Knowledge, Attitude, And Practices on Antenatal Care Among Pregnant Women in Selected Health Birthing Centers in Butuan City

It is the goal of good antenatal care to ensure that the woman does not suffer any adverse effects from the pregnancy and to maintain the health of the developing baby. Local data on the interrelationship among socio-demographic profile, knowledge, attitude, and practice on antenatal care is scarce. This quantitative study utilized a descriptive correlational research design to assess the interrelationship among socio-demographic characteristics, knowledge, attitude, and practices on antenatal care among pregnant women in selected Birthing Clinics in Butuan City for the third quarter of 2024. Findings revealed that half were 18 to 24 years old and majority were single. Most were college level and just over half were housewives. Most had a gravidity of one while one third had two and most had a parity of one. Majority had no abortion, majority had an above 10,000 family monthly income, and most had a nuclear family. Respondents were knowledgeable, had a positive attitude, and practiced antenatal care. Marital status, level of education, occupation, gravidity, parity, family monthly income, and type of family were correlated with attitude. Age, marital status, level of education, occupation, gravidity, parity, abortion, and type of family were correlated with attitude. Age, marital status, level of education, occupation, gravidity, parity, abortion, and type of family were correlated with practice. Knowledge was not correlated with attitude and practice. Attitude was correlated with practice. An antenatal care sustenance plan was proposed.

Antenatal care; Attitude; Descriptive, Correlational design; Knowledge; Practice; Socio-demographic profile.

1. Abalos, E., Chamillard, M., Diaz, V., Tuncalp, Ӧ., & Gulmezoglu, A. M. (2016). Antenatal care for healthy pregnant women: a mapping of interventions from existing guidelines to inform the development of new WHO guidance on antenatal care. BJOG, 123, 519–28. [Google Scholar] [Crossref]

2. Akhtar, S., Mohamoud, A. M., Mohamed, S. M., Hussein, A. M., Omar, M. A., Ismail, B. M., Mohamed, R. A., Ahmed, M. I., & Ibrahim, S. D. (2018). Knowledge, attitude, and practice regarding antenatal care among pregnant women in rural area of Lahore. International Journal of Social Sciences and Management, 5, 155-162. https://doi.org/10.3126/ijssm.v5i3.20604. [Google Scholar] [Crossref]

3. Al-Jaradi, A., Odhah, M. A., Haza'a, A. A. (2022). Knowledge, attitude and practice of pregnant women toward antenatal care at public hospitals in Sana'a City-Yemen. International Journal of Nursing and Health Sciences. [Google Scholar] [Crossref]

4. Bashir, S., Ansari, A. H., & Sultana, A. (2023). Knowledge, attitude, and practice on antenatal care among pregnant women and its association with sociodemographic factors: A hospital-based study. Journal of Patient Experience, 10, 23743735231183578. https://doi.org/10.1177/23743735231183578. [Google Scholar] [Crossref]

5. Berhe, K. K., Welearegay, H. G., Abera, G. B., Kahsay, H. B., & Kahsay, A. B. (2014). [Google Scholar] [Crossref]

6. Assessment of antenatal care utilization and its associated factors among 15 to 49 years of age women in Ayder Kebelle, Mekelle City 2012/2013: A cross sectional study. Open Journal of Advanced Drug Delivery, 2(1), 62-75. [Google Scholar] [Crossref]

7. Bernard, H. R., & Bernard, H. R. (2012). Social research methods: Qualitative and quantitative approaches. Sage. [Google Scholar] [Crossref]

8. Bhandari, P. (2022). Correlational research. When and how to use. Scribbr. https://www.scribbr.com/methodology/correlational- research/#:~:text=A%20correlational%20research%20design%20investigates%20 relationships%20between%20two%20variables%20(or,experimental%20type%20of%20quantitative%20research. [Google Scholar] [Crossref]

9. Boeree, C. G. (2009). Moral development. http://webspace.ship.edu/. [Google Scholar] [Crossref]

10. Bollini, P., & Quack-Lötscher, K. (2013). Guidelines-based indicators to measure quality of antenatal care. Journal of Evaluation in Clinical Practice, 19(6), 1060-1066. https://doi.org/10.1111/jep.12027. [Google Scholar] [Crossref]

11. Charan, J., & Biswas, T. (2013). How to calculate sample size for different study designs in medical research? Indian Journal of Psychological Medicine, 35(2), 121-126. [Google Scholar] [Crossref]

