scholarly journals Spatial clustering and determinants of home birth after at least one antenatal care visit in Ethiopia: Ethiopian demographic and health survey 2016 perspective

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Atalay Goshu Muluneh ◽  
Yaregal Animut ◽  
Tadesse Awoke Ayele
Keyword(s):  
Antenatal Care ◽  
Health Survey ◽  
Spatial Clustering ◽  
Home Birth ◽  
Demographic And Health Survey ◽  
Antenatal Care Visit ◽  
Care Visit

scholarly journals Prevalence and Factors Associated with Late Antenatal Care Visit in Ethiopia: A population-based study using the 2016 Ethiopia Demographic and Health Survey

2019 ◽  
Author(s):  
Eskeziaw Kassahun Abebe ◽  
Amanuel Addisu Dessie ◽  
Liknaw Bewket Zeleke
Keyword(s):  
Maternal Health ◽  
Antenatal Care ◽  
Health Survey ◽  
Multivariable Analysis ◽  
Demographic And Health Survey ◽  
Maternal Health Service ◽  
P Value ◽  
Factors Associated ◽  
Antenatal Care Visit ◽  
Care Visit

Abstract Objectives Maternal health care services are important for the survival and wellbeing of both mother and infant. In 2015, an estimated 303,000 women died from pregnancy-related complications. The Ethiopian government has implemented strategies to enhance maternal health service utilization, and reduce maternal morbidity and mortality. However, only 20.4% of women initiated the first antenatal care visit before 16 weeks of gestation. Therefore, this study assessed factors associated with late antenatal care visit in Ethiopia. A community based cross-sectional study design was used to examine 4,740 women from the 2016 Ethiopia Demographic and Health Survey data. Odds ratios with corresponding 95% confidence intervals (CI) were computed to examine the strength of an association. In the multivariable analysis, variables with p-value <0.05 were considered as statistically significant. Result The prevalence of late initiation of first antenatal care visit in Ethiopia was 67.3% (65.0%,69.6%). Living in rural areas (AOR= 95% CI:1.19,2.56) and fifth or above birth order (AOR=1.5;95% CI:1.10,2.00) were significantly associated with late antenatal care visit. Consequently, increasing the access and utilization of family planning, and raise an awareness on the benefit of early initiation of first antenatal care visit is recommended.

scholarly journals Trends and determinants of an acceptable antenatal care coverage in Ethiopia, evidence from 2005-2016 Ethiopian demographic and health survey; Multivariate decomposition analysis

2020 ◽  
Vol 78 (1) ◽  
Author(s):  
Tilahun Yemanu Birhan ◽  
Wullo Sisay Seretew
Keyword(s):  
Health Care ◽  
Educational Attainment ◽  
Antenatal Care ◽  
Health Survey ◽  
Decomposition Analysis ◽  
Health Care Facilities ◽  
Demographic And Health Survey ◽  
Reproductive Age ◽  
Antenatal Care Visit ◽  
Care Visit

Abstract Background an acceptable antenatal care (ANC4+) is defined as attending at least four antenatal care visit, received at least one dose of tetanus toxoid (TT) injections and consumed 100 iron-folic acids (IFA) tablets/syrup during the last pregnancy. Since maternal health care service utilization continues to be an essential indicator for monitoring the improvements of maternal and child health outcomes. This study aimed to analyze the trends and determinants that contributed to the change in an acceptable antenatal care visit over the last 10 years in Ethiopia. Methods Nationally representative repeated cross-sectional survey was conducted using 2005, 2011, and 2016 Ethiopian Demographic and Health Survey datasets. The data were weighted and analyzed by STATA 14.1 software. Multivariate decomposition regression analysis was used to identify factors that contribute for the change in an acceptable antenatal care visit. A p-value < 0.05 was taken to declare statistically significant predictors to acceptable antenatal care visit. Results among the reproductive age women the rate of an acceptable antenatal care visits was increased from 16% in 2005 to 35% in 2016 in Ethiopia. In the multivariate decomposition analysis, about 29% of the increase in acceptable antenatal care visit was due to a difference in composition of women (endowments) across the surveys. Residence, religion, husband educational attainment, and wealth status was the main source of compositional change factors for the improvements of an acceptable antenatal care visit. Almost two-thirds of an overall change in acceptable antenatal care visit was due to the difference in coefficients/ change in behavior of the population. Religion, educational attainment (both women and husband), and residence are significantly contributed to the change in full antenatal care visit in Ethiopia over the last decades. Conclusion Besides the relevance of receiving an acceptable antenatal care visit for pregnant women and their babies, an acceptable antenatal care visit was slightly increased over time in Ethiopia. Women’s characteristics and behavior change were significantly associated with the change in acceptable antenatal care visits. Public interventions needed to improve acceptable antenatal care coverage, women’s education, and further advancing of health care facilities in rural communities should be done to maintain the further improvements acceptable antenatal care visits.

