Determinants of change in timely first antenatal booking among pregnant women in Ethiopia: A decomposition analysis

Background Even though maternal health was highly targeted in different global strategies, maternal mortality could not be decreased as was expected. Besides this, prior decomposition analysis to the possible cause of changes to timely first antenatal booking has not been conducted. Therefore, this study aimed to assess determinants of change in timely first antenatal booking among pregnant women in Ethiopia. Methods The study utilized three consecutive Ethiopia Demographic and Health Survey (EDHS) datasets which were collected through cross-sectional study design. The number of pregnant women who gave birth in 2005, 2011 and 2016 survey included in the analysis was 7,307, 7,908 and 7,590 respectively. The data were analyzed by using Stata/SE version 14.0. Logit-based decomposition analysis was done to identify contributing factors for change in timely first antenatal booking and statistical significance was determined by using P-value. Results The trend of timely first antenatal booking was increased from 6% to 20% in the last ten years. The analysis revealed that 14% of the overall change was because of the change in women’s composition. Changes in the composition of women according to region, education and occupation status were the major sources of this change. The remaining, 86% of the change was due to differences in the coefficient. Mostly, the change in behaviors of the Oromia population, those who have lived in the rural areas and male household head were some of the contributing factors for the increase in timely first antenatal booking. Conclusions There was a significant increase in timely first antenatal booking among pregnant women in Ethiopia from 2005 to 2016 EDHS. The change in the women composition according to residency, education and occupation status of women and the difference in behaviors like: behavior of rural residents and male household head contributed to the majority of the change. Interventions targeting the male household head, rural residents and those women who lived in the Oromia region should be emphasized to increase further timely booking. In addition, promoting women in terms of education and creating job opportunities could be the other recalled intervention areas of the country.

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Population-based survey of HIV sero-status and vertical transmission among naive pregnant women in Sokoto, Nigeria

Asian Journal of Medical Sciences ◽

10.3126/ajms.v6i3.11530 ◽

2014 ◽

Vol 6 (3) ◽

pp. 49-57 ◽

Cited By ~ 2

Author(s):

Fiekumo Igbida Buseri ◽

Charity Ngozi Okonkwo

Keyword(s):

Antiretroviral Therapy ◽

Pregnant Women ◽

Vertical Transmission ◽

Statistical Significance ◽

Demographic Data ◽

Age Groups ◽

P Value ◽

Full Time ◽

Cross Sectional ◽

Significant Difference

Background: This study aims at investigating the seroprevalence of HIV infection among status naive pregnant women and probable vertical transmission in Sokoto, Nigeria.Materials and Methods: This cross-sectional study examined 13,026 apparently healthy pregnant women aged between 14 and 45 years and 312 mother-baby pairs in 4 different hospital settings in Sokoto State, North West, Nigeria between March, 2011 and February, 2013. The babies were aged between 8 and 16 months. HIV screening was performed using qualitative rapid tests and ELISA and HIV-DNA polymerase chain reaction (PCR) techniques. Measurement of CD4+ T-lymphocytes was carried out by the BD FACScount System. All seropositive pregnant women were immediately placed on triple antiretroviral therapy (ART) throughout the duration of the pregnancy and beyond.Results: An overall 2.4% prevalence of HIV-1 infection among the pregnant women and 20.5% incident of mother-to-child transmission were found. Of the seropositive pregnant women, 75.0% were full-time house wives, 13.8% and 11.2% were traders and civil servants respectively; of which, 70.2% were within the ages of 14 and 27 years (youthful predominance). Pearson’s χ2analysis did not show any statistically significant difference in the Mean values in the 4 health facilities (χ2 =2.084, df=3, P-value=0.555). Similarly, no significant difference in HIV seropositivity in the demographic data of the pregnant women were observed (P>0.05). Infection was recorded in all age groups but there was no statistical significance between age groups and infection (P = 0.833). Of the 64 seropositive babies, 62 (92.5%) contracted HIV from antiretroviral therapy non-adherence mothers (χ2 =271.457, df=1, P<0.01), OR=1506.6 (95%CI=285.5-7950.4). Conclusion: This study found high prevalence of vertical transmission due to ART non-adherence. Intervention initiatives should, therefore, focus seriously on ART non-adherence. DOI: http://dx.doi.org/10.3126/ajms.v6i3.11530Asian Journal of Medical Sciences Vol.6(3) 2015 49-57

