Logistic Regression Analysis of Usage of Antenatal Care Service in the Most Rural Region of Ethiopia, SNNPR (original) (raw)
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2015
Background: Every minute, somewhere in the world and most often in a developing country, a woman of reproductive age dies from complications related to pregnancy. The major reason for this huge magnitude of the problem is failure to use antenatal care services in developing countries. Little is known about the utilization and factors influencing the use of Antenatal care services. Objective: To assess utilization of ANC services and influencing factors among women in Assosa District. Methods: A community based cross sectional study design was conducted from May 17 – 31, 2012 on randomly selected samples of 536 women who had at least one delivery in the five years prior to the study. Structured questionnaire, FGD and in-depth interview guide were used to collect data. Data were analysed by using SPSS version 16.0. Binary logistic regression was used to determine the association between dependent and independent variables.
Antenatal Care Utilization and It’s Associated Factors in East Wollega Zone, Ethiopia
Journal of Pregnancy and Child Health, 2017
Background: Antenatal care, is one of the most effective health interventions that can play a significant role in preventing maternal morbidity and mortality especially in under developed world. Information regarding its utilization is crucial to encourage mothers to get Antenatal care and institutional delivery service. Methods: A community-based cross-sectional study was carried out from October to November 2013 in East Wollega Zone of Oromia Regional State. Women aged 15-49 who gave birth in the 12 months prior to the beginning of the study in the selected kebeles/clusters were included in the study. Bivariate and multiple logistic regression models were used to examine the effect of each independent variable on ANC use. Results: Among the 770 women included in the study, 443 (57.5%) had at least one antenatal visit. Out of whom 58 (13.1%) had only one, 141 (31.8%) had two antenatal contacts 178 (40.2 %) had three visits, and only 66 (14.9%) had the recommended four or more antenatal visits. Among the potential determinants explored, having taken health education on maternal health [Adjusted OR (aOR)=5.
Nursing and Health Care Diversity care in the towns and city [6,7,14]. In addition, knowledge of the recommended number of ANC visits and attitude towards antenatal care service, educational status, decision-making power, monthly income and wealth status of the respondents remain to be barrier for antenatal care service utilization [13-15]. According to the 2016 Ethiopian demographic and health survey report; 62 percent of women who gave birth in the five years preceding the survey received antenatal care from a skilled health care provider at least once for their last birth and only 32 percent had four or more ANC visits for their most recent live birth [8]. Hence, this study intended to assess antenatal care utilization and its associated factors among pregnant women in Boricha district, southern Ethiopia Methods Study design and setting A community based cross-sectional study was conducted from January, 2015 to October, 2015 among women who had given at least one live birth in the preceding one year of the survey or who were pregnant at the time of the survey. The study was conducted in Boricha district, Sidama zone, southern Ethiopia. As of 2010/2011 the district had a population of 282,305 residing in 42 kebeles. About 95% of the population was rural resident. The district had 7 governmental health centers, 38 health posts, 4 private medium clinics and 1 non-governmental clinic. Sample size and sampling procedure The sample size was calculated using single population
BMC Pregnancy and Childbirth, 2020
Background This study aimed to identify the utilization and factors associated with antenatal care, delivery, and postnatal care services in Tigray regional state, Ethiopia. Methods A community-based cross-sectional study was conducted among 667 women of reproductive age group who had children aged 45 days - 6 months in 13 districts (3 urban and 10 rural). Data were collected from May–June 2015. Multistage sampling technique was used. The data were analyzed using SPSS version 20. Multiple variable logistic regression analysis was used to identify the factors associated with the utilization of antenatal care, institutional delivery, and postnatal care services. Results Of the total, the proportion of women who visited a health facility for antenatal care four or more times (ANC 4+) was 58.2%, those who chose institutional delivery was 87.9%, and those who received postnatal care (PNC) within 42 days of birth at least once was 40.3%. Residing in an urban area, having an electronic med...
Primary Health Care: Open Access, 2014
Background: Focused antenatal care considers every pregnant woman at high risk for developing pregnancyrelated complications. Hence, all pregnant women should receive at least four antenatal visits to early identify the complications and intervene accordingly. Therefore, this study attempted to assess focused antenatal care service utilization and associated factors among mothers who gave birth in the last 2 years prior to the study in Dejen and Aneded districts, Northwest Ethiopia. Methods: A community-based cross-sectional study was conducted on mothers who gave birth in the last 2 years in 2013. Multistage sampling was used to get the total sample size of 521. Pre-tested structured questionnaires were used to collect the data. The data were entered and cleaned by using Epi info version 6 and exported to SPSS version 16.0 software package for analysis. Results: A total of 509 mothers who have history of antenatal care for their last birth in the last two years were included in the study from which 61 (12.0%, 95%CI: 11.87, 12.13) mothers attended focused antenatal care service. Marital status (single/divorce women) (AOR= 3.44, 95%CI: 1.43, 8.26), travelling more than one hour to obtain antenatal services (AOR=8.21, 95%CI: 1.28, 36.8) and abortion history (AOR= 3.57 and 95%CI: 1.62, 7.86) were significantly associated with focused antenatal care service utilization. Conclusion and recommendations: The majority of pregnant mothers did not attend focused antenatal care during their last pregnancy. Marital status, travel time to health facility, history of abortion and illness, plan of pregnancy and sources of information were identified as factors affecting focused antenatal care service utilization. Provision of focused antenatal care should be used as an opportunity for early detection of pregnancy related complications. Women health development army in the districts should be used to disseminate information regarding FANC for pregnant mothers.
