnancy and childbirth. Recently, WHO recommended minimum of eight ANC contact with quality care so as to improve maternal and child health. However, there are no evidence showing the status pregnant women regarding receiving the recently WHO recommended ANC core package in Ethiopia, as well as in the study area. Objective- To assess the utilization of quality antenatal care and associated factors among immediatepostnatal women in Jimma town public hospitals, Oromia, Ethiopia, 2024. Methods- Institution based cross sectional study design was employed at public hospitals in Jimma town from July 1- September 30, 2023 with total sample size of 422. Structured questionnaires abstracted by reviewing different similar literatures were used. Data was collected by using systematic random sampling technique. Data was analyzed using SPSS 26.0 software. Variables with p-value < 0.25 in bivariate analysis were fitted into multivariable logistic regression model and variables with P-value less than 0.05 were considered statistically significant. Results- Of the total study participants, 17.3% (95% CI [13.8, 21.3]) of immediate postnatal women received good-quality ANC. The odds of receiving quality ANC decreases by 88.4% among women with unplanned pregnancy compared to those who had planned pregnancy (AOR = 0.116; 95%CI: 0.031 - 0.431). Women having large family size reduced 95.4% odds of receiving quality of ANC compared to women with small family size (AOR = 0.046; 95% CI: 0.015 – 0.146). The odds of receiving quality ANC reduced by 80.6% among women who have primary educational level (AOR = 0.194; 95%CI: 0.044 - 0.856) as compared to those who have secondary and above. Immediate postnatal women having first ANC contact after 12 weeks decreases 76.7% odds of receiving quality ANC as compared to those first contact at or before 12 weeks. Immediate postnatal women having less than eight ANC contacts reduced 98.9% odds of receiving quality ANC compared to those having at least eight contacts (AOR = 0.011; 95%CI: 0.002 - 0.062). Conclusion and Recommendation- Utilization of quality antenatal care in Jimma town was low. Hospital management in collaboration with Jimma town health office, education for pregnant women about time to initiate and frequency is recommended which increase quality of ANC.