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Factors Related to the Quality of Antenatal Care Based on The Complete Scope of the Examination of Pregnant Women in the Health Center at Palopo City

Journal of Health Science and Prevention ◽

10.29080/jhsp.v3i3s.294 ◽

2019 ◽

Vol 3 (3S) ◽

pp. 84-89

Author(s):

Dian Furqani ◽

Nuraerni Semagga

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Gestational Age ◽

Statistical Significance ◽

P Value ◽

Service Access ◽

Maternal Knowledge ◽

Cross Sectional ◽

Maternal Characteristics

This study aims to see the factors that influence the quality of Antenatal Care in the City of Palopo; the type of design used is analytical descriptive with the Cross-Sectional Study approach. Samples from this study were all pregnant women based on 1, 2 and 3th-trimester pregnancy age, and 3 who were lived at the research location as many as 154 people who conducted inspection visits from January to March 2018. The results showed that the average age of the mother was 20 years. In the research statisticallly interconnected variables are maternal knowledge showed p-value (0.000). There are several variables have statistical significance, but there are differences in the percentage between the classification of each variabels as for the quality of Antenatal care associated with parity, maternal characteristics (age, education and occupation), antenatal care in each of the 1.2 trimester, and 3. Service access and economic welfare status, where each variable has a p-value> 0.005. The study expects that a health program should not look the quantity of maternal pregnancy visits, but pay attention to the examination checks received at each gestational age. We hope to encourage mothers to be more active in paying attention to the examinations that will be accepted based on their gestational age so that good health services and of recipients of services occur.

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Underweight and Factors Associated Among Lactating Mothers In Dodata District, Arsi Zone, Oromia Regional State, Ethiopia,2021

10.21203/rs.3.rs-770282/v1 ◽

2021 ◽

Author(s):

Hawa Kedir ◽

Godana Arero

Keyword(s):

Rural Areas ◽

Statistical Significance ◽

Sampling Technique ◽

Simple Random Sampling ◽

Cross Sectional Study ◽

P Value ◽

Cross Sectional ◽

Lactating Mothers ◽

Arsi Zone ◽

Low Bmi

Abstract Background: An underweight individual is a somebody whose body weight is considered too low (BMI <18.5) to be healthy. The similar idea applies to lactating mothers. However, little is known about underweight status among lactating women in the study area. The objective of study to assess incidence of underweight and related issues among lactating mothers in Dodota district of Arsi Zone, Oromia, Ethiopia, from February 1-28, 2021.Method: The cross-sectional study design was done on 355 lactating mothers. The starata and simple random sampling technique were used. The structured questionnaire and anthropometric measurements were used. Data were entered and cleaned using Epi info version 7.1 and SPSS version 21 for analysis. Bivariate and multivariate analysis were done. Descriptive statistics wree performed. The crude and adjusted odds ratio along with 95%CI were used to measure the strength of association. The level of statistical significance was declared at a p-value < 0.05. Result: Study revealed (14.1) lactating mother were underweight. Rural areas, (AOR=2.5 [95% CI: (1.061, 6.302), the practice of food taboos (AOR= 2.3, [95% CI: (1.045, 5.084) and income level(AOR= 2.1[95% CI: (1.003, 4. 460) were found to be independent determinants of underweight among lactating mothers in the study area. Conclusions: The prevalence of underweight among lactating mothers was lower.

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Having a latrine facility is not a guarantee for eliminating open defecation owing to socio-demographic and environmental factors: The case of Machakel district in Ethiopia

PLoS ONE ◽

10.1371/journal.pone.0257813 ◽

2021 ◽

Vol 16 (9) ◽

pp. e0257813

Author(s):

Abathun Temesgen ◽

Mesafint Molla Adane ◽

Amsalu Birara ◽

Tebkew Shibabaw

Keyword(s):

