n African Journal for Physical Health Education, Recreation and Dance - Utilization of antenatal care services and perceptions of early bookings among pregnant patients in East Ekurhuleni sub-district clinics in Gauteng Province, South Africa of health care services - : management of health care services

Supplement 1
  • ISSN : 1117-4315


Early utilization of antenatal care (ANC) is the cornerstone for Prevention of Mother-to-Child Transmission (PMTCT) of HIV programme. The study aimed to investigate if ANC and PMTCT services were utilized within the first trimester of pregnancy and the factors that motivate women to start ANC within the first trimester of pregnancy. A descriptive cross-sectional survey design was employed. Data were collected using a researcher administered semi-structured questionnaire. The study population comprised pregnant women who attended 29 ANC clinics in East Ekurhuleni sub-district. A judgemental sample of clinics with high number of ANC attendees was selected. Six clinics were finally included in the sample. A convenient sample of 390 pregnant women was included in the study. The mean age of the participants was 26 years (SD: 5.6). At most 60 % were from the age range 20 to 29 years; 79.6% of the respondents were unmarried but 41% were in relationships; 63% had attained senior high school. Primigravidas were the most at 41%. Only 31% of the women started ANC in their first trimester. The main reason for ANC booking was to open a file and get an ANC card. The main reasons for attending ANC was to get HCT (65%), and prevention of complications (42%). Women were aware of ANC and PMTCT services. The first trimester was pointed as the best time to start ANC but women's awareness but practice differed as they booked late. They did not comprehend the importance of early ANC booking since the majority booked in their second or third trimester, including those with previous pregnancies. The study concluded that women were aware of ANC and PMTCT services. Women reported the first trimester as the best time to start ANC but their level of awareness and practice differed as they booked late.

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