International Journal of
Nursing and Midwifery

  • Abbreviation: Int. J. Nurs. Midwifery
  • Language: English
  • ISSN: 2141-2456
  • DOI: 10.5897/IJNM
  • Start Year: 2009
  • Published Articles: 210

Full Length Research Paper

Determinants of antenatal care booking among pregnant women in selected hospitals in Embu county, Kenya

Joshua Omwenga Boraya
  • Joshua Omwenga Boraya
  • Department of Reproductive Health, School of Public Health, Kenyatta University, Nairobi, Kenya.
  • Google Scholar
Caroline Githae
  • Caroline Githae
  • Department of Community Health, School of Nursing, Chuka University, Chuka, Kenya.
  • Google Scholar
Titus Atandi
  • Titus Atandi
  • Department of Population Health, School of Public Health, Kenyatta University, Nairobi, Kenya.
  • Google Scholar

  •  Received: 17 September 2018
  •  Accepted: 06 November 2018
  •  Published: 31 December 2018


In Embu County, pregnant mothers begin attending antenatal care (ANC) clinics late in third trimester. According to World Health Organization (WHO) guidelines, pregnant mothers should start their ANC in the first trimester before sixteen weeks of gestation. The study sought to determine factors associated with late booking of the visits. The specific objective were to find out how past pregnancy experience, accessibility of health facilities and awareness on ANC bookings influence ANC booking among pregnant women attending Maternal Child Health (MCH) clinic in Embu County. The results of the study were aimed at promoting ANC initiation within the first trimester of pregnancy. The recommended ANC model helps minimize complications that occur during pregnancy, during labor and during postpartum period through early screening, diagnosis and treatment of infections. A descriptive cross-sectional study design was used to collect data. Most of the clients were aware of the booking time and despite this none turned up for ANC clinic within the right gestational age. Accessibility of health facilities and past pregnancy experience was significantly associated with initiation of ANC booking.

Key words: Antenatal care clinics, maternal child health, pregnant mothers, antenatal care (ANC).