Prevalence and factors associated with antenatal care utilization in Ethiopia: an evidence from demographic health survey 2016

Tsegaye, Berhan; Ayalew, Mohammed

doi:10.1186/s12884-020-03236-9

Cited by 49 publications

(59 citation statements)

References 21 publications

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“…The multilevel mixed-effects analyses were used to account for clustering. This study differed from previous conducted in Ethiopia [32][33][34][35][36][37] that it considered intra-regional/cluster correlation and used multilevel mixed effects analysis adjusting the inconsistent regression coe cient and its estimated standard errors for intra-cluster correlation. The study found an overall 62% of the mothers had received at least one ANC visit, 36.3% received at least four visits, and 3.6% received at least eight ANC from skilled providers respectively.…”

Section: Discussionmentioning

confidence: 93%

“…To the best of our knowledge, while numerous studies concentrating on determinants of antenatal care use in Ethiopia have been published [32][33][34][35][36][37] they didn't provide the quality of the services used considering the number of ANC visits received according to the latest WHO recommendations, contents of ANC received, and timing of ANC visits. Thus, this study attempted to assess which risk factors are signi cantly associated with the number of antenatal care visits, the number contents of ANC received and the timing of ANC visits for the recent pregnancy or live birth among women in Ethiopia preceding the survey considering the regional variation (region-speci c random effects).…”

Section: Introductionmentioning

confidence: 99%

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Risk Factors Associated With Frequency of Antenatal Visits, Number of Items of Antenatal Care Contents Received and Timing of First Antenatal Care Visits in Ethiopia: Multilevel Mixed-Effects Analysis

Woldeamanuel

Belachew

2020

Preprint

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Background: An improved quality Antenatal care (ANC) from skilled providers is essential to pregnant women so that ensure the key health circumstances for mother and child during pregnancy. Thus, this study attempted to assess which risk factors are significantly associated with the timing of antenatal care, the number of antenatal care visits, and the number of items of antenatal care contents received from skilled providers in the recent pregnancy among mothers in Ethiopia. Methods: Data was extracted from the 2016 Ethiopian Demographic and Health Survey. A total of 4,685 mothers was included in the analysis. Multilevel mixed-effects logistic regression analysis and multilevel mixed Negative binomial models were fitted to find the factors associated with antenatal care utilization. A 95% Confidence Interval of Odds ratio/Incidence rate ratio excluding one was reported as significant association with timely initiation of the ANC, numbers of ANC visits, numbers of items of antenatal care contents received and predictor variables.Results: About 20% of the mothers initiated ANC within the first trimester, 36.3% visits at least four ANCs, 3.6% have visited at least eight ANCs, and only 53% received at least four items of antenatal care contents. Rural residence (IRR = 0.81; 95%CI: 0.80-0.89), wanted no more children (IRR = 0.83; 95%CI: 0.75-0.91), mother without decision making power (IRR = 0.90; 95%CI: 0.83-0.98) associated with reduced frequency of ANC visits, while being rural residents (IRR = 0.82; 95%CI: 0.75-0.90), wanted no more children (IRR = 0.87; 95%CI: 0.79-0.96), husband alone decision maker of mothers health care (IRR = 0.88; 95%CI: 0.81-0.96) associated with reduced items of ANC content received. Further, birth order six or more (IRR = 0.74; 95%CI: 0.56-0.96), rural residence (IRR = 0.0.41; 95%CI: 0.34-0.51), wanted no more children (IRR = 0.61; 95%CI: 0.48-0.77) associated with delayed antenatal care utilization. Moreover, higher household wealth status, primary or secondary or higher education of mothers and partner, listening to the radio and watching television at least once a week, and a short distance to health facility were positively significantly associated with the frequency of antenatal care visits, numbers of items of ANC contents received and early initiation of ANC visit for the recent pregnancy during the last five years before the survey. Conclusions: Rural residence, poorest household wealth status, no education level of mothers or partners, unexposed to mass media, unwanted pregnancy, mothers without decision making power, and big distance to the nearest health facility, have a significant impact in delaying the timing of ANC visits, reducing the number of ANC visits and items of ANC received in Ethiopia. We ought to timely initiate an ANC visit for a frequent antenatal care visit during pregnancy. Educating girls and encouraging mothers to use modern contraceptives in order to prevent unwanted pregnancies are vital ingredients that should be included in all policies aiming to reduce maternal and neonatal deaths through improved quality of antenatal care utilization.

