Late initiation of antenatal care and associated factors among pregnant women attending antenatal clinic of Ilu Ababor Zone, southwest Ethiopia: A cross-sectional study

Tola, Waqgari; Negash, Efrem; Sileshi, Tesfaye; Wakgari, Negash

doi:10.1371/journal.pone.0246230

Cited by 33 publications

(40 citation statements)

References 16 publications

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“…This is in line with reports made in 2013 from LMICs, 15 but is lower than the previous study in Ethiopia (38.8%). 37 Similarly, only 33.7% of study participants initiated ANC during the first trimester of pregnancy in Ethiopia. 17 The discrepancies of the results might be due to the previous facility-based studies’ which used a small sample size, varying definition of timely initiation of ANC visit (cut-of-point<12 vs <16 weeks), and other sociodemographic factors.…”

Section: Discussionmentioning

confidence: 96%

“…Timely initiation of ANC visits provides the opportunity to address pre-existing conditions on the appropriate time, perform a recommended test, and provide or get counselling. 48 It might also help women perceive the right time for the first ANC booking, 37 and be informed about its importance. 49 The low timely initiation of ANC may contribute to the low coverage of continuum of care, high maternal and neonatal morbidity, and high mortality in Ethiopia.…”

Section: Discussionmentioning

confidence: 99%

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Adequacy and timeliness of antenatal care visits among Ethiopian women: a community-based panel study

et al. 2021

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ObjectivesThe purposes of the study are; (A) to identify whether Ethiopian women’s antenatal care (ANC) visits are adequate and timely and (B) to explore factors that determine these.DesignPanel study design.SettingEthiopia.ParticipantsA total of 2855 women nested within 217 enumeration areas.Primary outcome measuresAdequacy and timeliness of ANC visits.ResultsOf all the 2855 respondents, 65% had made an ANC visit once, while 26.8% initiated ANC visits in a timely way and 43.3% attended adequate ANC visits. Rural residence (adjusted OR (AOR)=0.55, 95% CI: 0.36 to 0.84), attending higher level of education (AOR=2.64, 95% CI: 1.47 to 4.77), being multipara (AOR=0.53, 95% CI: 0.32 to 0.89) and encouragement by partners to attend clinic for ANC (AOR=1.98, 95% CI: 1.14 to 3.44) were significantly associated with timeliness of ANC visit. Similarly, residing in rural areas (AOR=0.20, 95% CI: 0.12 to 0.35), attending higher level of education (AOR=2.96, 95% CI: 1.38 to 6.15), encouragement by partners to attend clinic for ANC (AOR=2.11, 95% CI: 1.31 to 3.40) and timeliness of ANC visit (AOR=4.59, 95% CI: 2.93 to 7.21) were significantly associated with adequacy of ANC visits.ConclusionsA quarter of the pregnant women started ANC visits during the first trimester and nearly half attended adequate ANC visits with wider disparities across regions of their origin and their background characteristics. Concerted efforts on tailored interventions for rural residents, female education and partner involvement are recommended for early and adequate ANC visit(s).

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Adequacy and timeliness of antenatal care visits among Ethiopian women: a community-based panel study

et al. 2021

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“…The sample size was determined using a single population proportion formula by considering the proportion of ANC late initiation, which is 71.2% in Ilu Ababora Zone, southwest Ethiopia, 95% significance level of Z α/2 = 1.96, 5% margin of error, and 10% of non-response rate ( 33 ).…”

Section: Methodsmentioning

confidence: 99%

Level of Late Initiation of Antenatal Care Visit and Associated Factors Amongst Antenatal Care Attendant Mothers in Gedo General Hospital, West Shoa Zone, Oromia Region, Ethiopia

