&lt;p&gt;Individual, Household, and Contextual Factors Influencing the Timing of the First Antenatal Care Attendance in Northwest Ethiopia: A Two-Level Binary Logistic Regression Analysis&lt;/p&gt;

Emiru, Amanu Aragaw; Alene, Getu Degu; Debelew, Gurmesa Tura

doi:10.2147/ijwh.s250832

Cited by 12 publications

(12 citation statements)

References 28 publications

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“…Moreover, education is again proven to play a role in a person’s perception of health services quality [ 48 , 49 ]. Several previous studies also found results in line with this research in various countries, including Kenya, Bangladesh, and Ethiopia [ 50 – 52 ]. Several other lessons also inform that education is a robust positive determinant of boosting performance in the health sector [ 3 , 53 , 54 ].…”

Section: Discussionsupporting

confidence: 90%

Urban-rural disparities of antenatal care in South East Asia: a case study in the Philippines and Indonesia

2021

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Background The government is obliged to guarantee equal access to antenatal care (ANC) between urban and rural areas. This study aimed to analyze urban-rural disparities in ≥4 ANC visits during pregnancy in the Philippines and Indonesia. Methods The study processed data from the 2017 PDHS and the 2017 IDHS. The analysis unit was women aged 15–49 years old who had given birth in the last 5 years. The weighted sample size was 7992 respondents in the Philippines and 14,568 respondents in Indonesia. Apart from ANC as the dependent variable, other variables analyzed were residence, age, husband/partner, education, parity, and wealth. Determination of urban-rural disparities using binary logistic regression. Results The results show that women in the urban Philippines are 0.932 times more likely than women in the rural Philippines to make ≥4 ANC visits. On the other side, women in urban Indonesia are more likely 1.255 times than women in rural Indonesia to make ≥4 ANC visits. Apart from the type of residence place (urban-rural), five other tested multivariate variables also proved significant contributions to ANC’s use in both countries, i.e., age, have a husband/partner, education, parity, and wealth status. Conclusions The study concluded that disparities exist between urban and rural areas utilizing ANC in the Philippines and Indonesia. Pregnant women in the rural Philippines have a better chance of making ≥4 ANC visits. Meanwhile, pregnant women in urban Indonesia have a better chance of making ≥4 ANC visits.

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Section: Discussionsupporting

confidence: 90%

Urban-rural disparities of antenatal care in South East Asia: a case study in the Philippines and Indonesia

2021

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“…This study included determinants of ANC frequency based on evidence from available literature and data [ 3 , 13 , 26 – 28 ]. Nineteen explanatory variables were used: (1) maternal age, (2) wealth index, (3) level of education, (4) place of residence, (5) region, (6) marital status, (7) working status, (8) ANC timing of first contact, (9) sex of household head, (10) household size, (11) woman’s religion, (12) parity, (13) exposure to newspapers, (14) exposure to television (TV), (15) exposure to radio, (16) internet use, (17) having problems with getting permission to seek help, (18) having problems with distance to the nearby health facility and (19) being visited by a fieldworker.…”

Section: Methodsmentioning

confidence: 99%

“…The reduction in maternal and neonatal mortality results from health education, timely disease prevention, screening and treatment [ 3 , 4 ]. Timely ANC access also maximizes the window of opportunity for ANC skilled providers to counsel pregnant women to opt for skilled birth attendance [ 8 , 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

Status of the latest 2016 World Health Organization recommended frequency of antenatal care contacts in Sierra Leone: a nationally representative survey

Sserwanja¹,

Musaba

Kamara

et al. 2022

BMC Health Serv Res

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Background Timely and increased frequency of quality antenatal care (ANC) contacts is one of the key strategies aimed at decreasing maternal and neonatal deaths. In 2016, the World Health Organization (WHO) revised the ANC guidelines to recommend at least eight ANC contacts instead of four. This study aimed to determine the proportion of women who received eight or more ANC contacts and associated factors in Sierra Leone. Methods We used Sierra Leone Demographic and Health Survey (UDHS) 2019 data of 5,432 women aged 15 to 49 years who had a live birth, within three years preceding the survey. Multistage stratified sampling was used to select study participants. We conducted multivariable logistic regression to identify factors associated with utilisation of eight or more ANC contacts using SPSS version 25 complex samples package. Results Out of 5,432 women, 2,399 (44.8%) (95% CI: 43.1–45.7) had their first ANC contact in the first trimester and 1,197 (22.0%) (95% CI: 21.2–23.4) had eight or more ANC contacts. Women who had their first ANC contact after first trimester (adjusted odds ratio, aOR, 0.58, 95% CI 0.49–0.68) and women aged 15 to 19 years had less odds of having eight or more contacts (aOR 0.64, 95% CI 0.45 to 0.91). Working (aOR 1.33, 95%CI 1.10 to 1.62) and wealthier women had higher odds of having eight or more contacts compared to poorer ones and those not working respectively. Women residing in the southern region, those using internet and less parous (less than five) women were associated with higher odds of having eight or more ANC contacts. Women who had no big problem obtaining permission to go health facilities also had higher odds of having eight or more ANC contacts compared to those who had big problems. Conclusion Sierra Leone’s adoption of eight or more ANC contacts is low and less than half of the women initiate ANC in the first trimester. To ensure increased access to recommended ANC visits, timely ANC should be encouraged. Attributes of women empowerment such as workings status, socio-economic status, and decision-making should also be emphasized.

