More Than One-Third of Pregnant Women in Ethiopia Had Dropped Out From Their ANC Follow-Up: Evidence From the 2019 Ethiopia Mini Demographic and Health Survey

Tariku, Mandaras; Tusa, Biruk Shalmeno; Weldesenbet, Adisu Birhanu; Bahiru, Nebiyu; Enyew, Daniel Berhanie

doi:10.3389/fgwh.2022.893322

Cited by 3 publications

(10 citation statements)

References 21 publications

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“…However, the result of this study was also lower than primary studies conducted in Uganda 55.8% [23] and Nepal 50.47% [24]. This variation could be due to differences in accessibility of health facilities, quality of maternal health services and lack of awareness about antenatal care service; as noted in most of the studies included in this systematic review and meta-analysis [5,13,14].…”

Section: Discussionmentioning

confidence: 57%

“…The included studies publication year ranged from 2020 to 2022. The two from Amhara [12, 13], one from Tigray [10] and one from Oromia [15] regions and three of them were nationwide studies[5, 11, 14] based on Ethiopian demographic and health survey data. All studies were cross-sectional studies and have a low risk of bias (Table 1).…”

Section: Resultsmentioning

confidence: 99%

“…In this meta-analysis , women who travel more than 1h to reach the health institution was 2.55 times more likely to have antenatal care dropout than their counterparts to [AOR = 2.55, 95% CI: 1.79, 3.31] (Fig 6). The pooled effect of place of residence on antenatal care dropout was assessed by using two studies [11,14]. In this study pregnant women from rural areas were about 1.6 times more likely to have ANC dropout compared to women from urban areas counterparts (AOR= 1.59, 95% CI= 1.31, 1.87) (Fig.…”

Section: Determinants Of Antenatal Care Service Dropout In Ethiopiamentioning

confidence: 99%

“…The results also indicate that women who had no educational level were about 1.79 more likely to dropout from ANC compared to those women who have secondary and above educational level (AOR=1.79, 95%CI= 1.37, 2.21) (Fig 9). Overall, DL (I 2 = 0.0%, p = 0.981) Finally, the effect of age group on the antenatal care dropout was assessed by using two studies [14,15], and the likelihoods of antenatal care services dropout were 43% (AOR = 0.57, 95% CI: 0.26, 0.88) lower among the pregnant women aged 30-49 years as compared with the pregnant women aged 15-29 years (Fig 9).…”

Section: Determinants Of Antenatal Care Service Dropout In Ethiopiamentioning

confidence: 99%

“…In Ethiopia different studies conducted on the prevalence of ANC dropout and lies between 33.39% [10] to 56.49% [11]. Different factors affect the dropout of ANC services utilization were Being far distance, Not developing a pregnancy danger sign, Not satisfied in ANC service, Having no formal education, employment status, marital status, Didn't informed about institutional delivery, place of residence, age group, current pregnancy planned/supported, presence of professional advice during ANC visit [5,6,[10][11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

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Antenatal Care Dropout and Associated Factors in Ethiopia: A Systematic Review and Meta-Analysis

Sisay

Mulat

2023

Preprint

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Background: Antenatal care during pregnancy is one of the most important strategies for improving maternal and newborn health and preventing maternal and newborn mortality and morbidity. The prevalence and predictors of antenatal care dropout in Ethiopia were studied, and the results were inconsistent and showed considerable variation, and this makes more difficult to provide clear evidence at the national level. Hence, this meta-analysis aimed at estimating the overall prevalence of antenatal care dropout and its associated factors in Ethiopia. Methods: A thorough search of pertinent studies released before December 30, 2022, was explored by using distinct databases such as (PubMed, DOJA, Embase, Cochrane library, African journals online, Google scholar, and web of science and the institutional repository of Ethiopian universities were used to search for relevant studies. Data were extracted using Microsoft Excel, and analysis was performed using STATA version 16. A random-effects model were used to estimate the overall national prevalence of antenatal care drop-out and the odds ratio. test statistics for to assessing heterogeneity and Egger's test for assessing publication bias were used. Results: A total of seven studies were included for this systematic review and meta-analysis with of 11839 study participants. The overall pooled prevalence of antenatal dropout in Ethiopia was found to be 41.37% (95% CI =35.04, 47.70). Distance from the health care facility (AOR = 2.55, 95% CI = 1.79, 3.31), pregnancy complication signs (AOR = 2.88, 95% CI= 2.41, 3.66), place of residence (AOR= 1.59, 95% CI = 1.31, 1.87), educational level (AOR=1.79, 95%CI = 1.37, 2.21), age group(30-49) (AOR=(AOR = 0.57, 95% CI = 0.26, 0.88) were significantly associated with antenatal care dropout. Conclusion: Based on this systematic review and meta-analysis, 41% of Ethiopian women dropped out of antenatal care visits before the minimum recommended visit (four times Hence, to reduce the number of ANC dropouts it is important to counsel and educate women at their first prenatal care. Issues of urban-rural disparity and locations identified as hotspots for incomplete ANC visits require that further attention.

