Coverage of completion of four ANC visits based on recommended time schedule in Northern Ethiopia: A community-based cross-sectional study design

Ftwi, Mulu; Gebretsadik, Gebremedhin Gebre Egziabher; Berhe, Haftu; Haftu, Mebrahtom; Gebremariam, Gebrehiwot; Tesfau, Yemane Berhane

doi:10.1371/journal.pone.0236965

Cited by 30 publications

(32 citation statements)

References 23 publications

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“…We found that lower odds of noncompliance of ANC 8+ visits among pregnant women who were under health insurance coverage compared to those among pregnant women who did not get health insurance services. Comparable findings were reported in prior studies [ 56 – 58 ]. Health insurance is associated with utilization of ANC and health facility delivery services [ 56 ].…”

Section: Discussionsupporting

confidence: 90%

Noncompliance with the WHO’s Recommended Eight Antenatal Care Visits among Pregnant Women in Sub-Saharan Africa: A Multilevel Analysis

Odusina

Ameyaw

Seidu

et al. 2021

BioMed Research International

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Background. In 2016, the World Health Organization (WHO) introduced a minimum of eight antenatal care (ANC) visits for positive pregnancy outcomes. This study examined the prevalence of noncompliance with 8+ ANCvisits and its associated factors in sub-Saharan Africa (SSA). Methods. We used data from the Demographic and Health Surveys of eight countries in SSA. A pooled sample of 63,266 pregnant women aged 15-49 years who had given birth to children within 5 years prior to the surveys was included in this study. To examine the factors associated with noncompliance with ANC 8+ visits, multilevel binary logistic regression analysis was conducted, and the results were reported using odds radios at 95% confidence interval (CI). Results. The pooled prevalence of noncompliance with ANC 8+ visits was 92.3% (95% CI: 91.1%-93.3%) with the highest and lowest prevalence in Zambia (98.7%, 95% CI: 98.3%-99.1%) and Libya (73.4%, 95% CI: 70.4%-76.2%), respectively. With the individual level factors, women’s age (44-49 years- aOR = 0.33 , 9% CI: 0.14-0.78), health insurance registration, (yes- aOR = 0.53 , 95% CI: 0.29-0.98), and economic status (richest- aOR = 0.16 , 95% CI: 0.05-0.49) were negatively associated with noncompliance with 8+ ANC visits, while parity (five or more children- aOR = 1.68 , 95% CI: 1.12-2.52) was positively associated with noncompliance with 8+ ANC visit. With the community level factors, community level literacy was negatively associated with noncompliance with 8+ ANC visit (high- aOR = 0.56 , 95% CI: 0.32-0.99). Conclusion. About eight out of ten pregnant women did not comply with the WHO’s recommended minimum of eight ANC visits for positive pregnancy outcomes in SSA. Empowering the economic status of women , enhancing health insurance and education coverage, and giving more attention to young pregnant women and those with more children are crucial for improving the coverage of ANC 8+ visits in the region.

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Section: Discussionsupporting

confidence: 90%

Noncompliance with the WHO’s Recommended Eight Antenatal Care Visits among Pregnant Women in Sub-Saharan Africa: A Multilevel Analysis

Odusina

Ameyaw

Seidu

et al. 2021

BioMed Research International

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“…The chance of completing ≥4 ANC visits was higher among pregnant women who had their husbands support/approval for antenatal visits compared to those counterparts. The above result was supported by a prior study done in Yem special wereda/district, Hadiya/South Ethiopia, Northern Ethiopia, 19 , 27 , 28 Jayapura (Indonesia), 29 and Vietnam. 20 The possible reason might be due to women feels confident and increase their health-seeking behavior, these encourage them to attend more antenatal care visits.…”

Section: Discussionsupporting

confidence: 79%

“…This explanation is maintained by previous studies conducted in Ethiopia, where urban women have better access to antenatal care than those women living in rural areas. 7 , 18 Similarly, utilization of at least 4 ANC visits in our study area was much higher than a study in Northern Ethiopia, 19 Vietnam, 20 Nigeria, 21 and Timor-Leste. 22 This discrepancy might be because of the difference in the study setting like time and study area (rural areas).…”

Section: Discussioncontrasting

confidence: 58%

<p>Utilizing a Minimum of Four Antenatal Care Visits and Associated Factors in Debre Berhan Town, North Shewa, Amhara, Ethiopia, 2020</p>

