Continuum of maternal healthcare services utilization and its associated factors in Ethiopia: A systematic review and meta-analysis

Addisu, Dagne; Mekie, Maru; Melkie, Abenezer; Abie, Habtamu; Dagnew, Enyew; Bezie, Minale; Degu, Alemu; Biru, Shimeles; Chanie, Ermias Sisay

doi:10.1177/17455057221091732

Cited by 12 publications

(19 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this study overall ANC 1, ANC 4, skilled birth attendance, and postnatal care utilization is 74.9%, 43.5%, 51.9%, and 32.0%, respectively. A systematic review reported that only a quarter (25.5%) of the women in had used a complete continuum of care (at least four ANC visits, skilled birth attendant, and at least one PNC within 6 weeks after delivery) in Ethiopia [15]. Another systematic review reported that 64%, 31%, and 32% of women in Ethiopia utilized ANC, institutional delivery, and PNC service, respectively [16,18,19].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Does women’s literacy affect maternal health services utilization in Ethiopia? A stratified analysis of 2019 mini Ethiopian Demographic and Health Survey

Handebo

Demie

Gessese

et al. 2022

Preprint

View full text Add to dashboard Cite

Background Maternal mortality remains unacceptably high in sub-Saharan Africa with 533 maternal deaths per 100,000 live births, or 200,000 maternal deaths a year. This is over two-thirds (68%) of all maternal deaths per year worldwide. The lifetime risk of maternal death in low-income countries is 1 in 45. Most maternal deaths can be prevented if births are attended by skilled health personnel. Therefore, the current study examined the utilization of maternal health services among women in different sociodemographic statuses within different literacy strata in Ethiopia. Methods A total weighted sample of 3,839 women who gave birth within five years preceding the survey and whose literacy status was measured in the survey were included in this study. The dataset from the most recent Ethiopia Mini Demographic and Health Surveys (EMDHS) 2019 was used for this study. The EMDHS was a community-based cross-sectional study conducted in Ethiopia from March 21 to June 28, 2019. The survey used a two-stage stratified cluster sampling technique. Bivariate and multivariable logistic regression analyses were employed. Adjusted odds ratio (AOR) with a 95% confidence interval (CI) was reported and statistical significance was set at a p-value < 0.05. Results In this study, nearly two-thirds (63.8%) of reproductive-age women were illiterate. The overall prevalence of ANC 1, ANC 4, skilled birth attendance, and postnatal care utilization was 74.9%, 43.5%, 51.9%, and 32.0%, respectively. Our analysis also revealed that literate women are more likely to receive ANC 1 (literate vs illiterate, 87.9% vs 67.5%), ANC 4 (59.4% vs 34.5%), skilled birth attendance (73.3% vs 39.7%), and PNC (51.2% vs 21.1) as compared to their illiterate counterparts (p < 0.001). Regional variation, wealth status, age at first birth, birth order, and birth intervals were found significant factors associated with maternal health care service utilization among both literate and illiterate reproductive-age women in Ethiopia. Similar to this, ANC booking timing and utilization, age of household head, and religious affiliation were associated with institutional delivery and PNC utilization. Conclusion Women’s literacy is an important associate for utilizing appropriate maternal healthcare, with other sociodemographic and obstetric related factors as modifying factors. Hence, wholehearted efforts should be directed toward educating and empowering women. On the other hand, literacy levels and other modifying factors should be considered when designing interventions that enhance maternal health care service utilization. For instance, such programs need to stratify the interventions according to the literacy level of the women.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Amwonya et al also reported that female education indeed had a positive impact on maternal health care utilization [14]. A review study in Ethiopia also revealed that educational status is associated with a higher likelihood of having a continuum of maternal healthcare services [15].…”

Section: Introductionmentioning

confidence: 95%

Does women’s literacy affect maternal health services utilization in Ethiopia? A stratified analysis of 2019 mini Ethiopian Demographic and Health Survey

Handebo

Demie

Gessese

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…Previous research has found socioeconomic and demographic factors such as education and wealth status as being important predictors for accessing care across the continuum in Indonesia (Nafiah et al ., 2022 ; Andriani et al ., 2022 ) and in other lower- and middle-income countries (Osaki et al ., 2013 ; Yeji et al ., 2015 ; Wang and Hong, 2015 ; Iqbal et al ., 2017 ; Addisu et al, 2022 ).…”

