Abstract

This study investigates the factors contributing to the late initiation of antenatal care (ANC) among pregnant women at the Buea Regional Hospital. Antenatal care is essential for monitoring the health of both mother and child during pregnancy. Early initiation of ANC is crucial for reducing maternal and infant morbidity and mortality. However, many women delay seeking care, which can negatively affect health outcomes. This research aims to identify the barriers that prevent timely access to antenatal services.

A cross-sectional study was conducted with  pregnant women attending ANC services at the Buea Regional Hospital. Participants were selected through convenience sampling, and data were collected using a structured questionnaire. The questionnaire addressed demographic information, awareness of ANC importance, personal beliefs, healthcare access, and socio-economic factors.

The findings revealed several key factors contributing to the late start of ANC. A significant percentage of respondents (45%) cited lack of awareness about the importance of early ANC as a primary reason for their delay. Additionally, socio-economic factors such as financial constraints (30%) and unavailability of transportation (25%) were frequently mentioned as barriers. Cultural beliefs also played a role, with 20% of women expressing hesitance to seek medical care due to reliance on traditional practices.

Moreover, the study highlighted that only 40% of participants had adequate knowledge regarding the recommended timeline for initiating ANC. There was also a notable gap in communication between healthcare providers and patients, which affected women’s understanding of the importance of timely care.

In conclusion, addressing the factors contributing to the late start of antenatal care among pregnant women at the Buea Regional Hospital requires a multi-faceted approach. Strategies such as community awareness campaigns, improving access to transportation, and enhancing communication between healthcare providers and patients are essential. By fostering a better understanding of the significance of early ANC, health authorities can improve maternal and child health outcomes in the region.

Keywords: antenatal care, pregnant women, Buea Regional Hospital, barriers, health outcomes.