title: DETERMINANTS OF FIRST ANTENATAL CARE VISIT BY PREGNANT WOMEN AT COMMUNITY BASED EDUCATION, RESEARCH AND SERVICE SITES IN NORTHERN UGANDA.
abstract: BACKGROUND
  Antenatal care (ANC) aims mainly at prevention, early detection and management of general medical and pregnancy associated disorders. Early booking is recommended for maximum utilisation.
  
  
  OBJECTIVE
  To investigate the determinants of first ANC visit and trimesters at which pregnant mothers enrol for ANC at the COBERS sites of Northern Uganda.
  
  
  METHODS
  A descriptive cross-sectional study.
  
  
  METHODS
  Five community based Education, Research and Service sites (COBERS) of Atiak, Madi Opei, Mungula, Namukora and Pajule health centre, fours (HC IV) in the five respective districts of Amuru, Lamwo, Adjumani, Kitgum and Pader, Northern Uganda, from April to July 2013.
  
  
  METHODS
  Four hundred and seventeen (417) pregnant women attending antenatal care (ANC) in five health centres and ten purposively selected midwives were interviewed using questionnaires.
  
  
  RESULTS
  Of the 417 respondents, only 11.5% (n = 48) had their first ANC at the recommended period of 0-16 weeks. Prevalence of late entry to ANC was 88.5% (n = 369). Mean gestational age at booking was 22.6 ± 5.7 weeks. Paternal level of education, outcome of previous pregnancy, previous ANC attendance, weeks of amenorrhea, convenience of opening hours at ANC facility, commuting distance from home to health facility, knowing the right time for ANC enrollment and pregnancy planning remained significant predictors governing early booking.
  
  
  CONCLUSIONS
  Late ANC booking is still a major public health concern that demands public enlightenment and paternal education coupled with women empowerment will reduce the magnitude of the problem.
authors.forename: M
authors.initials: M
authors.lastname: Turyasiima
authors.forename: R
authors.initials: R
authors.lastname: Tugume
authors.forename: A
authors.initials: A
authors.lastname: Openy
authors.forename: E
authors.initials: E
authors.lastname: Ahairwomugisha
authors.forename: R
authors.initials: R
authors.lastname: Opio
authors.forename: M
authors.initials: M
authors.lastname: Ntunguka
authors.forename: N
authors.initials: N
authors.lastname: Mahulo
authors.forename: P
authors.initials: P
authors.lastname: Akera
authors.forename: E
authors.initials: E
authors.lastname: Odongo-Aginya
mesh_terms: D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D004522:Educational Status; D005260:Female; D005865:Gestational Age; D006801:Humans; D008297:Male; D008875:Middle Aged; D008880:Midwifery; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D011247:Pregnancy; D011256:Pregnancy Outcome; D011295:Prenatal Care / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D014454:Uganda; D055815:Young Adult