12. Chideme-Chinovhiringa, K. (2020). Knowledge, attitudes and practices regarding the prevention of type 2 Diabetes Mellitus among overweight and obese adults in Manzini, Eswatini: A cross-sectional study. [Thesis Type, Published]. Stellenbosch University. [Google Scholar] [Crossref]

13. Communicable Diseases Division, Ministry of Health, Eritrea (2013). Nationwide assessment of knowledge, practice and coverage on HIV/AIDS/STI and TB, LQAS. Ministry of Health of Eritrea of CDC Division. [Google Scholar] [Crossref]

14. Davies, N., Dickson, M., Smith, G., Windmeijer, F., & Berg, G. (2018). The effect of education on adult mortality, health, and income: triangulating across genetic and policy reforms. https://doi.org/10.1101/250068. [Google Scholar] [Crossref]

15. Department of Health (2021). Administrative Order No. 2021-0034. National Policy on Essential Intrapartum Care at Primary Level Non-Specialist Birthing Centers. https://law.upd.edu.ph/wp-content/uploads/2022/03/DOH-Administrative-Order- 2019-0034.pdf [Google Scholar] [Crossref]

16. Di Mario, S., Basevi, V., Gori, G., & Spettoli, D. (2005). What is the effectiveness of antenatal care? (Supplement), WHO Regional Office for Europe (Health Evidence Network report)2005. [Google Scholar] [Crossref]

17. http://www.euro.who.int/ data/assets/pdf_file/0005/74660/E87997.pdf. [Google Scholar] [Crossref]

18. Divina, A. (2024). Middle class in the Philippines: Defining and income ranges. https://digido.ph/articles/middle-class- philippines#:~:text=As%20of%202021%2C%20the%20average,spends%20PHP%20228.80%20per%20year. [Google Scholar] [Crossref]

19. Downe, S., Finlayson, K., Tunçalp, Ö., Gülmezoglu, A. M. (2017). Factors that influence the provision of good‐quality routine antenatal services: a qualitative evidence synthesis of the views and experiences of maternity care providers. Cochrane Database System Review, 2017(8), CD012752. https://doi.org/10.1002/14651858.CD012752. [Google Scholar] [Crossref]

20. Dulla, D., Daka, D., & Wakgari, N. (2017). Antenatal care utilization and its associated factors among pregnant women in Boricha District, Southern Ethiopia. Diversity and Equality in Health and Care. [Google Scholar] [Crossref]

21. Eram, U., Anees, A., & Tamanna, Z. (2016). Knowledge regarding antenatal care services in mothers (15-49 Years) in rural areas of Aligarh. International Journal of Scientific Study, 4(9). [Google Scholar] [Crossref]

22. Faye, A., Niane, M., & Ba, I. (2011). Home birth in women who have given birth at least once in a health facility: Contributory factors in a developing country. Acta Obstetricia et Gynecologica Scandinavica, 90(11), 1239-1243. [Google Scholar] [Crossref]

23. Gebremariam, H., Tesfai, B., Tewelde, S., Kiflemariam, Y., & Kibreab, F. (2023). Level of knowledge, attitude, and practice of pregnant women on antenatal care in Amatere Health Center, Massawa, Eritrea: A cross-sectional study, 2019. Infectious Disease in Obstetrics and Gynecology, 2023, 1912187. https://doi.org/10.1155/2023/1912187. [Google Scholar] [Crossref]

24. Ghilagabr, B. (2017). Knowledge and attitude among women of child bearing age towards timing of first antenatal care visit in North, Western Asmara, Eritrea. [Google Scholar] [Crossref]

25. Guttmacher Institute (2024). Unintended pregnancy and abortion. https://www.guttmacher.org/regions/asia/philippines. [Google Scholar] [Crossref]

26. Hajjar, S. (2018). Statistical analysis: internal-consistency reliability and construct validity. International Journal of Quantitative and Qualitative Research Methods, 6(1), 46–57. [Google Scholar] [Crossref]

27. Hajela, S. (2014). Knowledge, attitude and practice of mothers about perinatal care. International Journal of Medical Research and Review, 2(4), 300-305. https://doi.org/10.17511/ijmrr 2014.i04.07. [Google Scholar] [Crossref]

28. Henok, A., Worku, H., Getachew, H., & Workye, H. (2015). Knowledge, attitude and practice of antenatal care service among married women of reproductive age group in Mizan Health Center, South West Ethiopia. Journal of Medicine, Physiology and Biophysics, 16. [Google Scholar] [Crossref]

