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Percentage and Risk Factors of Urinary Tract Infections among Pregnant Women attending FANC Visits in Public Secondary Hospitals in Jama’a LGA, Kaduna State Peter Francis Yaki; Nworuh B. O.; Udujih G. O.; Mato B. D. M.
African Journal of Medicine, Surgery and Public Health Research Vol 2 No 2 (2025): African Journal of Medicine, Surgery and Public Health Research
Publisher : Darul Yasin Al Sys

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58578/ajmsphr.v2i2.5516

Abstract

Urinary Tract Infections (UTIs) are among the most common infections affecting pregnant women, contributing significantly to maternal and fetal morbidity. In Nigeria, especially in rural areas such as Jama’a Local Government Area (LGA) of Kaduna State, limited data exist on the burden and risk factors associated with UTIs during focused antenatal care (FANC) visits. This study assessed the percentage and risk factors of UTIs among pregnant women attending FANC visits in public secondary hospitals in Jama’a LGA, Kaduna State. A hospital-based cross-sectional descriptive study was conducted among 301 pregnant women. Midstream urine samples were collected and cultured on Cysteine Lactose Electrolyte Deficient (CLED) agar. Socio-demographic and clinical data were obtained through structured questionnaires. Chi-square tests were used to determine associations between demographic variables and UTI occurrence at a 5% significance level. The percentage of UTIs among the study population was 28.6%. Escherichia coli (45.3%) was the most frequently isolated organism, followed by Klebsiella pneumoniae (19.8%) and Staphylococcus aureus (16.3%). Statistically significant risk factors associated with UTI were maternal age ≥35 years (AOR=1.91; p=0.041), parity ≥4 (AOR=2.14; p=0.006), prior history of UTI (AOR=3.42; p<0.001), and poor perineal hygiene practices (AOR=1.78; p=0.027). The study revealed a high percentage of UTIs among pregnant women in Jama’a LGA. Regular screening, targeted interventions for high-risk groups, and improved hygiene education during FANC visits are recommended to reduce the burden of UTIs in pregnancy.
Demographic Factors Influencing the Utilization of Focused Antenatal Care Services in Jama'a Local Government Area, Kaduna State, Nigeria Peter Francis Yaki; Nworuh B. O.; Udujih G. O.; Mato B. D. M.
African Journal of Medicine, Surgery and Public Health Research Vol 2 No 2 (2025): African Journal of Medicine, Surgery and Public Health Research
Publisher : Darul Yasin Al Sys

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58578/ajmsphr.v2i2.5577

Abstract

Focused Antenatal Care (FANC) is a critical intervention designed to improve maternal and neonatal outcomes by ensuring timely and appropriate healthcare during pregnancy. Despite its benefits, utilization remains sub-optimal in many low-resource settings, including Nigeria This study assessed the influence of demographic factors on the utilization of FANC services among pregnant women attending public secondary hospitals in Jama’a Local Government Area (LGA), Kaduna State. A hospital-based cross-sectional descriptive study was conducted among 301 pregnant women using structured interviewer-administered questionnaires. The data collected included socio-demographic information and FANC attendance history. Descriptive statistics and Chi-square tests were employed for data analysis using SPSS version 23. A p-value of less than 0.05 was considered statistically significant. The study found that only 10.6% of respondents completed at least four antenatal visits as recommended by the World Health Organization. Significant demographic predictors of FANC utilization included age (p=0.003), parity (p=0.002), educational status (p=0.001), and ethnicity (p=0.027). Women aged 25–34 years, with 1–3 children, and with secondary or tertiary education were more likely to complete four or more ANC visits. FANC utilization in Jama’a LGA is low, and key demographic factors significantly influence its uptake. Interventions targeting less-educated, younger, and high-parity women are needed to improve ANC attendance and maternal health outcomes in the Jama’a LGA, and Kaduna State in general.