Trends and Determinants of Antenatal Care Service Use in Ethiopia between 2000 and 2016

Autor: Tinashe Dune, Janette M Perz, Tensae Mekonnen, Felix Akpojene Ogbo
Rok vydání: 2019
Předmět:
Adult
trends
Multivariate analysis
Adolescent
Health
Toxicology and Mutagenesis
demographic and health survey
Maternal health care
Psychological intervention
lcsh:Medicine
Service use
Logistic regression
Article
03 medical and health sciences
Fathers
Young Adult
0302 clinical medicine
Pregnancy
Environmental health
hemic and lymphatic diseases
Medicine
Humans
Maternal Health Services
030212 general & internal medicine
antenatal care service
reproductive health
reproductive and urinary physiology
Reproductive health
Retrospective Studies
Service (business)
030219 obstetrics & reproductive medicine
business.industry
lcsh:R
Public Health
Environmental and Occupational Health
Prenatal Care
utilisation
Health Surveys
Confidence interval
female genital diseases and pregnancy complications
Cross-Sectional Studies
Logistic Models
Multivariate Analysis
Female
Ethiopia
Pregnant Women
business
Zdroj: International Journal of Environmental Research and Public Health
International Journal of Environmental Research and Public Health, Vol 16, Iss 5, p 748 (2019)
Volume 16
Issue 5
ISSN: 1660-4601
Popis: Antenatal care (ANC) services are an essential intervention for improving maternal and child health worldwide. In Ethiopia, however, ANC service use has been suboptimal, and examining the trends and factors associated with ANC service use is needed to inform targeted maternal health care interventions. This study aimed to investigate the trends and determinants of ANC service utilisation in Ethiopia for the period ranging from 2000 to 2016. This study draws on the Ethiopia Demographic and Health Survey data for the years 2000 (n = 7928), 2005 (n = 7276), 2011 (n = 7881) and 2016 (n = 7558) to estimate the trends in ANC service utilisation. Multivariate logistic regression models with adjustment for clustering and sampling weights were used to investigate the association between the study factors and ANC service utilisation. Over the sixteen-year period, the proportion of Ethiopian women who received the recommended four or more ANC visits increased from 10.0% (95% confidence interval (95% CI: 8.7&ndash
12.5%) in 2000 to 32.0% (95% CI: 29.4&ndash
34.3%) in 2016. Similarly, the proportion of women who received one to three ANC visits increased from 27.0% (95% CI: 23.6&ndash
30.7%) in 2000 to 62.0% in 2016 (95% CI: 60.4&ndash
67.3%). Multivariate analyses showed that higher maternal and paternal education, higher household wealth status, urban residency and previous use of a contraceptive were associated with ANC service use (1&ndash
3 and 4+ ANC visits). The study suggests that while Ethiopian pregnant women&rsquo
s engagement with ANC services improved during the millennium development goal era (2000&ndash
2015), recommended ANC use remains suboptimal. Improving the utilisation of ANC services among pregnant women is essential in Ethiopia, and efforts should focus on vulnerable women.
Databáze: OpenAIRE
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