29. Hernawati, E., Hassan, H. C., Nambiar, N., & Heriawanti, R. (2024). The relationship between knowledge and attitude of pregnant women about anc with the suitability of antenatal care visits. The Malaysian Journal of Nursing (MJN), 15(3), 54-61. https://doi.org/10.31674/mjn. 2024.v15i03.007 [Google Scholar] [Crossref]

30. Ibrahim, H. K., El Borgy, M. D., Mohammed, H. O. (2014). Knowledge, attitude, and practices of pregnant women towards antenatal care in primary healthcare centers in Benghazi, Libya. Journal of Egyptian Public Health Association, 89(3), 119-26. https://doi.org/10.1097/01.EPX.0000455673.91730.50. [Google Scholar] [Crossref]

31. Igbokwe, C. (2012). Knowledge and attitude of pregnant women towards antenatal services in Nsukka Local Government Area of Enugu State, Nigeria. Journal of Research in Education and Society, 3(1). [Google Scholar] [Crossref]

32. Iqbal, W., Parvez, K., Azmi, M.B., Nayyar, A., Moiz, A., Zaffar, Z., & Shafqat, S. (2015). Assessment of knowledge, awareness and attitude towards hepatitis B and human immunodeficiency virus among dental students: A cross-sectional study at Karachi, Pakistan. Journal of Dentistry and Oral Hygiene, 7(9), 144-152. [Google Scholar] [Crossref]

33. Imtishal, M., Mohammadnezhad, M., Baker, P., & Khan, S. (2023). Predictors of knowledge, attitude, and practice (KAP) towards family planning (FP) among pregnant women in Fiji. Maternal and Child Health Journal. https://doi.org/10.1007/s10995-023-03618-3 [Google Scholar] [Crossref]

34. Jibril, U. N. (2017). Awareness and Use of Antenatal Care Services among Women in Edu LGA, Kwara State, Nigeria. Journal of Community and Public Health Nursing, 3, 184. https://doi:10.4172/2471-9846.1000184. [Google Scholar] [Crossref]

35. Kaur, R., Taneja, P., & Nandal, I. (2021). A study on knowledge, attitude and practices regarding antenatal care among pregnant women attending antenatal clinic at a tertiary care hospital. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 10(4). [Google Scholar] [Crossref]

36. Kaur, A., Singh, J., Kaur, H., Kaur, H., Devgun, P., & Gupta, V. K. (2018). Knowledge and practices regarding antenatal care among mothers of infants in an urban area of Amritsar, Punjab. International Journal of Community Medicine And Public Health, 5(10), 4263–4267. https://doi.org/10.18203/2394-6040.ijcmph20183868. [Google Scholar] [Crossref]

37. LaMorte, W. W. (2022). The Health Belief Model. Behavioral Changes Model. https://sphweb.bumc.bu.edu/otlt/mph- modules/sb/behavioralchangetheories/behavioralchangetheories2.html. [Google Scholar] [Crossref]

38. Lavado, R. F., Sanglay-Dunleavy, A. B., Matsuda, Y., & Jimenez, J. F. (2010). How are government hospitals performing? A study of resource management in DOH- retained hospitals. PIDS Discussion Paper Series, No. 2010-02. Philippine Institute for Development Studies (PIDS), Makati City. [Google Scholar] [Crossref]

39. Lazarus, K., & Rossouw, T. L. P. (2015). Mother’s expectations of parenthood. The impact of prenatal expectations on self-esteem, depression, anxiety and stress post birth. International Journal of Neuropsychotherapy, 3, 102-123. [Google Scholar] [Crossref]

40. Mallick, D. R., Ferdous, J., Shom, E. R., & Khatun, F. (2023). Knowledge, attitude and practice towards antenatal care among rural women in Bangladesh. International Journal of Neonatal Care and Pediatric Nursing, 4(2). https://doi.org/10.46610/IJNCPN.2023.v04i02.005 [Google Scholar] [Crossref]

41. Mbada, C. E., Adebayo, O. E., Adeyemi, A. B., Arije, O. O., Dada, O. O., Akinwande, O. A., Awotidebe, T. O., & Alonge, I. A. (2014). Knowledge and attitude of Nigerian pregnant women towards antenatal exercise: A cross-sectional survey. International Scholarly Research Notices, 2014. [Google Scholar] [Crossref]

42. https://doi.org/10.1155/2014/260539. [Google Scholar] [Crossref]

43. McDevitt, T., & Ormrod, J. (2010). Child development and education. Merrill. Michael, G. [Google Scholar] [Crossref]

44. Mohamoud, A., Mohamed, S., Hussein, A., Omar, M., Ismail, B., Mohamed, R., Ahmed, M., & Ibrahim, S. (2022). Knowledge attitude and practice towards antenatal care among pregnant women attending for antenatal care in SOS Hospital at Hiliwa District, Benadir Region, Somalia. Health, 14, 377-391. https://doi.org/10.4236/health.2022.144030. [Google Scholar] [Crossref]

