Antenatal Care

Antenatal registrants for the year 2016 was 87,431 with a coverage of 82.5 % as compared to 87730 (85%) for the year 2015. Average visit per client was 4.8.

Table 6.1 below shows the comparison of Antenatal registrants, TD2+, average visit and the number of 4+ visits during the years 2012-2016.

 

Table 6.1: ANC Performance. 2012 - 2016

INDICATOR

2012

2013

2014

2015

2016

ANC

(100.4%)

(96.5%)

(90.3%)

(84.7%)

(82.2%)

TD2+

84.80%

105.80%

67%

72.5%

69.5%

Average Visit/Client

4.3

4.4

4.7

4.7

4.8

4+ visit

66.50%

64.0%

77.9%

77%

89.7%

 

COMMENT; TD2+ dropped because of inaccurate data capture into the DHIMS, it was further detected that TD2+ on Form A gave 69.5% while that of EPI was 85%.

 

  1. Contribution to ANC by Organizations

 

ANC services in the region were provided by both public and private organizations. Attendance for the period was 415,299.

The breakdown by agencies is as follows:

  • Ghana Health Service/MOH facilities            –          381,826
  • CHAG Institutions                                                     -           23,802
  • Private Midwifes                                            -           5,933
  • Private Hosp/Quasi                                         -           3,738

 

1.1.1Gestational Age at Registration

For proper management, identification and care, early antenatal care was encouraged. For the year under review, 41,893 (48%) mothers made their visits in the first trimester, whilst 9,092 (10.43%) made it during the third trimester.

 

1.1.2Age of Mother at Registration

This is another area of importance to the service provider since risk factors are detected early and referred if possibly for prompt attention and management. A total of 387 pregnant women in the age group 10-14 years were registered (0.4%). In the age group 15-19 years 12,112 (13.89%) were also registered. Those above 35 years were 12,490 representing 14.33%.

 

 

1.1.3Parity of Mother at Registration

The proportion of women with parity 5+ registered 9,510 representing 10.94%.

Height of mothers below 150cm at registration for the period 2016 were 2,803 (3.21%)

 

1.1.4Haemoglobin at Registration and at 36 weeks

Haemoglobin checked gives a picture of the pregnant woman’s nutritional status and the care to be giving to her prior to term. A total number of 87,431 pregnant women were registered for the period under review out which 78,648 had their Hb checked. A number of 22487 (28.70%) of the pregnant mothers had their Hb below 11gm at registration. A total of 36,532 pregnant women had their Hb check at 36weeks out of which a total of 8686 (23.83%) were anaemic. The issue of anaemia was prevalent but is more in the rural areas were mothers fail to adhere to the nutritional education given to them at the clinics. Malaria also contributed to anaemia. The region still educate on the use of the Long Lasting Insecticide Net (LLIN), distribution and monitoring of the net ongoing. IPT was also given at the clinics to prevent the mothers from getting malaria which will subsequently become anaemic.

 

Table 6.2 below gives a graphical presentation for a three (3) period of work done in the area of nutrition.

 

Table 6.2: Nutritional Status of Pregnant Women. 2014 - 2016

 

2014

2015

2016

Indicator

At Reg

At 36 wks

At Reg

At 36 wks

At Reg

At 36wks

Number checked

84885

37879

78529

40444

78648

36532

Number with moderate anaemia Hb <11 gm/dl

23050

9212

22361

8687

22487

8686

% anaemic (Hb <11gm/dl)

27.2

24.3

28.5

21.5

28.5

23.8

Number with severe anaemia (Hb < 7gm/dl)

1452

728

1030

608

765

283

% with severe anaemia (Hb < 7gm/dl)

1.7

0.7

1.3

1.5

0.97

0.7

.

 

1.1.5Prevention of Mother to Child Transmission (PMTCT)

Prevention of mother to child transmission of HIV/AIDS (PMTCT) activities continue to be strengthened in the Region. The uptake of HIV counseling and testing among Antenatal clients at the implementing sites, were carried out. A total number of 87,412 were registered. The number of women receiving pretest counseling to know their HIV sero-status was 73,898. Number tested was 73,898 (85%). Number positive was 1,520 (2.1%). The number of women who received ARVs as Treatment at the antenatal was 661, the number of women given ARVs as Prophylaxis was 854. In all 1,515 (99.7%) of our women were on treatment.

 

1.1.6Syphilis and pregnancy

Syphilis is a sexually transmitted disease (STD) with very serious complications when left untreated. Facilities conducting antenatal clinics tested and treated persons who presented with symptoms are shown below.

 

Table 6.3: Syphilis -Trend Analysis (ANC), 2014 - 2016

Indicators

2014

2015

2016

 # of ANC Registrants

91,747

87,755

87,412

       

# Tested for Syphilis

19,199

50,221

57,809

% Tested

21%

57%

66%

# Positive for Syphilis

714

1,101

1,289

# treated for Syphilis

548

1,101

1,095