Section: Introductionmentioning

confidence: 99%

Continuum of care in maternal and child health in Indonesia

Rammohan,

Goli,

Chu

2024

Prim Health Care Res Dev

View full text Add to dashboard Cite

Aim: This paper aims to empirically analyze the socioeconomic and demographic correlates of maternal and child health (MCH) care utilization in Indonesia using the continuum of care (CoC) concept. Background: The concept of CoC has emerged as an important guiding principle in reproductive, maternal, newborn, and child health. Indonesia’s maternal mortality rate, neonatal mortality, and under-five mortality rates are among the highest in the Southeast Asian region. Methods: Using pooled data from four successive waves of the nationally representative Indonesian Demographic and Health Survey (IDHS) conducted in the years 2002, 2007, 2012, and 2017, we use multivariate regression models to analyze care across four components of the continuum: antenatal care (ANC), institutional delivery, postnatal care for children, and full immunization (IM). Findings: CoC at each stage of MCH care has improved continuously over the period 2002–2017 in Indonesia. Despite this, just less than one out of two children receive all four components of the CoC. The overall coverage of CoC from its second stage (four or more ANC visits) to the final stage (full child IM) is driven by the dropouts at the ANC visit stage, followed by the loss of postnatal checkups and child IM. We find that the probability of a child receiving CoC at each of the four stages is significantly associated with maternal age and education, the household’s socioeconomic and demographic characteristics, and economic status. Conclusion: Complete CoC with improved, affordable, and accessible MCH care services has the potential to accelerate the progress of Sustainable Development Goal 3 by reducing maternal and childhood mortality risks. Our findings show that in Indonesia, the CoC continuously declines as women proceed from ANC to other MCH services, with a sharp decline observed after four ANC visits. Our study has identified key socioeconomic characteristics of women and children that increase their probability of failing to access care.

show abstract

“… 9 , 22 - 27 However, in many societies, cultural beliefs and lack of awareness inhibit preparation in advance for delivery. 28 , 29 In Ethiopia, a systematic review and meta-analysis showed that the utilization of maternal health care services was low, which is 25.51%, 30 and the BPCR was also low, which is 32%. 4 Having a good practice of the BPCR plan increases the utilization of maternal health care services.…”

Section: Introductionmentioning

confidence: 99%

Practice of Birth Preparedness and Complication Readiness and Its Associated Factors:A Health Facility-Based Cross-Sectional Study Design

Feyisa Balcha,

Mulat Awoke,

Tagele

et al. 2024

INQUIRY

View full text Add to dashboard Cite

Time of labor or time of emergency is not the time to decide what to do, instead it is time to seek care from skilled health care providers. Birth preparedness and complication readiness is the process of planning for a normal birth and anticipating the action needed in case of an emergency, which helps to minimize obstetric complications. Even though birth preparedness and complication readiness reduce maternal and newborn morbidity and mortality, the practice of birth preparedness and complication readiness is still low in Ethiopia. This study aimed to assess the practice of birth preparedness and complication readiness and its associated factors among pregnant women who attended antenatal care in the public health facilities of Debre Tabor town, northwest, Ethiopia. A health facility-based cross-sectional study was conducted from August 1/2022 to September 15/2022 among 397 pregnant mothers. The study was collected using a systematic random sampling technique and the collected data were entered and analyzed using SPSS version 25.0. Bivariate and multivariate logistic regression analyses were employed to estimate the crude and adjusted odds ratio and considered significant at a confidence interval of 95% and a P-value of less than .05. The proportion of birth preparedness and complication readiness practice was found to be 32.2%. Having formal education, primigravida, starting antenatal care contact in the first trimester of pregnancy, having knowledge of danger signs of labor and delivery, and birth preparedness and complication readiness were significantly associated with the practice of preparedness and complication readiness. In this study area, the practice of birth preparedness and complication readiness was low. Therefore, it is important to strengthen counseling on the advantage of starting antenatal care contact early and creating awareness of birth preparedness and complication readiness.

show abstract

Continuum of maternal healthcare services utilization and its associated factors in Ethiopia: A systematic review and meta-analysis

Cited by 12 publications

References 48 publications

Does women’s literacy affect maternal health services utilization in Ethiopia? A stratified analysis of 2019 mini Ethiopian Demographic and Health Survey

Does women’s literacy affect maternal health services utilization in Ethiopia? A stratified analysis of 2019 mini Ethiopian Demographic and Health Survey

Continuum of care in maternal and child health in Indonesia

Practice of Birth Preparedness and Complication Readiness and Its Associated Factors:A Health Facility-Based Cross-Sectional Study Design

Contact Info

Product

Resources

About