Prevalence and associated factors of delayed first antenatal care booking among reproductive age women in Ethiopia; a multilevel analysis of EDHS 2016 data

Teshale, Achamyeleh Birhanu; Tesema, Getayeneh Antehunegn

doi:10.1371/journal.pone.0235538

Cited by 49 publications

(80 citation statements)

References 40 publications

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“…The outcome variable of this study was delayed first ANC visit which means mothers who have first ANC booking after 12 weeks of gestational age [ 27 ] which have a binary response. A woman said having delayed first ANC visit if she books her first ANC visit after 12 weeks of pregnancy and coded as “1”, and women said having early first ANC visit if she books her first ANC before 12 weeks gestation and coded it as “0.” [ 4 , 19 ].…”

Section: Methodsmentioning

confidence: 99%

“…Community-level media exposure was assessed by the proportion of women who had at least been exposed to one media. It employs``` “0” to indicate low-level and “1” to indicate high-level media coverage at the community level [ 4 , 28 ].…”

Section: Methodsmentioning

confidence: 99%

“…Antenatal care (ANC) can be defined as the care provided by skilled healthcare providers to pregnant women and adolescent girls to ensure the best maternal and child health during pregnancy [ 3 ]. Antenatal maternity care is a way for pregnant women to enter the health-care system and allows them to arrange the resources they need to have a stable pregnancy, a safe childbirth, and a healthy mother-baby pair [ 1 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

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Spatiotemporal distribution and determinants of delayed first antenatal care visit among reproductive age women in Ethiopia: a spatial and multilevel analysis

et al. 2021

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Background Antenatal care (ANC) is one of the four pillars of the initiative for safe motherhood. ANC helps to improve the health of pregnant women and reduce the risk of adverse pregnancy outcome. First ANC is used to know the health status of the mothers and the fetus, to estimate the gestational age and expected date of delivery. Our research aims to investigate the Spatio-temporal distribution of delayed first ANC visit and its predictors using multilevel binary logistic regression analysis. Method A total of 10,184 women (2061 in 2005, 3366 in 2011, and 4757 in 2016) were included for this study. The data were cleaned and weighted using STATA version 14. A multilevel binary logistic regression model was fitted to identify significant predictors of delayed first ANC visit. ArcGIS software was used to explore the spatial distribution of delayed first ANC visits and a Bernoulli model was fitted using SaTScan software to identify significant clusters of delayed first ANC visits. Results Overall, 77.69, 73.95, and 67.61% of women had delayed their first ANC visit in 2005, 2011, and 2016 EDHSs respectively. Women education [AOR = 0.71; 95%CI; 0.60, 0.84], unwanted pregnancy [AOR = 1.41;95%CI; 1.04, 1.89], and rural residence [AOR = 1.68;95%CI; 1.19, 2.38] have significantly associated with delayed first ANC visit. The spatial analysis revealed that delayed first ANC visit varies in each EDHS period. The SaTScan analysis result of EDHS 2005 data identified 122 primary clusters located between the border of Oromia and Eastern SNNPR regions (RR = 1.30, LLR = 32.31, P-value< 0.001), whereas in 2011 EDHS, 145 primary clusters were identified in entire Tigray, B/Gumuz, Amhara western part of Afar and northwest Oromia regions (RR = 1.30, LLR = 40.79, P-value< 0.001). Besides in 2016 EDHS,198 primary clusters were located in the entire SNNPR, Gambella, Northen B/Gumuz, and western Oromia regions. (RR = 1.35, LLR = 83.21, P-value< 0.001). Conclusion In Ethiopia delayed first ANC visit was significantly varied across the country over time Women’s education, wanted the last child, and residence were significantly associated with delayed first ANC booking. The effect of each predictor was found to be different across regions of Ethiopia. Therefore, a targeted intervention program is required in highly affected areas of Ethiopia.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Spatiotemporal distribution and determinants of delayed first antenatal care visit among reproductive age women in Ethiopia: a spatial and multilevel analysis

et al. 2021

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“…26 Moreover, studies at the sub-national and national levels focused on timing and number of ANC visits rather than ANC content and associated factors. [27][28][29][30][31][32][33][34][35] Therefore, this study aimed to identify self-reported received ANC content and associated factors which may aid in designing guidelines and policies to improve maternal health, pregnancy outcomes, and child survival in Ethiopia.…”

Section: Introductionmentioning

confidence: 99%

Extent of Received Antenatal Care Components in Ethiopia: A Community-Based Panel Study

