Abstract

This study investigates the determinants of late antenatal clinic (ANC) initiation among pregnant women at Saint Elizabeth General Hospital, Shisong, Cameroon. Early and regular antenatal care is essential for monitoring the health of both mother and fetus, detecting potential complications, and providing necessary interventions to ensure positive pregnancy outcomes. Despite the benefits, many pregnant women in Cameroon begin their antenatal visits later than recommended, increasing the risk of adverse maternal and neonatal outcomes.

The research employs a cross-sectional design, involving a sample of pregnant women attending antenatal clinics at Saint Elizabeth General Hospital. Data were collected through structured questionnaires and interviews to assess the timing of ANC initiation and to explore the factors influencing late ANC attendance. The study examined various determinants, including socio-demographic factors such as age, education, marital status, and income level, as well as knowledge of ANC, cultural beliefs, access to healthcare facilities, and perceived quality of care.

Preliminary findings indicate that a significant number of women initiate ANC late, often during the second or third trimester of pregnancy. The study identifies several key determinants of late ANC start, including low levels of education, financial constraints, lack of awareness about the importance of early ANC, cultural practices, and long distances to healthcare facilities. Additionally, misconceptions about pregnancy and antenatal care, as well as negative past experiences with healthcare services, were found to contribute to delays in seeking care.

The research highlights the need for targeted interventions to encourage early ANC initiation among pregnant women. Recommendations include community-based education programs to raise awareness about the importance of early antenatal visits, improved access to affordable and quality maternal health services, and efforts to address cultural barriers that hinder timely ANC attendance. By addressing these determinants, the study aims to contribute to better maternal and neonatal health outcomes at Saint Elizabeth General Hospital and beyond.

Keywords
Late antenatal care, determinants, pregnant women, Saint Elizabeth General Hospital, Shisong, Cameroon, maternal health, healthcare access, cultural beliefs, ANC initiation.