MAGNITUDE OF ANTENATAL DEPRESSION AND ASSOCIATED FACTORS AMONG PREGNANT WOMEN WHO VISIT ANTENATAL CARE SERVICE IN SELECTED HEALTH FACILITIES IN HARAR TOWN, EASTERN ETHIOPIA.

Abstract

Background: Worldwide, about 10% of pregnant women experiences mental disorders, primarily depression. In developing countries, 20-40 % of women experience depression during pregnancy or after childbirth but still it has low attention, peripheral and negligible. Hence, a few facility based study conducted in Ethiopia showed that the prevalence of antenatal depression were 11.8-31.2%. Even though the prevalence of depression during ANC is known in other parts of the world, there are limited available studies in our country. To the level the investigator’s knowledge there are no studies made on subject in Harar towen; hence the magnitude is not known. Objective: To assess magnitude and factors associated with antenatal depression among pregnant women who attend in antenatal care clinic at selected health facilities, Harar Town, Eastern Ethiopia from March 1 to 28, 2019. Method: A facility based Quantitative cross- sectional study design was employed by using pre-tested structured questionnaire to collect data from a sample of 544 respondents. Systematic sampling technique was used to select pregnant mothers from slected health facilities. Bivariate analysis and multivariable logistic regression analysis was done to identify factors associated to antenatal depression. Possible associations and statistical significance between variables was measured using crude and adjusted odds ratio, P value ≤0.05 was used to declare statistical significance. Result: The magnitude of anetenatal deprestion in this study was (30%) (95% CI: 26.1, 34.1). History of stillbirth 2.24(95% CI 1.03, 4.87), substance use history last pregnancy or current pregnancy 2.10 (95% CI, 1.069- 4.149), close family members death in these year 1.94(95% CI, 1.10-3.41) and social support 2.40(95% CI, 1.30- 4.41) were statistically and positively associated with anetenatal deprestion. Conclusion: This study revealed that magnitude of Anetenatal deprestion was high. history of still birth, substance use history last pregnancy or current pregnancy, close family members death in this year, social support were factors associated with deperestion. Therefore, much work is needed to improve the secrening depersstion and health professionals should providing adequate counseling and early screening of pregnant mothers for depression is crucial in order to prevent its further consequences