Rural Areas ◽

Statistical Significance ◽

Multivariable Analysis ◽

Northwest Ethiopia ◽

P Value ◽

Open Defecation ◽

Cross Sectional ◽

Determinant Factors ◽

The Government ◽

Household Heads

Background Open defecation practice problem is rampant in most rural areas of developing countries, including Ethiopia. To combat this problem, the Ethiopian government implemented different sanitation interventions including Community-Led Total Sanitation and Hygiene (CLTSH). The CLTSH approach is mainly aimed to eradicate open defecation practice through mobilizing the community to construct a latrine facility and utilize it. Although this intervention has significantly improved households’ access to a latrine facility, its impact on bringing behavioral change such as avoiding open defecation is not well studied. Objective Our study aimed to assess the prevalence of open defecation among households having their latrine and its determinant factors in rural settings in Northwest Ethiopia. Methods A community-based cross-sectional study was conducted in Machakal district from September 1 to 30, 2019. A total of 472 household heads who had a latrine facility and systematically selected from six rural Kebeles of the district, were involved in the study. The data were collected using a structured questionnaire and observational checklist tools through face-to-face interviews and observation methods. Bivariate and multivariable logistic regression models were run to identify the factors that influence open defecation practice. During the multivariable analysis, statistical significance was declared at the p-value of <0.05 with 95% CI. Results The prevalence of open defecation practice among household heads who had latrine facility was 27.8% (95% CI, [23.1–32.8]). Female gender (AOR = 2.94, 95% CI [1.13–7.68]), not attending of formal education (AOR = 3.10, CI 95% [1.34–7.13]), having >5 family members (AOR = 1.72, CI 95% [1.05–2.80]), presence of under-five child (AOR = 3.64 CI 95% [2.14–6.21]), preferring leaf as anal cleaning material (AOR = 3.18, CI 95% [1.67–6.08]), having unclean latrine (AOR = 2.15, CI 95% [1.34–3.44]), and having latrine that needs maintenance (AOR = 2.50 CI 95% [1.52–4.11]) variables were associated with open defecation practice. Conclusions Among the total respondents, finding more than a quarter of open defecators is concerning for a district that achieved greatly in terms of latrine coverage. This indicates the above-mentioned factors contributed to influence household heads to defecate openly despite having latrines. Therefore, the government and partners need to focus on designing strategies that effectively address determinant factors of open defecation.

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Exploring socioeconomic inequalities in the use of medicinal herbs among Iranian households: evidence from a national cross-sectional survey

BMC Complementary Medicine and Therapies ◽

10.1186/s12906-020-03131-y ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Satar Rezaei ◽

Sina Ahmadi ◽

Amjad Mohamadi-Bolbanabad ◽

Ahmad Khanijahani

Keyword(s):

Socioeconomic Status ◽

Economic Status ◽

Household Head ◽

Decomposition Analysis ◽

Wealth Index ◽

Socioeconomic Inequalities ◽

Medicinal Herbs ◽

Contributing Factors ◽

Cross Sectional Survey ◽

Cross Sectional

Abstract Background Association between socioeconomic status and medicinal herbs (MH) are rarely documented in Iran. Our goal was to measure and decompose socioeconomic inequalities in MH use among Iranian households. Methods The data used in this cross-sectional study were extracted from the 2018 Household Income and Expenditure Survey (HIES) (N = 38,859). Data on MH use, age, gender, and education status of the head of household; a constructed wealth index of household (as a proxy for household’s socioeconomic status); and place of residence (urban or rural) were obtained from the survey. Publicly available province-level data on Human Development Index (HDI) were obtained from the Institute for Management Research at Radbound University. We used the concentration curve and the normalized concentration index (Cn) to measure the magnitude of socioeconomic inequalities in MH among Iranian households. The Cn was decomposed to identify the main determinants of socioeconomic inequalities in MH in Iran. Results The overall prevalence of MH use among Iranian households was 4.7% (95% confidence interval [CI]: 4.5 to 4.9%) in the last month before data collection. The Cn for MH use for the whole of samples was 0.1519; 95% CI = 0.1254 to 0.1784; suggesting a higher concentration of MH use among the households with high socioeconomic level. The decomposition analysis indicated that the main contributing factors to the concentration of MH use were the economic status of households, development status of the province, and education level of the household head. Conclusions This study demonstrated that MH use is more concentrated among socioeconomically advantaged households in Iran and its provinces. This finding might contrast with the widespread belief that wealthy and socioeconomically advantaged populations, compared to low SES groups, tend to seek disproportionately more modern medical treatments and medications than MH. Understanding the factors affecting MH use, socioeconomic inequality in use of MH and its determinants provide an opportunity for health policymakers to design effective evidence-based interventions among providers and consumers of MH.

