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 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.

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.

scholarly journals Association between antenatal care utilization pattern and timely initiation of postnatal care checkup: Analysis of 2016 Ethiopian Demographic and Health Survey

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258468
Author(s):  
Gizachew Tadesse Wassie ◽  
Minyichil Birhanu Belete ◽  
Azimeraw Arega Tesfu ◽  
Simachew Animen Bantie ◽  
Asteray Assmie Ayenew ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Health Survey ◽  
Postnatal Care ◽  
Public Health Intervention ◽  
Demographic And Health Survey ◽  
Reproductive Age ◽  
Care Utilization ◽  
Timely Initiation ◽  
Care Services

Background Despite significant public health intervention, maternal mortality remains high in low- and middle-income countries, including Ethiopia. Effective postnatal care is a critical service to reduce maternal mortality. In Ethiopia, only 17% of mothers received postnatal care services in 2016. Objective This study examined the association between antenatal care and timely postnatal care checkup among reproductive-age women in Ethiopia. Methods The study used the 2016 Ethiopian Demographic and Health Survey data. The current study included 4,081 women who give birth in the two years preceding the survey. Chi-square test and multivariable logistic regression analyses were used to examine the association between antenatal care and timely initiation of postnatal care. Results Postnatal care services within 2 days of delivery were received by 16.5% of women. Women who had at least four timely antenatal care visits had higher odds of timely postnatal checkups compared to women who had no antenatal care [adjusted Odds Ratio (aOR): 2.50; 95% CI 1.42–4.42]. Women who had at least four antennal care visits without timely initiation also had higher odds of postnatal check-up than their counterparts (aOR: 2.46; 95%CI: 1.22–4.97). Other factors significantly associated with timely initiation of PNC were secondary and above education (aOR: 1.64; 95%CI: 1.03–2.60), perceived distance to the nearby health facility as a significant barrier (aOR: 1.55; 95%CI: 1.15–2.09), primiparous (aOR: 0.34; 95%CI: 0.19–0.61) and institutional delivery (aOR: 14.55; 95%CI: 2.21–95.77). Conclusion The prevalence of timely initiation of postnatal care in Ethiopia is very low. Women who received recommended antenatal care services had higher odds of timely initiation of postnatal care. Thus, strengthening the existing maternal and child health programs to adhere to the recommended ANC care guidelines may improve the timely initiation of postnatal care.

scholarly journals The determinant of Antenatal Care Visits among Pregnant Women in Ethiopia

2019 ◽  
Author(s):  
Setegn Muche Fenta
Keyword(s):  
Health Care ◽  
Mass Media ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Rural Women ◽  
Sub Saharan Africa ◽  
World Health ◽  
Antenatal Care Visit ◽  
Care Visit ◽  
Pregnant Mothers

Abstract Background Health care services during a pregnancy and after delivery are important for the survival and well being of both the mother and the infant. The World Health Organization recommends a minimum of four antenatal care visits during a pregnancy. In Ethiopia, only 38% of women aged 15-49 with a live birth received at least one-time antenatal care visits from a skilled provider. This value is much more below the average rates of least developed countries and Sub-Saharan Africa. This study aimed to identify the determinant factor of antenatal care service visits among pregnant women in EthiopiaMethod The national-level cross-sectional Ethiopian Demographic and Health 2016 survey data were accessed and used for the analysis. A total of 7913 pregnant women were included in the study. Zero-inflated Poisson regression models were employed to identify the determinant of antenatal care visits.Results Only 35.5% of the pregnant mothers have visited at least four times and 64.5% of the pregnant mothers have visited less than four times during their periods of pregnancy. The study revealed that rich women (IRR 1.077, 95% CI: 1.029,1.127), having access to mass media (IRR=1.086, 95% CI: 1.045, 1.128), having pregnancy complications (IRR=1.203, 95% CI: 1.165, 1.242), secondary or above-educated women (IRR=1.112, 95% CI:1.052, 1.176), husband's having secondary or above level of education (IRR=1.085, 95% CI: 1.031, 1.142), being married (IRR = 1.187; 95% CI: 1.087,1.296) and women age >30 years (IRR=1.067, 95% CI: 1.024, 1.111) were strongly positively associated with the antenatal care visit. Rural pregnant women less antenatal visits (IRR=0.884, 95% CI: 0.846, 0.924) had also a statistically significant association with antenatal care visits.Conclusion This study was revealed rural women, poor women, uneducated mothers, uneducated husbands, not having access to mass media, unmarried women, have not pregnancy a complication was significantly associated with less number of antenatal care visit. Therefore, efforts are needed to advance the socioeconomic status of women, increasing the educational level of women and their husbands. The concerned body also should be made maternal health-care programs should be stretched and intensified in rural areas.