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“…This study included determinants of ANC frequency based on evidence from available literature and data [3,11,[19][20][21]. Nineteen explanatory variables were used: (1) maternal age, (2) wealth index, (3) level of education, (4) place of residence, (5) region, (6) marital status, (7) working status, (8) ANC timing of rst contact, (9) sex of household head, (10) household size, (11) woman's religion, (12) parity, (13) exposure to newspapers, (14) exposure to television (TV), (15) exposure to radio, (16) internet use, (17) having problems with getting permission to seek help, (18) having problems with distance to the nearby health facility and ( 19) being visited by a eldworker.…”

Section: Independent Variablesmentioning

confidence: 99%

“…The reduction in maternal and neonatal mortality results from health education, timely disease prevention, screening and treatment [3,4]. Timely ANC access also maximizes the window of opportunity for ANC skilled providers to counsel pregnant women to opt for skilled birth attendance [11].…”

Section: Introductionmentioning

confidence: 99%

Status of the Latest 2016 World Health Organization Recommended Frequency of Antenatal Care Contacts in Sierra Leone: a Nationally Representative Survey

Sserwanja¹,

Musaba

Kamara³

et al. 2021

Preprint

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Background: Timely and increased frequency of quality antenatal care (ANC) contacts is one of the key strategies aimed at decreasing maternal and neonatal deaths. In 2016, the World Health Organization (WHO) modified the minimum number of ANC visits from at least four to eight contacts. This study aimed to determine the proportion of women who received eight or more ANC contacts and associated factors in Sierra Leone.Methods: We used Sierra Leone Demographic and Health Survey (UDHS) 2019 data of 5,432 women aged 15 to 49 years who had a live birth within three years preceding the survey. Multistage stratified sampling was used to select study participants. We conducted multivariable logistic regression to determine factors associated with utilisation of eight or more ANC contacts using SPSS version 25 complex samples package. Results: Out of 5,432 women, 2,399 (44.8%) (95% CI: 43.1-45.7) had their first ANC contact in the first trimester and 1,197 (22.0%) (95% CI: 21.2-23.4) had eight or more ANC contacts. Women who had their first ANC contact after first trimester (adjusted odds ratio, aOR, 0.58, 95% CI 0.49-0.68) and women aged 15 to 19 years had a less likelihood of having eight or more contacts (aOR 0.64, 95% CI 0.45 to 0.91). Working (aOR 1.33, 95%CI 1.10 to 1.62) and wealthier women had higher odds of having eight or more contacts compared to poorer ones and those not working respectively. Women residing in the Southern region, those using internet and less parous women were associated with higher odds of having eight or more ANC contacts. Women who had no big problem obtaining permission to go health facilities also had higher odds of having eight or more ANC contacts compared to those who had big problems.Conclusion: Sierra Leone’s adoption of eight or more ANC contacts is low with less than half of the women initiating ANC in the first trimester. To ensure increased access to recommended ANC visits, timely ANC should be encouraged. Attributes of women empowerment such as workings status, socio-economic status, and decision-making should also be emphasized.

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<p>Individual, Household, and Contextual Factors Influencing the Timing of the First Antenatal Care Attendance in Northwest Ethiopia: A Two-Level Binary Logistic Regression Analysis</p>

Cited by 12 publications

References 28 publications

Urban-rural disparities of antenatal care in South East Asia: a case study in the Philippines and Indonesia

Urban-rural disparities of antenatal care in South East Asia: a case study in the Philippines and Indonesia

Status of the latest 2016 World Health Organization recommended frequency of antenatal care contacts in Sierra Leone: a nationally representative survey

Status of the Latest 2016 World Health Organization Recommended Frequency of Antenatal Care Contacts in Sierra Leone: a Nationally Representative Survey

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