Missed antenatal care follow-up and associated factors in Eastern Zone of Tigray, Northern Ethiopia

Aweke, Amlaku Mulat; Kassa, Simachew; Belay, Getahun; Emishaw, Solomon; Yekoye, Abere; Bayu, Hinsermu; Kebede, Seifu

doi:10.4314/ahs.v20i2.20

Cited by 13 publications

(21 citation statements)

References 9 publications

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“…This partly explains that attending ANC service encourages institutional delivery; however, it is not a guarantee for obtaining quality maternity service [69]. The uptake of the service may be compromised by various factors including the educational status of the women, the residence of the women, distance from the facility, and previous history of successful home delivery [70][71][72][73]. This suggests that the integration of ANC services with other maternal services and programs should be a priority to meet the ultimate objective of the ANC service.…”

Section: Discussionmentioning

confidence: 99%

Critical factors associated with postpartum maternal death in Ethiopia

et al. 2022

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Background Globally most maternal deaths occur during the postpartum period; however, the burden is disproportionately higher in some Sub-Saharan African countries including Ethiopia. According to Ethiopian Ministry of Health’s annual report, in 2019 alone, nearly 70% of maternal deaths happen during the postpartum period. Although several studies have been conducted on postpartum maternal deaths in Ethiopia, most of the studies were focused either on individual-level or district-level determinants with limited emphasis on the timing of death and in relatively small and localized areas. Therefore, this study aimed at identifying the determinants of postpartum death both at an individual and districts level, which could shed light on designing pragmatic policies to reduce postpartum maternal death. Methods The study utilized secondary data obtained from the Ethiopian maternal death surveillance system. A total of 4316 reviewed maternal death from 645 districts of Ethiopia were included in the analysis. A multilevel multinomial logistic regression model was applied to examine factors significantly associated with postpartum maternal death in Ethiopia. Result The findings revealed that 65.1% of maternal deaths occurred during the postpartum period. The factors associated with postpartum death included previous medical history (history of ANC follow up and party), medical causes (obstetrics haemorrhage, hypertensive disorder of pregnancy, pregnancy-related infection, and non-obstetrics complication), personal factors (poor knowledge of obstetrics complication), and facility-level barriers (shortage of life-saving maternal commodities and delay in receiving treatment). Conclusion Almost seven in ten maternal deaths happen during the postpartum period. The rate was even higher for some women based on their previous medical history, level of awareness about obstetrics complication, medical conditions, as well as the readiness of the health facility at which the women was served. Since the postpartum period is identified as a critical time for reducing maternal death, policies and actions must be directed towards improving health education, ANC service utilization, and facility-level readiness.

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Section: Discussionmentioning

confidence: 99%

Critical factors associated with postpartum maternal death in Ethiopia

et al. 2022

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“…Moreover educated women have knowledge on danger sign [ 105 – 108 ]. Educated women might have awareness on the advantage of antenatal care different services provided in the service delivery points for the fetus and herself [ 53 , 109 – 111 ].…”

Section: Discussionmentioning

confidence: 99%

Number of antenatal care utilization and associated factors among pregnant women in Ethiopia: zero-inflated Poisson regression of 2019 intermediate Ethiopian Demography Health Survey

et al. 2022

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Background The frequency of antenatal care utilization enhances the effectiveness of the maternal health programs to maternal and child health. The aim of the study was to determine the number of antenatal care and associated factors in Ethiopia by using 2019 intermediate EDHS. Methods Secondary data analysis was done on 2019 intermediate EDHS. A total of 3916.6 weighted pregnant women were included in the analysis. Zero-inflated Poisson regression analysis was done by Stata version 14.0. Incident rate ratio and odds ratio with a 95% confidence interval were used to show the strength and direction of the association. Result About one thousand six hundred eighty eight (43.11%) women were attending four and more antenatal care during current pregnancy. Attending primary education (IRR = 1.115, 95% CI: 1.061, 1.172), secondary education (IRR = 1.211, 95% CI: 1.131, 1.297) and higher education (IRR = 1.274, 95% CI: 1.177, 1.378), reside in poorer household wealth index (IRR = 1.074, 95% CI: 1.01, 1.152), middle household wealth index (IRR = 1.095, 95% CI: 1.018, 1.178), rich household wealth index (IRR = 1.129, 95% CI: 1.05, 1.212) and richer household wealth index (IRR = 1.186, 95% CI: 1.089, 1.29) increases the number of antenatal care utilization. The frequency of antenatal care was less likely become zero among women attending primary (AOR = 0.434, 95% CI: 0.346, 0.545), secondary (AOR = 0.113, 95% CI: 0.053, 0.24), higher educational level (AOR = 0.052, 95% CI: 0.007, 0.367) in the inflated part. Conclusion The number of antenatal care utilization is low in Ethiopia. Being rural, poorest household index, uneducated and single were factors associated with low number of antenatal care and not attending antenatal care at all. Improving educational coverage and wealth status of women is important to increase the coverage and frequency of antenatal care.