scholarly journals Attendance of fourth Antenatal Care Visit in Ethiopia: Analysis from 2016 Ethiopian Demographic Health Survey

2019 ◽  
Author(s):  
Mulugeta Abrha Woldu ◽  
Brhane Gebrekidan Ayele ◽  
Haftom Weldearegay Gebrehiwot ◽  
Araya Medhanyie Abrha
Keyword(s):  
Antenatal Care ◽  
Health Care Providers ◽  
Health Survey ◽  
Wealth Index ◽  
Antenatal Visit ◽  
Birth Preparedness ◽  
Care Providers ◽  
Complication Readiness ◽  
Antenatal Care Visit ◽  
Care Visit

Abstract Background: Globally, approximately 830 women have been reported to die every day due to complications of pregnancy and childbirth. Almost all of these deaths occurred during the third trimester of pregnancy. This could have been reduced by having adequate Antenatal care visits. However, little is known about the determinants of fourth Antenatal care visit. This study is therefore conducted to identify determinants of attendance of fourth Antenatal visits in Ethiopia.Method: This study was an analysis of data collected by the 2016 Ethiopian Demographic and Health Survey which used a stratified, two-stage cluster sampling design. Bivariate and multivariable regression analysis was done to declare association between independent predictors and attendance of fourth Antenatal care visit.Result: The independent factors affecting fourth Antenatal visit were highest wealth index (Adjusted Odds Ratio(AOR) = 1.85; 95% Confidence interval (CI) (1.41, 2.44), watching television less than once in a week (AOR= 0.64; 95%CI (0.46, 0.88) , not informed about pregnancy complications during previous visit (AOR= 0.59; 95%CI (0.51, 0.70) and women who were not given or who did not buy iron tablets/syrup (AOR= 0.64; 95%CI (0.55, 0.75).Conclusion: In this study wealth index, frequencies of watching television, information about pregnancy complication, given or bought iron tablets/syrup were the predictors. Therefore integrated service of proper counseling on birth preparedness and complication readiness, Iron folic acid provision by health care providers and other integrated multi-sectoral collaborations are also highly important to improve the wealth index and health literacy of mothers.

scholarly journals Attendance of fourth Antenatal Care Visit in Ethiopia: Analysis from 2016 Ethiopian Demographic Health Survey

2020 ◽  
Author(s):  
Mulugeta Woldu Abrha ◽  
Brhane Ayele Gebrekidan ◽  
Haftom Gebrehiwot Weldearegay ◽  
Araya Abrha Medhanyie
Keyword(s):  
Antenatal Care ◽  
Health Care Providers ◽  
Health Survey ◽  
Wealth Index ◽  
Antenatal Visit ◽  
Birth Preparedness ◽  
Care Providers ◽  
Complication Readiness ◽  
Antenatal Care Visit ◽  
Care Visit

