Spatial distribution and associated factors of antenatal care utilization in Ethiopia in 2019: Spatial and multilevel analysis

Hailegebreal, Samuel; Gilano, Girma; Seboka, Binyam Tariku; Ahmed, Mohammedjud Hassen; Simegn, Atsedu Endale

doi:10.21203/rs.3.rs-537337/v1

Cited by 4 publications

(5 citation statements)

References 17 publications

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“…Findings show that ANC prevalence varies from one region (or province) to another and decreases from Bujumbura-Mairie(urban area) to the most remote regions and provinces(rural areas). These findings are consistent with findings of two recent studies, all conducted in Ethiopia, which showed a high ANC prevalence in urban areas (Addis Ababa) than rural areas [28, 29]. Regional antenatal care disparities in Burundi, especially when compared to capital of the country (Bujumbura-Mairie), are consistent with findings reported in another recent study [30].…”

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

“…High predicted prevalence were detected in Muyinga and Kirundo junction, Bururi and Rumonge junction, Bujumbura-Mairie and Bujumbura Rural. These findings are in line with previous study conducted in Ethiopia and Indonesia [28,37,38]. In contrast, lower prevalence was observed in several locations of Burundi especially in remote provinces (Ruyigi, Bubanza, Cankuzo, Bubanza and Cibitoke).This disparity could be due the maternal health care inaccessibility and step-up in availability.These findings suggest to design effective intervention to improve ANC in low-prevalence areas of Burundi.…”

Section: Discussionsupporting

confidence: 91%

“…This study aims to understand the spatial distribution of ANC prevalence and examine factors associated with ANC with a medical doctor among women aged 15-49 years in Burundi. Findings show that ANC prevalence varies from one region (or province) to another and decreases from Bujumbura-Mairie(urban area) to the most remote regions and provinces(rural areas).These findings are consistent with findings of two recent studies, all conducted in Ethiopia, which showed a high ANC prevalence in urban areas (Addis Ababa) than rural areas [28,29]. Regional antenatal care disparities in Burundi, especially when compared to capital of the country (Bujumbura-Mairie), are consistent with findings reported in another recent study [30].These findings are also similar to those from two studies carried out in Indonesia and Nigeria which showed that ANC prevalence is higher in urban areas than rural areas [31,32].This could be due to the location of most health centers (hospitals, clinics, health center) and health care professionals in Bujumbura than remote regions.…”

Section: Discussionsupporting

confidence: 90%

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Spatial distribution and predictive factors of antenatal care in Burundi: a multilevel analysis and spatial baseline for the third Burundian demographic health survey

Barankanira

Iradukunda

Ntakaburimvo

et al. 2022

Preprint

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Background: The use of antenatal care by pregnant women enables them to receive good pregnancy monitoring.This monitoring includes counseling, health instructions, examinations and tests to avoid pregnancy-related complications or death during childbirth. To avoid these complications, the World Health Organization (WHO) recommends at least four antenatal visits.Therefore, this study sought to understand the spatial distribution and predictive factors of antenatal care (ANC) among women aged 15 to 49 years with a medical doctor in Burundi. Methods: We used data from the Second Burundi Demographic and Health Survey (DHS). A descriptive and spatial analysis of ANC prevalence were done.The ANC prevalence was mapped by region and by province. In unsampled data points ,a cluster based interpolation of ANC prevalence was done using the kernel method with an adaptive window. Predictive factors of ANC were assessed using a fixed effects binary logistic regression.The dependent variable was antenatal care with a medical doctor and the explanatory variables were place of residence, age, education level, religion, marital status of the woman, household wealth index and delivery place of the woman.Data processing and data analysis were done using R software, version 3.5.0. Results: The ANC prevalence varied from 0.0 to 16.2% with a median of 0.5%. A highest predicted ANC prevalence was observed at Muyinga and Kirundo provinces’ junction. Low prevalence was observed in several locations in all regions and provinces. The woman’s education level and delivery place were significantly associated with antenatal care with a medical doctor. Conclusion: Globally, the ANC prevalence is low in Burundi. It varies across the country. There is an intra-regional or intra-provincial heterogeneity in term of ANC prevalence.Woman’s education level and delivery place are significantly associated antenatal care.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 90%

See 2 more Smart Citations

Spatial distribution and predictive factors of antenatal care in Burundi: a multilevel analysis and spatial baseline for the third Burundian demographic health survey