Debelo

Danusa²

2022

Front. Public Health

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BackgroundAntenatal care is a care given for pregnant women and is taken as a key maternal care service in improving and keeping health of both life outcomes for mothers and newborns. Countries with low antenatal care coverage are the countries with very high maternal mortality ratios.ObjectiveHence, The aim of this study was to determine the level of late initiation of antenatal care visit and associated factors amongst antenatal care follow up in Antenatal care (ANC) services at Gedo General Hospital, Western Oromia Region, Ethiopia, 2021MethodologyA health facility based cross-sectional study design was conducted from July 10–30, 2021 using primary data review and face-to-face interviews among clients receiving ANC. A total of 347 mothers was selected by simple random sampling and were interviewed while they come to antenatal care follow-up in Gedo general hospital. Data were entered into Epi-data version 4.6 and then changed to SPSS version 23 for the analysis purpose. Those Variables which are P < 0.25 in binary logistic regression were selected as a candidate for multiple logistic regressions to determine independently associated factors. The adjusted odds ratio was employed with 95% CI to illustrate the strength of association and P < 0.05 was used to state a statistical significance.ResultAmong 330 women, about 58.5% of women came for their first ANC visit initiation lately. Being a housewife, having a family size >4, and having a distance from the health facility >1 h were higher odds of late first ANC visit initiation as compared to vice versa. Besides, women aged 20–24 years had 0.18 times and 25–29 years had lower odds of late first ANC visit initiationConclusionMajority of women began their first antenatal care initiation lately. Therefore, the provision of awareness on the significance of attending the first antenatal care early via health extension workers is recommended

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“…26 Moreover, studies at the sub-national and national levels focused on timing and number of ANC visits rather than ANC content and associated factors. [27][28][29][30][31][32][33][34][35] Therefore, this study aimed to identify self-reported received ANC content and associated factors which may aid in designing guidelines and policies to improve maternal health, pregnancy outcomes, and child survival in Ethiopia.…”

Section: Introductionmentioning

confidence: 99%

Extent of Received Antenatal Care Components in Ethiopia: A Community-Based Panel Study

Shiferaw¹,

Mengistie²,

Gobena³

et al. 2021

IJWH

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This study aimed to identify the extent of antenatal care content received and associated factors among Ethiopian women. Methods: A nationally representative Performance Monitoring for Action 2020 Ethiopian data were used. A multistage cluster sampling design was used to select 2855 pregnant or recently postpartum women nested within 217 enumeration areas. Female resident enumerators collected the data using a semi-structured questionnaire. Researchers dichotomized the number of ANC content received greater than or equal to 75 percentiles as adequate. Otherwise, it was considered inadequate. A multilevel Poisson regression was fitted. The result was reported using an incidence rate ratio with a 95% confidence interval and a p-value less than 0.05 was considered for statistical significance. Results: The study revealed more than a quarter of pregnant women received adequate ANC content (27.8%; 95% CI: 23.8%, 32.2%). Multivariable analysis revealed urban residence (IRR = 1.09, 95% CI: 1.01, 1.21), attending secondary and above formal education (IRR = 1.08, 95% CI: 1.01, 1.16), maternal age 20-24 years (IRR = 1.10, 95% CI: 1.02, 1.19), and partner's encouragement to attend clinic for antenatal care (IRR = 1.14, 95% CI: 1.05, 1.24) was significantly associated with receiving higher numbers of antenatal care content. Conclusion:The proportion of women who received adequate antenatal care content in Ethiopia was low. Despite Ethiopia's effort to improve maternal health services utilization, disparities among regions and between rural and urban exist. This study highlights the importance of ensuring high received antenatal care content, which is crucial for reducing pregnancy-related morbidity and mortality. This implies prompt intersectoral collaboration to promote female education, target older aged women, and rural resident women, encourage partner involvements during the antenatal care process, minimize regional variation, and strengthen the implementation of received ANC content policies and programs with the active participation of the stakeholders are priority issues.

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Late initiation of antenatal care and associated factors among pregnant women attending antenatal clinic of Ilu Ababor Zone, southwest Ethiopia: A cross-sectional study

Cited by 33 publications

References 16 publications

Adequacy and timeliness of antenatal care visits among Ethiopian women: a community-based panel study

Adequacy and timeliness of antenatal care visits among Ethiopian women: a community-based panel study

Level of Late Initiation of Antenatal Care Visit and Associated Factors Amongst Antenatal Care Attendant Mothers in Gedo General Hospital, West Shoa Zone, Oromia Region, Ethiopia

Extent of Received Antenatal Care Components in Ethiopia: A Community-Based Panel Study

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