Reproductive health, 2015
Ethiopia has high maternal mortality ratio and poor access to maternal health services. Attendance of at least four antenatal care (ANC) visits and delivery by a skilled birth attendant (SBA) are important in preventing maternal deaths. Understanding the reasons behind the poor use of these services is important in designing strategies to address the problem. This study aimed to determine the coverage of at least four ANC visits and delivery by a SBA and to identify determinants of utilisation of these services in three districts in South West Shoa Zone, Ethiopia. A cross-sectional survey of 500 women aged 15-49 years with a delivery in two years prior to the survey was conducted in Wolisso, Wonchi and Goro districts in February 2013. Data were collected using an interviewer administered questionnaire. Logistic regression models were used to explore determinants of ANC attendance and SBA at delivery. Coverage of at least four ANC visits and SBA at delivery were 45.5 and 28.6 %, resp...
Determinants of Utilization of Maternal Healthcare Services in Ethiopia
International Journal of Statistics in Medical Research, 2015
Utilizing maternal healthcare services, such as antenatal care, professionals' assistance during delivery and postnatal care contributes significant role in reduction of maternal and child mortality. However, there are many factors both at individual and community level that affect utilization of these required services. To determine the levels of effects of socioeconomic and demographic factors on uses of Maternal Healthcare services 7764 women who had given birth at least one times have taken from the 2011 Ethiopian DHS. The results showed that the rate of safe motherhood practices among reproductive age group of women in Ethiopia were too low. About 51 percent of them did not use any health care services during pregnancy, childbirth, and post-delivery periods. As WHO recommend only 6.9 percent of women were attending ANC at least four times, assisted by health professional during delivery and received PNC. The result of logistic regression showed that antenatal care, skilled delivery and postnatal care utilizations were commonly influenced by place of residence, wealth status, women's and husband's education and parity. Whereas, mother's working status and husband's education were found to be uniquely influence the uses of ANC and PNC services, respectively. In addition, both religious affiliation and age of women were also prominent predictors on utilization of ANC and uses of skilled assistance during delivery. Based on these significant factors, it is important to design and promote uses of maternal healthcare services in order to minimize the risk of maternal and child mortality.
American Journal of Pediatrics, 2018
Maternal mortality is the highest in sub-Saharan Africa, where the life time risk of death from pregnancy related conditions is 1 in 16, compared with 1 in 2800 in developed countries, In Ethiopia, like other sub Saharan Africa countries, maternal and infant mortality remains to be a problem of public health importance. There are 350 maternal deaths for every 100000 live births. Antenatal care, the care that the women receive during pregnancy, helps to ensure healthy outcome for women and new born. A community based cross sectional study design was conducted. Systematic random sampling technique was used. A total of 345 women who delivered in the 5 years before the date of survey were interviewed. Two hundred twenty three (64.6%) women were reported to have received antenatal care at least once during their last pregnancy. Of these, 89 (39.9%) had four or more antenatal care follow ups during their last pregnancy. This is low coverage compared to other developing country. The government sector and health worker need to give great attention for antenatal care.
2020
Background: Optimum antenatal and postnatal care services are recognized to be among the most effective interventions to reduce maternal and newborn morbidity and mortality. However; optimum antenatal care (ANC) and postnatal care (PNC) service utilization among young women in Africa is very low, especially in rural zones. Therefore, this study was conducted to determine the magnitude of optimum ANC and PNC services utilization and the factors associated, in the Eastern Zone of Tigray, Northern Ethiopia. Methods: Using a cross-sectional study design, 352 young women aged 15 to 24 were interviewed. Among those, 101 and 100 were eligible and included for studying optimum ANC and PNC service utilization, respectively. Multivariable logistic regression models were performed to identify independent determinants of the two outcome variables (optimum ANC and PNC utilization). Results: Optimum ANC and PNC services utilization was reached in 75% (95%CI: 64.50-84.20) and 16% (95%CI: 9.00-24.0...
BMC, 2022
Background: Antenatal care (ANC) is a health care intervention intended to ensure the safety of pregnancy. According to the World Health Organization, at least four ANC visits are recommended for a healthy pregnancy. However, whether this recommended number of visits was followed or not in the rural areas of Southwestern Ethiopia is not known. Therefore, the study aimed to investigate the prevalence of, and the associated factors of ANC utilization by pregnant women in the rural areas of Southwestern Ethiopia. Methods: A community-based cross-sectional study design was used in three rural zones. The data were collected from n = 978 women through a structured questionnaire with face-to-face interview. The collected data were analyzed using descriptive statistics and a multiple binary logistic regression model. Results: The results showed that 56% of women made the recommended minimum number of ANC visits and the remaining 44% of them underutilized the ANC service. The multiple binary logistic regression model identified zone, marital status of the woman, educational level of the husband, occupation of the husband, knowledge of danger signs of pregnancy, birth interval, source of information, timely visits, and transportation problem to be statistically significant factors affecting the prevalence of ANC visit utilization of women. Bench Maji zone had smaller odds ratio of ANC visit prevalence as compared to Kaffa zone. Women who lived in the rural area of Sheko zone are 2.67 times less likely to utilize ANC visit than those who lived in the rural area of Kaffa zone keeping other variables constant. Conclusion: The study results highlight the need to increase the number of ANC visits, and the importance of using an appropriate model to determine the important socio-demographic factors that ANC service providers shall focus on to improve the health of the unborn baby and the mother during pregnancy.