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Section: Discussionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Risk Factors Associated With Frequency of Antenatal Visits, Number of Items of Antenatal Care Contents Received and Timing of First Antenatal Care Visits in Ethiopia: Multilevel Mixed-Effects Analysis

Woldeamanuel

Belachew

2020

Preprint

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“…2,[8][9][10] Place of residence, region, mothers' education level, household wealth index, desire for pregnancy, frequency of reading newspaper, frequency of listening to the radio, and frequency of watching TV was associated with the utilization of a minimum of four ANC services. 11,12 Unlike other parts of the world, there is no available data about the level of at least 4 ANC utilization and related factors in our study area. Therefore; this study was aimed to determine the level and factors associated with the utilization of a minimum of four antenatal care services in Debre Berhan town in 2020.…”

Section: Introductionmentioning

confidence: 94%

“…Place of residence, region, mothers’ education level, household wealth index, desire for pregnancy, frequency of reading newspaper, frequency of listening to the radio, and frequency of watching TV was associated with the utilization of a minimum of four ANC services. 11 , 12 …”

Section: Introductionmentioning

confidence: 99%

<p>Utilizing a Minimum of Four Antenatal Care Visits and Associated Factors in Debre Berhan Town, North Shewa, Amhara, Ethiopia, 2020</p>

Tizazu

Asefa

Muluneh

et al. 2020

RMHP

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Background: Receiving a minimum of four antenatal care, as per the World Health Organization recommendation, enhances the possibility of utilizing effective maternal health care during antenatal follow-up. Hence, this study aimed to identify the level of a minimum of 4 ANC usage and factors associated with Debre Berhan town. Methods: A community-based cross-sectional study was employed from February 20 to March 10/2020 among women who gave birth in the last 6 months before the data collection period in Debre Berhan town. Data were collected using face-to-face interviews with the pretested tool by trained data collectors from randomly selected participants. After entering the data into Epi-data software version 3.1, it was further processed using SPSS version 23 statistical package. Both bivariate and multivariable Logistic regressions were fitted to identify the determinants for the utilization of a minimum of 4 antenatal care. A significance level of 0.05 was used to decide the significance of statistical tests. Results: A total of 390 women were interviewed giving a response rate of 99.2%. In this study, 78.5% (95% CI: 74.4-82.6) of women received a minimum of four antenatal care visits. Maternal educational status, initiation of antenatal visit at ≤16 weeks of gestation, and husband support/partner involvement were identified predictors of utilization of minimum 4 antenatal visits. Conclusion and Recommendations: Use of at least four antenatal visits in Debre Berhan town was found to be good. Health promotion programs targeting mothers with no education and lower educational level are important to increase their awareness about the importance of antenatal services. Male partner involvement during care related to pregnancy and promoting early initiation of antenatal care is important to overcome challenges towards a minimum of 4 antenatal visits in Debre Berhan town.

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“…In Ethiopia, ANC service utilization has improved, but many women still give birth at home without considering such services [11][12][13]. A recent study in Ethiopia shows the prevalence of ANC utilization to be 62.8% [14]. Another research also shows that only 6% of Ethiopian women make their first ANC visit within 16 weeks after gestation [15].…”

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confidence: 99%

The impact of antenatal care on under‐five mortality in Ethiopia: a difference‐in‐differences analysis

Ogbiye

Zewotir

North

2021

BMC Pregnancy Childbirth

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Background Sub-Saharan Africa, as opposed to other regions, has the highest under-five mortality rates yet makes the least improvement in reducing under-five mortality. Despite the decline, Ethiopia is among the top ten countries contributing the most to global under-five mortalities. This article examines the impact of the number of antenatal care and the timing of first antenatal care on child health outcomes. We specifically investigated if the utilization of antenatal care services positively affects the reduction of under-five mortality. Methods We employ a difference-in-differences design with propensity score matching to identify direct causal effects of antenatal care on under-five mortality based on the Ethiopian Demographic Health Survey data of 2011 and 2016. Our sample includes 22 295 women between the ages of 14–49 who had antenatal care visits at different times before delivery. Results The study revealed 1 481 cases of reported under-five mortality. 99.0% of that under-five mortality cases are women who had less than eight antenatal care visits, while only 1% of that is by women who had eight or more antenatal care visits. Antenatal care visit decreases the likelihood of under-five mortality in Ethiopia by 45.2% (CI = 19.2–71.3%, P-value < 0.001) while the timing of first antenatal care within the first trimester decreases the likelihood of under-five mortality by 10% (CI = 5.7–15.6%, P-value < 0.001). Conclusions To achieve a significant reduction in the under-five mortality rate, Intervention programs that encourages more antenatal care visits should be considered. This will improve child survival and help in attaining Sustainable Development Goal targets.

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Prevalence and factors associated with antenatal care utilization in Ethiopia: an evidence from demographic health survey 2016

Cited by 49 publications

References 21 publications

Risk Factors Associated With Frequency of Antenatal Visits, Number of Items of Antenatal Care Contents Received and Timing of First Antenatal Care Visits in Ethiopia: Multilevel Mixed-Effects Analysis

Risk Factors Associated With Frequency of Antenatal Visits, Number of Items of Antenatal Care Contents Received and Timing of First Antenatal Care Visits in Ethiopia: Multilevel Mixed-Effects Analysis

<p>Utilizing a Minimum of Four Antenatal Care Visits and Associated Factors in Debre Berhan Town, North Shewa, Amhara, Ethiopia, 2020</p>

The impact of antenatal care on under‐five mortality in Ethiopia: a difference‐in‐differences analysis

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