Tizazu

Asefa

Muluneh

et al. 2020

RMHP

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Background: Receiving a minimum of four antenatal care, as per the World Health Organization recommendation, enhances the possibility of utilizing effective maternal health care during antenatal follow-up. Hence, this study aimed to identify the level of a minimum of 4 ANC usage and factors associated with Debre Berhan town. Methods: A community-based cross-sectional study was employed from February 20 to March 10/2020 among women who gave birth in the last 6 months before the data collection period in Debre Berhan town. Data were collected using face-to-face interviews with the pretested tool by trained data collectors from randomly selected participants. After entering the data into Epi-data software version 3.1, it was further processed using SPSS version 23 statistical package. Both bivariate and multivariable Logistic regressions were fitted to identify the determinants for the utilization of a minimum of 4 antenatal care. A significance level of 0.05 was used to decide the significance of statistical tests. Results: A total of 390 women were interviewed giving a response rate of 99.2%. In this study, 78.5% (95% CI: 74.4-82.6) of women received a minimum of four antenatal care visits. Maternal educational status, initiation of antenatal visit at ≤16 weeks of gestation, and husband support/partner involvement were identified predictors of utilization of minimum 4 antenatal visits. Conclusion and Recommendations: Use of at least four antenatal visits in Debre Berhan town was found to be good. Health promotion programs targeting mothers with no education and lower educational level are important to increase their awareness about the importance of antenatal services. Male partner involvement during care related to pregnancy and promoting early initiation of antenatal care is important to overcome challenges towards a minimum of 4 antenatal visits in Debre Berhan town.

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“…However, by the time of the fourth visit, they had experienced the lack of available services and may have tried to reach additional essential services such as ultrasonogram which is primarily available in the private facilities. Other studies conducted in northern Bangladesh and Ethiopia found low coverage of four timely ANC visits despite high uptake of a timely first ANC [ 25 , 42 ]. In Ethiopia, though their first ANC coverage is less than ours, their timely four ANC utilization was notably greater than this study [ 42 ].…”

Section: Discussionmentioning

confidence: 99%

Determinants of utilization of antenatal and delivery care at the community level in rural Bangladesh

Pervin

Venkateswaran

et al. 2021

PLoS ONE

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Background Timely utilization of antenatal care and delivery services supports the health of mothers and babies. Few studies exist on the utilization and determinants of timely ANC and use of different types of health facilities at the community level in Bangladesh. This study aims to assess the utilization, timeliness of, and socio-demographic determinants of antenatal and delivery care services in two sub-districts in Bangladesh. Methods This cross-sectional study used data collected through a structured questionnaire in the eRegMat cluster-randomized controlled trial, which enrolled pregnant women between October 2018-June 2020. We undertook univariate and multivariate logistic regression analysis to determine the associations of socio-demographic variables with timely first ANC, four timely ANC visits, and facility delivery. We considered the associations in the multivariate logistic regression as statistically significant if the p-value was found to be <0.05. Results are presented as adjusted odds ratios (AOR) with 95% confidence intervals (CI). Results Data were available on 3293 pregnant women. Attendance at a timely first antenatal care visit was 59%. Uptake of four timely antenatal care visits was 4.2%. About three-fourths of the women delivered in a health facility. Women from all socio-economic groups gradually shifted from using public health facilities to private hospitals as the pregnancy advanced. Timely first antenatal care visit was associated with: women over 30 years of age (AOR: 1.52, 95% CI: 1.05–2.19); nulliparity (AOR: 1.30, 95% CI: 1.04–1.62); husbands with >10 years of education (AOR: 1.40, 95% CI: 1.09–1.81) and being in the highest wealth quintile (AOR: 1.49, 95% CI: 1.18–1.89). Facility deliveries were associated with woman’s age; parity; education; the husband’s education, and wealth index. None of the available socio-demographic factors were associated with four timely antenatal care visits. Conclusions The study observed socio-demographic inequalities associated with increased utilization of timely first antenatal care visit and facility delivery. The pregnant women, irrespective of wealth shifted from public to private facilities for their antenatal care visits and delivery. To increase the health service utilization and promote good health, maternal health care programs should pay particular attention to young, multiparous women, of low socio-economic status, or with poorly educated husbands. Clinical trial registration ISRCTN69491836; https://www.isrctn.com/. Registered on December 06, 2018. Retrospectively registered.

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Coverage of completion of four ANC visits based on recommended time schedule in Northern Ethiopia: A community-based cross-sectional study design

Cited by 30 publications

References 23 publications

Noncompliance with the WHO’s Recommended Eight Antenatal Care Visits among Pregnant Women in Sub-Saharan Africa: A Multilevel Analysis

Noncompliance with the WHO’s Recommended Eight Antenatal Care Visits among Pregnant Women in Sub-Saharan Africa: A Multilevel Analysis

<p>Utilizing a Minimum of Four Antenatal Care Visits and Associated Factors in Debre Berhan Town, North Shewa, Amhara, Ethiopia, 2020</p>

Determinants of utilization of antenatal and delivery care at the community level in rural Bangladesh

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