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“…Moreover educated women have knowledge on danger sign (105)(106)(107)(108). Educated women might have awareness on the advantage of antenatal care different services provided in the service delivery points for the fetus and herself (53,(109)(110)(111).…”

Section: Discussionmentioning

confidence: 99%

“…(37) In Ethiopia, different researches have been done on prevalence and/or factors associated with ANC utilization (35,(38)(39)(40)(41)(42)(43)(44)(45)(46)(47)(48)(49). Maternal educational status, Age, residence, accessing radio, wealth index, pregnancy status, number of children, accessibility of health facilities, occupation and religion are determinant factors identi ed by scholars (50)(51)(52)(53)(54)(55)(56)(57)(58)(59)(60)(61)(62)(63). But, all the studies were done at local level with use small sample size.…”

Section: Introductionmentioning

confidence: 99%

Number of Antenatal Care Utilization and Associated Factors Among Pregnant Women in Ethiopia: Zero-Inflated Poisson Regression of 2019 Intermediate Ethiopian Demography Health Survey.

Arefaynie

Kefale

Yalew

et al. 2021

Preprint

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Background The frequency of antenatal care enhances the effectiveness of the program to reduce maternal and child mortality and morbidity. The aim of the study was to determine the number of antenatal care and associated factors in Ethiopia by using 2019 intermediate EDHS. Methods Secondary data analysis was done on 2019 intermediate EDHS. A total of 3,916.6 weighted pregnant women were included in the analysis. Zero-inflated Poisson regression analysis was done by Stata version 14.0. Incident rate ratio and odds ratio with a 95% confidence interval were used to show the strength and direction of the association. Result About one thousand six hundred eighty eight (43.11%) women were attending four and more antenatal care during current pregnancy. Attending primary education (IRR= 1.115, 95% CI: 1.061, 1.172), secondary education (IRR=1.211, 95% CI: 1.131, 1.297) and higher education (IRR=1.274, 95% CI: 1.177, 1.378), reside in poorer household wealth index (IRR= 1.074, 95% CI: 1.01, 1.152), middle household wealth index (IRR= 1.095, 95% CI: 1.018, 1.178), rich household wealth index (IRR=1.129, 95% CI: 1.05, 1.212) and richer household wealth index (IRR=1.186, 95% CI: 1.089, 1.29) increases the number of antenatal care utilization. The frequency of antenatal care was less likely become zero among women attending primary (AOR=0.434, 95% CI: 0.346, 0.545), secondary (AOR=0.113, 95% CI: 0.053, 0.24), higher educational level (AOR=0.052, 95% CI: 0.007, 0.367) in the inflated part. Conclusion The number of antenatal care utilization is low in Ethiopia. Being rural, poorest household index, uneducated and single were factors associated with low number of antenatal care and not attending antenatal care at all. Improving the educational coverage and wealth status of women is important to increase coverage of antenatal care.

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Missed antenatal care follow-up and associated factors in Eastern Zone of Tigray, Northern Ethiopia

Cited by 13 publications

References 9 publications

Critical factors associated with postpartum maternal death in Ethiopia

Critical factors associated with postpartum maternal death in Ethiopia

Number of antenatal care utilization and associated factors among pregnant women in Ethiopia: zero-inflated Poisson regression of 2019 intermediate Ethiopian Demography Health Survey

Number of Antenatal Care Utilization and Associated Factors Among Pregnant Women in Ethiopia: Zero-Inflated Poisson Regression of 2019 Intermediate Ethiopian Demography Health Survey.

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