Dropout from a maternal and newborn continuum of care after antenatal care booking and its associated factors in Debre Berhan town, northeast Ethiopia

Tadese, Mesfin; Tessema, Saba Desta; Aklilu, Dawit; Wake, Getu Engida; Mulu, Getaneh Baye

doi:10.3389/fmed.2022.950901

Cited by 3 publications

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

The continuum of care for maternal health in Africa: A systematic review and meta-analysis

Ahmed,

Gebre,

Demelash

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

Background The continuum of care for maternal health (COCM) is a critical strategy for addressing preventable causes of maternal and perinatal mortality. Despite notable progress in reducing maternal and infant deaths globally, the problem persists, particularly in low-resource settings. Additionally, significant disparities in the provision of continuous care exist both between continents and within countries on the same continent. This study aimed to assess the pooled prevalence of completion across the maternity care continuum in Africa and investigate the associated factors. Methods Relevant articles were accessed through the EMBASE, CINAHL, Cochrane Library, PubMed, HINARI, and Google Scholar databases. Funnel plots and Egger’s test were employed to assess publication bias, while the I-squared test was used to evaluate study heterogeneity. The inclusion criteria were limited to observational studies conducted exclusively in Africa. The quality of these studies was assessed using the JBI checklist. Data extraction from the included studies was performed using Microsoft Excel and then analysed using Stata 16 software. Results A total of 23 studies involving 74,880 mothers met the inclusion criteria. The overall prevalence of women who successfully completed the COCM was 20.9% [95% CI: 16.9–25.0]. Our analysis revealed several factors associated with this outcome, including urban residency [OR: 2.3; 95% CI: 1.6–3.2], the highest wealth index level [OR: 2.1; 95% CI: 1.4–3.0], primiparous status [OR: 1.3; 95% CI: 2.2–5.1], planned pregnancy [OR: 3.0; 95% CI: 2.3–3.7], and exposure to mass media [OR: 2.7; 95% CI: 1.9–3.8]. Conclusion The study revealed that only 20.9% of women fully completed the COCM. It also identified several factors associated with completion of the COCM, such as residing in urban areas, possessing a higher wealth index, being a first-time mother, experiencing a planned pregnancy, and having access to mass media. Based on the study’s findings, it is recommended that targeted interventions be implemented in rural areas, financial assistance be provided to women with lower wealth index levels, educational campaigns be conducted through mass media, early antenatal care be promoted, and family planning services be strengthened. Review registration PROSPERO International Prospective Register of Systematic Reviews (ID: CRD42020205736).

show abstract

The continuum of care for maternal health in Africa: A systematic review and meta-analysis

Ahmed,

Gebre,

Demelash

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

show abstract

Completion of the maternal and neonatal continuum of care service utilisation and determining factors in Assosa Zone, North Western Ethiopia

Adete

Mmusi-Phetoe

2023

Preprint

View full text Add to dashboard Cite

Background Maternal and neonatal health continuum of care (MNH CoC) is one of the recommended strategies for reducing maternal and neonatal deaths. However, its utilisation remains low in sub-Saharan Africa, including Ethiopia. The purpose of the study was to determine the magnitude of maternal and neonatal continuity of care utilisation and identify determining factors in Assosa Zone, North Western Ethiopia.Method Facility based cross-sectional study design was used to conduct the study from January to March. Proportional allocation of samples to health facilities and simple random sampling followed by systematic sampling was used to select a sample of 564 women who had given birth in the preceding nine months before data collection for the study. Data was collected through the use of a questionnaire. The data was analysed using SPSS version 27 software.Result The overall completion of maternal and neonatal CoC services in the antenatal, childbirth and postnatal periods was 53.7%. The study showed that factors such as education, occupation, partner support, knowledge of the expected number of antenatal visits, early booking of antenatal care, places of ANC, place of PNC, comprehensive counselling and physical examination during ANC, and mode of delivery were significantly associated with completion of MNC CoC services. However, the odd of completion of MNH CoC services were decreased by 21% (AOR = 0.21, 95%CI = 0.09–0.51) among women who had knowledge of neonatal danger signs or complications than their counterparts.Conclusions The completion of MNH CoC services was low among women and many women did not receive lifesaving intervention along the continuum of care pathways. Hence, compressive awareness raising, education, counselling and empowering of women in health care at the household, community and facility level required to improve the completion of maternity continuum of care.

show abstract

Association between pregnancy wantedness and utilization of maternal health services by adolescent girls and young women at their first live birth in Uganda: Analysis of the 2011 and 2016 Demographic and Health Surveys

Akulume,

Waiswa,

Beňová

et al. 2024

Preprint

View full text Add to dashboard Cite

Background: Unwanted and mistimed pregnancies are postulated to affect the utilization of maternal health services particularly among adolescent girls and young women (AGYW). We investigated the association between pregnancy wantedness and utilization of maternal health services by AGYW in Uganda. Methods: We analyzed data from the 2011 and 2016 Uganda Demographic and Health Surveys among women whose most recent live birth in each survey’s 5-year recall period was their first birth and who were ≤ 24 years old at the time of their first birth. The outcome variables for this study included utilization of antenatal care (ANC) (categorized as “optimal” if ≥ 4 visits or “poor” if < 4 visits), health facility delivery (yes/no), utilization of postnatal care (PNC) (yes/no), and utilization of the continuum of all three maternal health services (fully utilized and partially utilized). The main independent variable was pregnancy wantedness, categorized as wanted at the time of conception versus unwanted (wanted later or not wanted at all). Data were analyzed using STATA 14. We performed descriptive analysis and logistic regression (bivariate and multivariable) for each survey separately. Results: We included a total of 741 (in 2011) and 1,828 (in 2016) AGYW (10 to 24 years at the time of their first live birth). The percentage of them that said their first pregnancy was unwanted was 42.0% in 2011 and 45.9% in 2016. In 2011, AGYW with unwanted pregnancies were less likely to utilize optimal ANC compared to those who wanted their pregnancies (AOR=0.64, 95%CI=0.43-0.96). Additionally, pregnancy wantedness was associated with utilization of the continuum of maternal health services in 2011 (AOR = 0.63, CI = 0.40 - 0.99). In 2016, pregnancy wantedness was not significantly associated with ANC utilization (AOR 0.93, CI = 0.73 - 1.17). There was no association between pregnancy wantedness and delivery in a health facility or utilization of PNC in both surveys (p-value >0.05). Conclusion: Our results showed that although pregnancy wantedness was associated with utilization of ANC and the continuum of maternal health services in 2011. However, in 2016, pregnancy wantedness was not associated with the utilization of any maternal health services.

show abstract

Dropout from a maternal and newborn continuum of care after antenatal care booking and its associated factors in Debre Berhan town, northeast Ethiopia

Cited by 3 publications

References 22 publications

The continuum of care for maternal health in Africa: A systematic review and meta-analysis

The continuum of care for maternal health in Africa: A systematic review and meta-analysis

Completion of the maternal and neonatal continuum of care service utilisation and determining factors in Assosa Zone, North Western Ethiopia

Association between pregnancy wantedness and utilization of maternal health services by adolescent girls and young women at their first live birth in Uganda: Analysis of the 2011 and 2016 Demographic and Health Surveys

Contact Info

Product

Resources

About