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V.Makani 1 , S.Rusakaniko¹ , W. Chandisarewa 1 , A.Mushavi², B.Makunike-Chikwinya³, A.Shetty 4

Factors associated with non-utilisation of antenatal care services by women delivering with an unbooked status at the four polyclinics in Chitungwiza. V.Makani 1 , S.Rusakaniko¹ , W. Chandisarewa 1 , A.Mushavi², B.Makunike-Chikwinya³, A.Shetty 4

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V.Makani 1 , S.Rusakaniko¹ , W. Chandisarewa 1 , A.Mushavi², B.Makunike-Chikwinya³, A.Shetty 4

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  1. Factors associated with non-utilisation of antenatal care services by women delivering with an unbooked status at the four polyclinics in Chitungwiza. V.Makani1, S.Rusakaniko¹ ,W. Chandisarewa1, A.Mushavi², B.Makunike-Chikwinya³, A.Shetty4 ¹Zimbabwe AIDS Prevention Project-University of Zimbabwe, Department of Community Medicine, Harare, Zimbabwe ²Ministry of Health and Child Welfare, Harare, Zimbabwe ³Elizabeth Glaser Paediatric AIDS Foundation Zimbabwe Country Office ⁴Wake Forest University Health Sciences, North Carolina, USA

  2. Statement of the problem Distribution of women delivering with an unbooked status at Chitungwiza municipal clinics by year • The number of women presenting in labour without prior ANC and unknown HIV status continued to increase in Chitungwiza despite: • Community awareness through the ZAPP-UZ drama group • National programmes on maternal and child health. • Little was known regarding the factors associated with non- utilisation of antenatal care services by pregnant women

  3. Demographics

  4. Risk Factors

  5. Protective factors

  6. Multivariate Analysis on Antenatal care utilisation

  7. Conclusion and recommendation • Cost of antenatal care services was the main reason for non utilisation of antenatal care services • Municipality of Chitungwiza and Ministry of Health and child should ensure that pregnant women access antenatal care services through affordable ANC fees.

  8. ACKNOWLWDGEMENTS

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