Shiferaw¹,

Mengistie²,

Gobena³

et al. 2021

IJWH

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This study aimed to identify the extent of antenatal care content received and associated factors among Ethiopian women. Methods: A nationally representative Performance Monitoring for Action 2020 Ethiopian data were used. A multistage cluster sampling design was used to select 2855 pregnant or recently postpartum women nested within 217 enumeration areas. Female resident enumerators collected the data using a semi-structured questionnaire. Researchers dichotomized the number of ANC content received greater than or equal to 75 percentiles as adequate. Otherwise, it was considered inadequate. A multilevel Poisson regression was fitted. The result was reported using an incidence rate ratio with a 95% confidence interval and a p-value less than 0.05 was considered for statistical significance. Results: The study revealed more than a quarter of pregnant women received adequate ANC content (27.8%; 95% CI: 23.8%, 32.2%). Multivariable analysis revealed urban residence (IRR = 1.09, 95% CI: 1.01, 1.21), attending secondary and above formal education (IRR = 1.08, 95% CI: 1.01, 1.16), maternal age 20-24 years (IRR = 1.10, 95% CI: 1.02, 1.19), and partner's encouragement to attend clinic for antenatal care (IRR = 1.14, 95% CI: 1.05, 1.24) was significantly associated with receiving higher numbers of antenatal care content. Conclusion:The proportion of women who received adequate antenatal care content in Ethiopia was low. Despite Ethiopia's effort to improve maternal health services utilization, disparities among regions and between rural and urban exist. This study highlights the importance of ensuring high received antenatal care content, which is crucial for reducing pregnancy-related morbidity and mortality. This implies prompt intersectoral collaboration to promote female education, target older aged women, and rural resident women, encourage partner involvements during the antenatal care process, minimize regional variation, and strengthen the implementation of received ANC content policies and programs with the active participation of the stakeholders are priority issues.

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“…However, very little research in this regard is available in the context of Gamo Zone, Southern Ethiopia. Moreover, the few existing studies focussed entirely on prenatal care, urban women or speci c geographical areas [14][15][16][17][18][19].…”

mentioning

confidence: 99%

Determinants of Maternal Healthcare Utilisation Among Pregnant Women in Southern Ethiopia: A Multi-level Analysis

Gurara

Draulans

Geertruyden

et al. 2021

Preprint

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Background: In low- and middle-income countries, considerable proportions of women and newborns are dying from easily preventable pregnancy and childbirth-related causes. The utilisation of maternal health care (MHC) is a proven intervention that significantly reduces maternal and newborn morbidity and mortality. Despite efforts to make MHC available in rural Ethiopia, utilisation of these services remains low. Therefore, this study aimed to assess MHC services’ status and determinants in rural Ethiopia.Methods: The study used a community-based, cross-sectional design. A pretested, semi-structured, interviewer-administered questionnaire was used to collect data. A multilevel, mixed-effects, logistic regression model was used to identify individual and communal factors level factors associated with utilisation of antenatal care (ANC), skilled birth attendance (SBA) and postnatal care (PNC). Adjusted odds ratios (AORs) with corresponding 95% confidence intervals (CIs) were estimated at a p-value < 0.05, indicating statistical significance.Results: A total of 727 pregnant women from rural areas took part, with a response rate of 99.3%. About 63.4% of the women visited ANC clinics at least once during their last pregnancy while only 46.5% had given birth with SBA, and 32.8% had received PNC. The study revealed that women’s employment, awareness of danger signs and pregnancy planning were associated with increased MHC service utilisation from individual-level factors. The odds of using SBA (AOR=3.3; 95% CI: 1.8–5.9) and PNC (AOR=2.8; 95% CI: 1.2–6.7) were associated with ANC use. Similarly, PNC utilisation was associated with SBA (AOR=3.3; 95% CI: 1.8–6.1). At the cluster level, being a lowlands resident was found to be associated with ANC (AOR = 4.1; 95% CI: 1.1–14). Similarly, a proximity of less than two hours of travel time from the nearest health facility was found to be associated with SBA use (AOR=2.9; 95% CI: 1.4–5.8) and ANC use (AOR=1.9; 95% CI: 1.1–3.7).Conclusions: Individual and community-level factors play a key role in determining utilization of MHC services. Women’s empowerment, promotion of contraceptive methods to avoid unintended pregnancy and improved access to health care services, particularly in highlands areas, are recommended.

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Prevalence and associated factors of delayed first antenatal care booking among reproductive age women in Ethiopia; a multilevel analysis of EDHS 2016 data

Cited by 49 publications

References 40 publications

Spatiotemporal distribution and determinants of delayed first antenatal care visit among reproductive age women in Ethiopia: a spatial and multilevel analysis

Spatiotemporal distribution and determinants of delayed first antenatal care visit among reproductive age women in Ethiopia: a spatial and multilevel analysis

Extent of Received Antenatal Care Components in Ethiopia: A Community-Based Panel Study

Determinants of Maternal Healthcare Utilisation Among Pregnant Women in Southern Ethiopia: A Multi-level Analysis

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