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Section: Discussionmentioning

confidence: 57%

Section: Resultsmentioning

confidence: 99%

Section: Determinants Of Antenatal Care Service Dropout In Ethiopiamentioning

confidence: 99%

Section: Determinants Of Antenatal Care Service Dropout In Ethiopiamentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Antenatal Care Dropout and Associated Factors in Ethiopia: A Systematic Review and Meta-Analysis

Sisay

Mulat

2023

Preprint

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Antenatal Care Dropout and Associated Factors in Ethiopia: A Systematic Review and Meta-Analysis

Sisay

Mulat

2023

Health Services Research and Managerial Epidemiology

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Background The prevalence and determinants of antenatal care (ANC) dropout in Ethiopia were studied. However, the results were inconsistent and showed considerable variation. Hence, this meta-analysis aimed at estimating the overall prevalence of ANC dropout and its predictors in Ethiopia. Methods A comprehensive search of published studies was done using different international databases such as such as PubMed, DOJA, Embase, Cochrane Library, Google Scholar, and the institutional repository of Ethiopian universities were used to search for relevant studies. Data were extracted using Microsoft Excel spreadsheet, and exported to STATA v17 for analysis. A random effect model was used to estimate the overall national prevalence of ANC dropout. Fixed effects model were used to compute the pooled adjusted odd ratios (AOR) with the corresponding 95% confidence intervals (CIs). I2 test was used to assess heterogeneity of the included studies. Egger's tests was used to check for the presence of publication bias. Results A total of 7 studies were included in this systematic review and meta-analysis with 11,839 study participants. The overall pooled prevalence of ANC in Ethiopia was found to be 41.37% (95% CI =35.04, 47.70). Distance from the health care facility (AOR = 2.93, 95% CI = 2.75, 3.11), pregnancy complication signs (AOR = 2.97, 95% CI = 2.77, 3.16), place of residence (AOR = 1.79, 95% CI = 1.31, 2.26), educational level (AOR = 1.79, 95%CI = 1.37, 2.21), and age group (30-49) (AOR = 0.61, 95% CI = 0.45, 0.78) were significantly associated with ANC dropout. Conclusion Based on this review and meta-analysis, 41% of Ethiopian women dropped out of ANC visits before the minimum recommended visit (4 times). Hence, to reduce the number of ANC dropouts, it is important to counsel and educate women during their first prenatal care. Issues of urban–rural disparities and noted hotspot areas for ANC dropout should be given further attention.

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Women in low- and middle-income countries receive antenatal care at health institutions, yet not delivered there: a multilevel analysis of 2016–2021 DHS data

Merid,

Chilot,

Yigzaw

et al. 2024

Trop Med Health

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Background The institutional delivery dropout (IDD) is a major problem that disproportionately affects low- and middle-income countries (LMICs). It is associated with increased risks of adverse birth outcomes among pregnant women. Hence, this study assessed the pooled estimate and determinants of IDD after antenatal care (ANC) visit among women in LMICs. Method The Demographic and Health Survey (DHS) data from 29 LMICs were used for this study. Data analysis was performed with STATA version 14. The forest plot was used to estimate the pooled prevalence of IDD. Multilevel binary logistic regression was fitted to identify determinants of IDD. The statistical significance level between the outcome and independent variables was determined through the adjusted odds ratio (AOR) with 95% CI and p-value less than 0.05. Result The pooled prevalence of IDD after ANC booking among reproductive age women in LMICs was 22.25% (95%CI: 18.25, 26.25). Additionally, the prevalence of IDD was highest (29.83%) among women from the South and Central Europe and the Caribbean countries and lowest (13.72%) in Central/Western Asia and the Oceania. In the multilevel analysis; no education (AOR = 2.92; 95% CI: 2.72, 3.13), poorest wealth index (AOR = 3.46; 95% CI: 3.28, 3.66), inadequate ANC visits (AOR = 1.73; 95% CI: 1.39, 1.77), no media exposure (AOR = 1.27; 95% CI: 1.23, 1.30), rural (AOR = 1.50; 95% CI: 1.43, 1.54), distance a big problem (AOR = 1.28; 95% CI: 1.25, 1.31), and women located in the South/Eastern Europe and Caribbean region 6.67 (AOR = 6.67; 95% CI: 6.20, 7.20), women lived in low-income countries 7.05 (AOR = 7.05; 95% CI: 6.57, 7.56), and women from lower middle-income countries 5.34 (AOR = 5.57; 95% CI: 4.93, 5.78), had increased odds of IDD after ANC among women in LMICs. However, women who had ever born one child (AOR = 0.29; 95% CI: 0.28, 0.31), and women from Central and Western Asia and the Oceania (AOR = 0.78; 95%CI: 0.74, 0.82) had decreased odds of IDD. Conclusion The IDD was high among women in LMICs and significantly increased among women with no education, from poorest household, had inadequate ANC visit, no media exposure, rural, distance a big problem. Hence, interventions to reduce IDD should focus on addressing the gaps related to maternal education, access to media, and number of ANC visits among women in LMICs.

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More Than One-Third of Pregnant Women in Ethiopia Had Dropped Out From Their ANC Follow-Up: Evidence From the 2019 Ethiopia Mini Demographic and Health Survey

Cited by 3 publications

References 21 publications

Antenatal Care Dropout and Associated Factors in Ethiopia: A Systematic Review and Meta-Analysis

Antenatal Care Dropout and Associated Factors in Ethiopia: A Systematic Review and Meta-Analysis

Antenatal Care Dropout and Associated Factors in Ethiopia: A Systematic Review and Meta-Analysis

Women in low- and middle-income countries receive antenatal care at health institutions, yet not delivered there: a multilevel analysis of 2016–2021 DHS data

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