45. Nikolopoulou, K. (2022). What is quota sampling? Definition and examples. Scribbr. https://www.scribbr.com/methodology/quota-sampling/ [Google Scholar] [Crossref]

46. Okafor, E. C. (2016). Attitude and practice of health care professionals, regarding HIV and AIDS in Abia State Hospitals. [Google Scholar] [Crossref]

47. Onasoga, O. A., Afolayan, J. A., Oladimeij, B. D. (2012). Factors influencing utilization of antenatal care services among pregnant women in Ife Central LGA, Osun State, Nigeria. Advances in Applied Science Research, 3(3), 1309-13015. [Google Scholar] [Crossref]

48. Pambid, R. C. (2015). Factors influencing mothers' utilization of maternal and child care (MCC) services. Asia Pacific Journal of Multidisciplinary Research, 3(5), 16-28 [Google Scholar] [Crossref]

49. Philippine Statistics Authority (2022). Philippines, 2022 demographic and health survey. [Google Scholar] [Crossref]

50. Summary report. https://dhsprogram.com/pubs/pdf/SR276/SR276.pdf [Google Scholar] [Crossref]

51. Philippine Statistics Authority (2023). 2022 national demographic and health survey (NDHS) key indicators: Teenage pregnancy. https://rssocar.psa.gov.ph/sites/default/files/CAR-SSR-2023-04_2022- NDHS_Teenage-Pregnancy.pdf. [Google Scholar] [Crossref]

52. Philippine Statistics Authority (2023). Vital statistics reports. [Google Scholar] [Crossref]

53. Reynolds, H. W., Wong, E. L., & Tucker, H. (2014). Adolescents' use of maternal and child health services in developing countries. International family planning perspectives, 6-16. [Google Scholar] [Crossref]

54. Salehi, K., & Kohan, S. (2017). Maternal-fetal attachment: What we know and what we need to know. International Journal of Pregnancy & Child Birth, 2(5), 00038. [Google Scholar] [Crossref]

55. Sande, M. J. B. (2022). Antenatal care utilization of mothers in selected cities in Bicol Region: A quantitative study. Acta Medica Philippina, 56(16). [Google Scholar] [Crossref]

56. Schwartz, N. E. (1976). Nutrition knowledge, attitudes and practices of Canadian public health nurses. Journal of Nutrition Education, 8(1), 28-31. [Google Scholar] [Crossref]

57. Scroope, S. (2017). Family. Culture Atlas. https://culturalatlas.sbs.com.au/filipino- culture/filipino-culture-family#:~:text=Family%20is%20considered%20to%20be,knit%20among%20ext ended%20family%20members. [Google Scholar] [Crossref]

58. Statista Research Department (2024). Share of registered live births Philippines 2022, by age group of mother. https://www.statista.com/statistics/1448567/philippines- share-of-live-births-by-age-group-of- mother/#:~:text=As%20of%202022%2C%20mother%20of,years%20accounted% 20for%2023.7%20percent. [Google Scholar] [Crossref]

59. Tenaw, Z., Arega, M. and Tachbele, E. (2018). Nutritional knowledge, attitude and practices among pregnant women who attend antenatal care at public hospitals of Addis Ababa, Ethiopia. International Journal of Nursing and Midwifery, 10(7), 81- 89. [Google Scholar] [Crossref]

60. UNICEF (2008). Progress for children: A report card on maternal mortality. [Google Scholar] [Crossref]

61. World Health Organization (2016). WHO recommendations on antenatal care for a positive pregnancy experience. Geneva, Switzerland. http://apps.who.int/iris/bitstream/10665/250796/1/9789241549912-eng.pdf?ua=1. [Google Scholar] [Crossref]

62. World Health Organization (2016). Consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection: recommendations for a public health approach. [Google Scholar] [Crossref]

63. World Health Organization (2016). World health statistics 2016: monitoring health for the SDGs, sustainable development goals. World Health Organization. https://apps.who.int/iris/handle/10665/206498 [Google Scholar] [Crossref]

64. Zaidi, S. S., Perveen, A., & Parveen, S. (2018). An insight of antenatal care: a review. EJPMR, 5(5), 209‐10. https://storage.googleapis.com/journal- uploads/ejpmr/article_issue/1525069519.pdf [Google Scholar] [Crossref]

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