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Determinants of optimal antenatal care visit among pregnant women in Ethiopia: a multilevel analysis of Ethiopian mini demographic health survey 2019 data.
Reprod Health. 2022 Mar 05; 19(1):61.RH

Abstract

BACKGROUND

Optimal antenatal care (ANC4+) needs to be used throughout pregnancy to reduce pregnancy complications and maternal mortality. The World Health Organization (WHO) recommends eight ANC contacts, while Ethiopia has the lowest coverage of at least four ANC visits. Therefore, this study aimed to identify factors associated with optimal ANC visits among pregnant women in Ethiopia.

METHODS

This study is a secondary data analysis of the 2019 Ethiopian Mini Demographic and Health Survey (EMDHS). A multilevel logistic regression model is set up to identify factors associated with optimal ANC visits. Adjusted odds ratios (AOR) with 95% confidence intervals (CI) were calculated to estimate the strength of the association between the outcome and the predictor variables.

RESULTS

Overall, 43% of women had optimal ANC visits during their last pregnancy. Higher educated women are 3.99 times more likely (AOR = 3.99; 95% CI: 2.62-6.02) to have optimal ANC visits than women with no formal education. The wealthiest women are 2.09 times more likely (AOR = 2.09; 95% CI: 1.56-2.82) to have optimal ANC visits than women in the poorest quintile. The odds of optimal ANC visit is 42 percent lower in rural women (AOR = 0.58, 95% CI: 0.41-0.83) compared to women living in urban areas.

CONCLUSION

Women's educational status, wealth status, mass media exposure, place of residence and region are factors that are significantly associated with optimal ANC visit. These findings help health care programmers and policymakers to introduce appropriate policies and programs to ensure optimal ANC coverage. Priority should be given to addressing economic and educational interventions.

Authors+Show Affiliations

School of Public Health, Dilla University, Dilla, Ethiopia. delelegn1244@gmail.com.School of Public Health, Dilla University, Dilla, Ethiopia.School of Public Health, Dilla University, Dilla, Ethiopia.School of Public Health, Dilla University, Dilla, Ethiopia.College of Medicine and Health Science, Jimma University, Jimma, Ethiopia.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

35248079

Citation

Yehualashet, Delelegn Emwodew, et al. "Determinants of Optimal Antenatal Care Visit Among Pregnant Women in Ethiopia: a Multilevel Analysis of Ethiopian Mini Demographic Health Survey 2019 Data." Reproductive Health, vol. 19, no. 1, 2022, p. 61.
Yehualashet DE, Seboka BT, Tesfa GA, et al. Determinants of optimal antenatal care visit among pregnant women in Ethiopia: a multilevel analysis of Ethiopian mini demographic health survey 2019 data. Reprod Health. 2022;19(1):61.
Yehualashet, D. E., Seboka, B. T., Tesfa, G. A., Mamo, T. T., & Seid, E. (2022). Determinants of optimal antenatal care visit among pregnant women in Ethiopia: a multilevel analysis of Ethiopian mini demographic health survey 2019 data. Reproductive Health, 19(1), 61. https://doi.org/10.1186/s12978-022-01365-2
Yehualashet DE, et al. Determinants of Optimal Antenatal Care Visit Among Pregnant Women in Ethiopia: a Multilevel Analysis of Ethiopian Mini Demographic Health Survey 2019 Data. Reprod Health. 2022 Mar 5;19(1):61. PubMed PMID: 35248079.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Determinants of optimal antenatal care visit among pregnant women in Ethiopia: a multilevel analysis of Ethiopian mini demographic health survey 2019 data. AU - Yehualashet,Delelegn Emwodew, AU - Seboka,Binyam Tariku, AU - Tesfa,Getanew Aschalew, AU - Mamo,Tizalegn Tesfaye, AU - Seid,Elias, Y1 - 2022/03/05/ PY - 2021/10/20/received PY - 2022/02/21/accepted PY - 2022/3/6/entrez PY - 2022/3/7/pubmed PY - 2022/3/9/medline KW - Determinants KW - Ethiopia KW - Optimal antenatal care visit KW - Pregnant women SP - 61 EP - 61 JF - Reproductive health JO - Reprod Health VL - 19 IS - 1 N2 - BACKGROUND: Optimal antenatal care (ANC4+) needs to be used throughout pregnancy to reduce pregnancy complications and maternal mortality. The World Health Organization (WHO) recommends eight ANC contacts, while Ethiopia has the lowest coverage of at least four ANC visits. Therefore, this study aimed to identify factors associated with optimal ANC visits among pregnant women in Ethiopia. METHODS: This study is a secondary data analysis of the 2019 Ethiopian Mini Demographic and Health Survey (EMDHS). A multilevel logistic regression model is set up to identify factors associated with optimal ANC visits. Adjusted odds ratios (AOR) with 95% confidence intervals (CI) were calculated to estimate the strength of the association between the outcome and the predictor variables. RESULTS: Overall, 43% of women had optimal ANC visits during their last pregnancy. Higher educated women are 3.99 times more likely (AOR = 3.99; 95% CI: 2.62-6.02) to have optimal ANC visits than women with no formal education. The wealthiest women are 2.09 times more likely (AOR = 2.09; 95% CI: 1.56-2.82) to have optimal ANC visits than women in the poorest quintile. The odds of optimal ANC visit is 42 percent lower in rural women (AOR = 0.58, 95% CI: 0.41-0.83) compared to women living in urban areas. CONCLUSION: Women's educational status, wealth status, mass media exposure, place of residence and region are factors that are significantly associated with optimal ANC visit. These findings help health care programmers and policymakers to introduce appropriate policies and programs to ensure optimal ANC coverage. Priority should be given to addressing economic and educational interventions. SN - 1742-4755 UR - https://www.unboundmedicine.com/medline/citation/35248079/Determinants_of_optimal_antenatal_care_visit_among_pregnant_women_in_Ethiopia:_a_multilevel_analysis_of_Ethiopian_mini_demographic_health_survey_2019_data_ DB - PRIME DP - Unbound Medicine ER -