scholarly journals Exposure to different types of mass media and timing of antenatal care initiation: insights from the 2016 Uganda Demographic and Health Survey

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Quraish Sserwanja ◽  
Linet M. Mutisya ◽  
Milton W. Musaba
Keyword(s):  
Mass Media ◽  
Antenatal Care ◽  
Health Survey ◽  
First Trimester ◽  
Early Initiation ◽  
Demographic And Health Survey ◽  
Reproductive Age ◽  
World Health ◽  
Cross Sectional ◽  
Different Types

Abstract Background Early initiation of antenatal care (ANC) within the first trimester is highly recommended in the current 2016 World Health Organization (WHO) guidelines. Mass media has the potential to promote early initiation of ANC because it has been used successfully in several programs. However, there is paucity of literature on the effect of exposure to different types of media on the timing of ANC initiation in Uganda. Our study aimed at exploring associations between exposure to different types of mass media and timing of ANC initiation among women in Uganda. Methods We used a cross sectional study design, to conduct a secondary analysis of data collected in the 2016 Uganda Demographic and Health Survey (UDHS). We included weighted data of all the 10,152 women of reproductive age (15–49 years). Multistage stratified sampling was used to select study participants. Multivariable logistic regression was used to determine the association between exposure to different types of mass media and early initiation of ANC. Results Almost a third of the women (2953/10,152, 29.1%, 95% CI 27.9–29.6) initiated their first ANC contact in the first trimester. Women who listened to radio at least once a week (adjusted OR (aOR 1.14, 95% CI 1.01–1.30) and those who watched television less than once a week (aOR 1.28, 95% CI 1.07–1.53) had higher odds of initiating ANC earlier compared to their counterparts not exposed to radio and television respectively. Conclusion Exposure to radio and television is associated with timing of ANC initiation in Uganda. Importantly, the two types of mass media have the potential to reach women with low levels of education and encourage them to utilize maternal health services. The Ugandan government needs to prioritize and intensify the use of radio and television to promote the benefits associated with timing of ANC initiation.

scholarly journals Association between antenatal care utilization pattern and timely initiation of postnatal care checkup: Analysis of 2016 Ethiopian Demographic and Health Survey

2020 ◽  
Author(s):  
Gizachew Tadesse Wassie ◽  
Minyichil Birhanu Belete ◽  
Azmeraw Arega Tesfu ◽  
Simachew Animen Bantie ◽  
Asterey Assmie Ayenew ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Health Survey ◽  
Postnatal Care ◽  
Public Health Intervention ◽  
Demographic And Health Survey ◽  
Reproductive Age ◽  
Care Utilization ◽  
Timely Initiation ◽  
Care Services

Abstract Background: Despite significant public health intervention, maternal mortality remains high in low- and middle-income countries, including Ethiopia. Effective postnatal care is a critical service to reduce maternal mortality. In Ethiopia, only 17% of mothers received postnatal care service in 2016. This study examined the association between antenatal care and timely postnatal care checkup among reproductive age women in Ethiopia.Methods: The study used the 2016 Ethiopian Demographic and Health Survey data. The sample consisted of 4,081 women who give birth within the last two years prior to survey. Chi-square test and multivariable logistic regression were used to examine the association between antenatal care and timely initiation of postnatal care.Results: Postnatal care services within 2 days of delivery were received by 16.5% of women. Women who had at least four timely antenatal care visits had higher odds of timely postnatal checkup compared to women who had no antenatal care [adjusted Odds Ratio (aOR): 2.50; 95% Confidence Interval (95%CI) 1.42–4.42]. Women who had at least four antennal care visits without timely initiation also had higher odds of postnatal check-up than their counterparts (aOR: 2.46; 95%CI: 1.22–4.97). Other factors significantly associated with timely initiation of PNC were secondary and above education (aOR: 1.64; 95%CI: 1.03–2.60), perceived distance to the nearby health facility as significant barrier (aOR: 1.55; 95%CI: 1.15–2.09), primiparous (aOR: 0.34; 95%CI: 0.19–0.61) and institutional delivery (aOR: 14.55; 95%CI: 2.21–95.77).Conclusion: Timely initiation of postnatal care within two days of delivery in Ethiopia is very low. Women who received recommended antenatal care services had higher odds of timely initiation of postnatal care. Thus, strengthening the existing maternal and child health programs to adhere to the recommended ANC care guidelines may improve timely initiation of postnatal care.

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