Abstract Background Globally, approximately 830 women have been reported to die every day due to complications of pregnancy and childbirth. Almost all of these deaths occurred during the third trimester of pregnancy. This could have been reduced by having adequate Antenatal care visits. However, little is known about the determinants of fourth Antenatal care visit. This study is therefore conducted to identify determinants of attendance of fourth Antenatal visits in Ethiopia. Method This study was an analysis of data collected by the 2016 Ethiopian Demographic and Health Survey which used a stratified, two-stage cluster sampling design. Bivariate and multivariable regression analysis was done to declare association between independent predictors and attendance of fourth Antenatal care visit. Result The independent factors affecting fourth Antenatal visit were highest wealth index (Adjusted Odds Ratio(AOR) = 1.85; 95% Confidence interval (CI) (1.41, 2.44), watching television less than once in a week (AOR= 0.64; 95%CI (0.46, 0.88), not informed about pregnancy complications during previous visit (AOR= 0.59; 95%CI (0.51, 0.70) and women who were not given or who did not buy iron tablets/syrup (AOR= 0.64; 95%CI (0.55, 0.75). Conclusion In this study wealth index, frequencies of watching television, information about pregnancy complication, given or bought iron tablets/syrup were the predictors. Therefore integrated service of proper counseling on birth preparedness and complication readiness, Iron folic acid provision by health care providers and other integrated multi-sectoral collaborations are also highly important to improve the wealth index and health literacy of mothers.

scholarly journals Sociodemographic correlates of antenatal care visits in Nepal: results from Nepal Demographic and Health Survey 2016

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Mukesh Adhikari ◽  
Binaya Chalise ◽  
Bihungum Bista ◽  
Achyut Raj Pandey ◽  
Dipak Prasad Upadhyaya
Keyword(s):  
Antenatal Care ◽  
Health Survey ◽  
Demographic And Health Survey ◽  
Sociodemographic Correlates

scholarly journals Determinants of utilization of antenatal and delivery care at the community level in rural Bangladesh

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257782
Author(s):  
Jesmin Pervin ◽  
Mahima Venkateswaran ◽  
U. Tin Nu ◽  
Monjur Rahman ◽  
Brian F. O’Donnell ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Facility Delivery ◽  
Health Facilities ◽  
Community Level ◽  
Delivery Care ◽  
Multivariate Logistic Regression ◽  
Antenatal Care Visit ◽  
Care Visit

Background Timely utilization of antenatal care and delivery services supports the health of mothers and babies. Few studies exist on the utilization and determinants of timely ANC and use of different types of health facilities at the community level in Bangladesh. This study aims to assess the utilization, timeliness of, and socio-demographic determinants of antenatal and delivery care services in two sub-districts in Bangladesh. Methods This cross-sectional study used data collected through a structured questionnaire in the eRegMat cluster-randomized controlled trial, which enrolled pregnant women between October 2018-June 2020. We undertook univariate and multivariate logistic regression analysis to determine the associations of socio-demographic variables with timely first ANC, four timely ANC visits, and facility delivery. We considered the associations in the multivariate logistic regression as statistically significant if the p-value was found to be <0.05. Results are presented as adjusted odds ratios (AOR) with 95% confidence intervals (CI). Results Data were available on 3293 pregnant women. Attendance at a timely first antenatal care visit was 59%. Uptake of four timely antenatal care visits was 4.2%. About three-fourths of the women delivered in a health facility. Women from all socio-economic groups gradually shifted from using public health facilities to private hospitals as the pregnancy advanced. Timely first antenatal care visit was associated with: women over 30 years of age (AOR: 1.52, 95% CI: 1.05–2.19); nulliparity (AOR: 1.30, 95% CI: 1.04–1.62); husbands with >10 years of education (AOR: 1.40, 95% CI: 1.09–1.81) and being in the highest wealth quintile (AOR: 1.49, 95% CI: 1.18–1.89). Facility deliveries were associated with woman’s age; parity; education; the husband’s education, and wealth index. None of the available socio-demographic factors were associated with four timely antenatal care visits. Conclusions The study observed socio-demographic inequalities associated with increased utilization of timely first antenatal care visit and facility delivery. The pregnant women, irrespective of wealth shifted from public to private facilities for their antenatal care visits and delivery. To increase the health service utilization and promote good health, maternal health care programs should pay particular attention to young, multiparous women, of low socio-economic status, or with poorly educated husbands. Clinical trial registration ISRCTN69491836; https://www.isrctn.com/. Registered on December 06, 2018. Retrospectively registered.