Barankanira

Iradukunda

Ntakaburimvo

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…According to the EDHS report, Afar, Somali, and Oromia had the lowest coverage of most RMNCH services [41]. Another study showed that the use of RMNCH services in pastoralist regions of the country, such as Afar and Somali, and SNNPR is extremely low [55]. Ethiopia's pastoral communities occupy 61% of the total landmass and 97% reside in the lowland areas of Afar, Somali, Oromia, Gambella, and SNNPR [56].…”

Section: Discussionmentioning

confidence: 99%

Determinants of continuum of care for maternal, newborn, and child health services in Ethiopia: Analysis of the modified composite coverage index using a quantile regression approach

2023

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Maternal and child mortality remain unacceptably high in the Sustainable Development Goals era. Continuum of care has become a key strategy for improving the health of mothers and newborns. Previous research on the continuum of care in Ethiopia is often limited to maternal health services. Maternal and child health services are inseparably linked, and an integrated approach to care is essential. This study assessed the continuum of maternal, newborn, and child health care and associated factors in Ethiopia. The analysis was based on the 2016 Ethiopian Demographic and Health Survey data. We restricted our analysis to women with their most recent children—alive and living with their mother- aged 12–23 months at the time of the survey (n = 1891). The modified composite coverage index, constructed from twelve maternal and child health services, was calculated as an indicator of the continuum of care. Bivariable and multivariable quantile regression were used to analyse the relationship between the predictors and specific quantiles of the composite coverage index. The effect of each variable was examined at the 10th, 25th, 50th, 75th, and 95th quantiles. The results showed that the average composite coverage index value was 39%. The overall completion rate of the continuum of care was low (2%). Four % of the women did not receive any of the services along the continuum of care. Postnatal care for newborns had the lowest coverage (12%). This study provides evidence that factors such as the educational status of women, region, residence, socio-economic status, perceived distance to a health facility, pregnancy intention, mode of delivery, parity, and early antenatal care initiation influence the continuum of care differently across levels of the composite coverage index. The findings call for integrated and targeted strategies that aim to improve the continuum of care considering the determinants.

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Late initiation of antenatal care among pregnant women in Addis Ababa city, Ethiopia: a facility based cross-sectional study

et al. 2023

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Background Antenatal care (ANC) is the care given to pregnant women to prevent poor feto-maternal outcomes during pregnancy. The World Health Organization recommends first ANC visit be started as early as possible within in 12 weeks of gestation. Although there is improvement in overall ANC coverage, a sizable proportion of pregnant women in Ethiopia delay the time to initiate their first ANC visit. Therefore, this study aimed to investigate factors associated with late ANC initiation among pregnant women attending public health centers in Addis Ababa, Ethiopia. Methods A facility-based cross-sectional study was conducted among 407 randomly selected pregnant women who attended ANC at selected public health centers in Addis Ababa from December 2020 to January 2021. Data were collected using pretested and structured questionnaires through a face-to-face interview and reviewing medical records. Binary and multivariable logistic regressions were fitted sequentially to identify predictors for late ANC initiation. Adjusted odds ratios with 95% CI were computed to measure the strength of associations and statistical significance was declared at a p-value < 0.05. Result This study showed that 47% of pregnant women started their first ANC visit late.The age of 30 years and above, being married, unplanned pregnancy, having a wrong perception about the timing of the first ANC visit, and not having ANC for previous pregnancy was significantly associated with late ANC initiation. Conclusion Nearly half of the women initiated their first ANC visit late. Tailored interventions aimed at promoting early ANC initiation should target married women, women with an unplanned pregnancy, women who perceived the wrong timing of their first ANC, and those who have no ANC for their previous pregnancy.

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Spatial distribution and associated factors of antenatal care utilization in Ethiopia in 2019: Spatial and multilevel analysis

Cited by 4 publications

References 17 publications

Spatial distribution and predictive factors of antenatal care in Burundi: a multilevel analysis and spatial baseline for the third Burundian demographic health survey

Spatial distribution and predictive factors of antenatal care in Burundi: a multilevel analysis and spatial baseline for the third Burundian demographic health survey

Determinants of continuum of care for maternal, newborn, and child health services in Ethiopia: Analysis of the modified composite coverage index using a quantile regression approach

Late initiation of antenatal care among pregnant women in Addis Ababa city, Ethiopia: a facility based cross-sectional study

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