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Socio-demographic associations of HIV among antenatal care attendees in selected rural primary care facilities in South Africa's Eastern Cape province

10.21203/rs.3.rs-36743/v1 ◽

2020 ◽

Author(s):

Sikhumbuzo A Mabunda ◽

Khuthala Sigovana ◽

Wezile Chitha ◽

Teke Apalata ◽

Sibusiso Nomatshila

Keyword(s):

Primary Care ◽

Antenatal Care ◽

Rural Areas ◽

Statistical Significance ◽

Prevalence Ratio ◽

Cross Sectional Study ◽

Hiv Prevalence ◽

P Value ◽

Cross Sectional ◽

Care Facilities

Abstract Background To effectively reduce vertical HIV transmission requires a reduction of HIV prevalence and incidence among pregnant women and a full understanding of its epidemiology. There is, however, literature paucity of HIV studies focusing on women attending antenatal care in rural areas in South Africa. Methods A Cross-sectional study of women attending antenatal care in four Primary Care facilities was conducted using an interviewer-administered questionnaire which collected information on socio-demographic characteristics and medical history. Binomial logistic regression analyses were used to determine factors associated with HIV and to estimate the prevalence ratio (PR). The 95% confidence interval (95%CI) is used for precision of estimates; p ≤ 0.05 for statistical significance. Results A total of 343 participants were recruited. The antenatal HIV prevalence was 38.2% (95%CI: 33.2–43.9). Participants older than 40 years were 4.6 times significantly more likely to be HIV positive compared to teenagers (p-value = 0.019). Furthermore, multiparous, unemployed and employed participants, were significantly associated with 40%, 60% and 70% higher antenatal HIV prevalences respectively when compared to primigravidas or tertiary students (p-value < 0.0001). Conclusion Despite a 100% antenatal HIV testing rate, the antenatal HIV prevalence remains high and is increasing in this population, coupled with no spousal attendance in antenatal care and poor condom compliance. It is therefore important to remain vigilant and monitor mother-to-child transmission that could be associated with this increased prevalence.

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

10.21203/rs.3.rs-966627/v1 ◽

2021 ◽

Author(s):

MEKDES Gurara ◽

Veerle Draulans ◽

Jean-Pierre Van Geertruyden ◽

Yves Jacquemyn

Keyword(s):

Health Care ◽

Pregnant Women ◽

Rural Areas ◽

Access To Health Care ◽

Statistical Significance ◽

Southern Ethiopia ◽

P Value ◽

Service Utilisation ◽

Rural Ethiopia ◽

Birth Attendance

Abstract 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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Trends of delayed first antenatal care visit among pregnant women in Ethiopia based on the EDHS 2000-2016 data: Multivariate decomposition analysis

10.21203/rs.3.rs-109954/v1 ◽

2020 ◽

Author(s):

Asaye Gebeyehu ◽

Achenef Muche ◽

Mehari Merid

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Family Size ◽

Statistical Significance ◽

Decomposition Analysis ◽

Demographic And Health Surveys ◽

Cross Sectional ◽

Antenatal Care Visit ◽

Care Visit ◽

Over Time

Abstract Background: Timing of first antenatal care visiting is crucial for women and fetus health. However, most of the women had delayed antenatal care visits and lacked early detection of existing complications. Hence, this study aimed to assess the trends and magnitude of delayed first antenatal care visits among pregnant women in Ethiopia.Method: This study used cross-sectional data analysis on Ethiopian Demographic and Health Surveys. A total weighted sample of 2146 in 2000, 2051 in 2005, 3368 in 2011, and 4740 in 2016 women who received at least one antenatal care visit in the past five years before each survey were included. Stata 14.1 software was used for data management and further analysis. Trends and multivariate logistic decomposition analyses were employed to examine the change in delayed first antenatal care visits with sampling weighting for the survey data. The 95% confidence interval was used for considering statistical significance.Results: The proportion of delayed first antenatal care visit was declined from 76.8 (95%CI: 75.1−78.6) in 2000 to 67.3 (95%CI: 65.9−68.6) in 2016. The decomposition analysis showed that 39% of the overall change in delayed first antenatal care visit over time was due to differences in characteristics whereas about 61% was due to the effect of characteristics. The significant contributing factors for the decline of delayed first antenatal care visit were the place of residence, husband’s education, women occupation, told about pregnancy complications, caesarean delivery, and family size. Conclusion: The proportion of delayed first antenatal care visits has been declined over time in Ethiopia, but still it remains high. More of the overall change in delayed first antenatal care visit was attributed to a change in health behavior among pregnant women. Public health interventions or programs such as health education and behavioral change communication targeting the rural residents, lower economic status, and family size would be suggested to decline delayed first antenatal care visit.