scholarly journals Early antenatal care visit as indicator for health equity monitoring

2018 ◽  
Vol 6 (1) ◽  
pp. e35 ◽  
Author(s):  
Oliver Razum ◽  
Jürgen Breckenkamp ◽  
Theda Borde ◽  
Matthias David ◽  
Kayvan Bozorgmehr
Keyword(s):  
Antenatal Care ◽  
Health Equity ◽  
Antenatal Care Visit ◽  
Care Visit

Utilization and Determinants of Antenatal Care Visits in East African Countries: A Multicountry Analysis of Demographic and Health Surveys

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Zemenu Tadesse Tessema ◽  
Amare Minyihun
Keyword(s):  
Health Care ◽  
Antenatal Care ◽  
Logistic Regression Model ◽  
East African ◽  
African Countries ◽  
Wealth Status ◽  
Antenatal Care Visit ◽  
Care Visit ◽  
Planned Pregnancy ◽  
Contraceptive Utilization

Background. The health care a woman receives during pregnancy is important for her survival and baby, both at the time of delivery and shortly after that. In the context of high maternal morbidity and mortality in sub-Saharan Africa, fewer than 80% of pregnant women receive antenatal care visit services. Receiving antenatal care visits at least four times increases the likelihood of receiving effective maternal health interventions through the antenatal period. This study aimed to identify the utilization and determinants of attending at least four visits in 12 East African countries. Methods. The study used the demographic and health survey data from 12 East African countries from 2008 to 2018. The DHS program adopts standardized methods involving uniform questionnaires, manuals, and field procedures to gather information comparable across countries globally. A multivariable logistic regression model was fitted to identify the determinants of completing at least four antenatal care services. With their 95% CI obtained from the adjusted multilevel logistic regression model, the adjusted odds ratio was presented to show the magnitude of the relationship between the independent variable and completing antenatal care visits. Results. The pooled utilization of attending at least four antenatal care visit in the East African region was 52.44% (95% CI: 52.13, 52.74), with the highest attending at least four or more antenatal care visit visits in Zimbabwe (75.72%) and the lowest attending at least four or more antenatal care visit visits in Ethiopia (31.82%). The significant determinants of completing at least four ANC visits were age category (24–34 (AOR = 1.24, 95% CI: 1.18, 1.31) and 35–49 (AOR = 1.42, 95% CI: 1.32, 1.53)); being married women (AOR = 1.11, 95% CI: 1.1.05, 1.16); education levels of primary education (AOR = 1.20, 95% CI: 1.13, 1.27), secondary education (AOR = 1.24, 95% CI: 1.24, 1.47), and higher education (AOR = 1.91, 95% CI: 1.62, 2.14); birth order (2–4 (AOR = 0.75, 95% CI: 0.70, 0.79) and 5+ (AOR = 0.63, 95% CI: 0.58, 0.68)); planned pregnancy (AOR = 0.81, 95% CI: 0.75, 0.86); contraceptive utilization (AOR = 1.36, 95% CI: 1.29, 1.43); wealth status of middle (AOR = 1.11, 95% CI: 1.05, 1.17) and rich (AOR = 1.25, 95% CI: 1.18, 1.32); having no problem accessing health care (AOR = 1.0.95, 95% CI: 0.89, 0.97); and living countries. Conclusions. The coverage of completing the recommended antenatal care visit was low in the region. Age, marital status, mother’s and partner’s education, women’s occupation, birth order, planned pregnancy, contraceptive utilization, wealth status, healthcare accessibility, and living countries were the major determinants of completing recommended antenatal care visits. Therefore, intersectoral collaboration to promote female education and empowerment, improve geographical access to health care, and strengthen implementation of antenatal care policies with active community participation is recommended. In addition, creating a conducive environment in entrepreneurial activities for poor women is needed.

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