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Seroprevalences and Correlates of Hepatitis B and C Among Cameroonian Pregnant Women

Clinical Medicine Insights Reproductive Health ◽

10.1177/1179558118770671 ◽

2018 ◽

Vol 12 ◽

pp. 117955811877067 ◽

Cited By ~ 2

Author(s):

Florent Ymele Fouelifack ◽

Jeanne Hortence Fouedjio ◽

Jovanny Tsuala Fouogue ◽

Loic Dongmo Fouelifa

Keyword(s):

Hepatitis B ◽

Pregnant Women ◽

Viral Hepatitis ◽

Statistical Significance ◽

P Value ◽

Reference Laboratory ◽

Childbearing Age ◽

Cross Sectional ◽

Virus Surface ◽

Viral Hepatitis C

Background and rationale: Viral hepatitis B (VHB) and viral hepatitis C (VHC) are major public health issues in resource-poor countries where vertical transmission remains high. Aim: To assess prevalences and correlates of VHB and VHC among women attending antenatal clinic. Methods: A cross-sectional study at the Yaounde Central Hospital from January 1 to June 30, 2016. We included 360 pregnant women who were screened for hepatitis B virus surface antigen (HbsAg) and VHCAb by rapid diagnostic test (DiaSpot Diagnostics, USA) followed by confirmation of positive results by a reference laboratory. Odds ratios (95% confidence interval [CI]) were used to measure associations between variables. Statistical significance was set for P-value <.05. Results: Mean age was 27.9 ± 5.6 years. The prevalences of HbsAg and VHCAb were 9.4% (n = 34) and 1.7% (n = 6), respectively. Multiplicity of sex partners was significantly associated with HbsAg positivity (adjusted odds ratio [aOR]: 11.6; 95% CI: 5.1-26.7; P < .001) while none of the studied factors was associated with VHCAb. Conclusion: The high prevalence of hepatitis B among pregnant women supports systematic screening and free vaccination of pregnant women and women of childbearing age.

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Long-Lasting Insecticidal Net Utilization and Associated Factors Among Pregnant Women in Asgede Tsimbla District, Northern Ethiopia, 2017

Environmental Health Insights ◽

10.1177/1178630220919393 ◽

2020 ◽

Vol 14 ◽

pp. 117863022091939

Author(s):

Teklit Angesom ◽

Hailay Gebreyesus ◽

Brhane Gebremariam

Keyword(s):

Pregnant Women ◽

Family Size ◽

Associated Factors ◽

Statistical Significance ◽

Cost Effective ◽

Cross Sectional Study ◽

P Value ◽

Northern Ethiopia ◽

Cross Sectional ◽

Factors Associated

Background: Malaria among pregnant women contributes to maternal anemia, low birth weight, spontaneous abortion, and infant deaths. In response to this serious health problem, regular use of the long-lasting insecticidal net is the most cost-effective method of preventing malaria. However, in most developing countries, including Ethiopia, long-lasting insecticidal net utilization by pregnant women is uncertain. Objectives: This study was conducted to measure the utilization of insecticidal net and to identify the associated factors with its utilization among pregnant women in Asgede Tsimbla district in 2017. Methods: A community-based cross-sectional study was employed and data were collected using interviewer-administered questionnaire. Systematic random sampling method was used to select 550 pregnant women. Data were entered into a computer using Epi Info (version 7) and exported to Statistical Package for the Social Sciences (version 21) for further analysis. Variables with P-value less than 0.05 were used to declare statistical significance between the dependent and the independent variables in multivariable logistic regression. Results: Among 550 pregnant women surveyed, 347 (63.1%) of the pregnant women slept under a long-lasting insecticidal net the night before the survey. Urban residence (OR [95% CI] = 1.9 [1.22-3.01]), family size of 3-5 and >5 (2.8 [1.53-5.22] and 2.4 [1.20-5.03], respectively), and history of malaria during their current pregnancy (3.0 [1.95-4.86]) were found to be the factors associated with pregnant women’s long-lasting insecticidal net utilization. Conclusion: Utilization of long-lasting insecticidal net was low, and place of residence, exposure status to malaria during their current pregnancy, and family size were the factors associated with long-lasting insecticidal net utilization.

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