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Late antenatal care utilization in Ethiopia: The effect of socio-economic inequities and regional disparities

Antenatal care (ANC) is one of the most crucial components of maternal health care services. However, less than two-third of pregnant women receive ANC at least once and only 32% had at least 4 ANC visits in Ethiopia. There is dearth of nationally representative data that indicate changes in utiliza...

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Autores principales: Mengist, Belayneh, Endalew, Bekalu, Diress, Gedefaw, Abajobir, Amanuel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021187/
https://www.ncbi.nlm.nih.gov/pubmed/36962733
http://dx.doi.org/10.1371/journal.pgph.0000584
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author Mengist, Belayneh
Endalew, Bekalu
Diress, Gedefaw
Abajobir, Amanuel
author_facet Mengist, Belayneh
Endalew, Bekalu
Diress, Gedefaw
Abajobir, Amanuel
author_sort Mengist, Belayneh
collection PubMed
description Antenatal care (ANC) is one of the most crucial components of maternal health care services. However, less than two-third of pregnant women receive ANC at least once and only 32% had at least 4 ANC visits in Ethiopia. There is dearth of nationally representative data that indicate changes in utilization of ANC services at the end of health sector transformation plan I period (HSTP I) in the country. Therefore, the present study aimed to investigate utilization of ANC the effect of socio-economic inequities and regional disparities in Ethiopia. The 2019 Ethiopian Mini Demographic and Health Survey data were used. A total of 5753 women in the reproductive age who gave live births in the five years preceding the survey were used for this study. Multivariable logistic regression model was fitted to identify factors associated with ANC booking. This study indicated that 74% women had at least one ANC visit during their last pregnancy of which four out of ten did not receive the recommended 4+ visits. The proportion of women who had late ANC booking (i.e., first ANC visit to health facility after 4 months of pregnancy) was found to be 32% and significant disparities were observed across regions. Rural residency (adjusted OR (AOR): 1.62, 95% CI (1.28, 2.05)), being wealth (AOR: 0.69, 95% CI (0.55, 0.85)), education (AOR: 0.25, 95% CI (0.15, 0.40)) and being grand multi-parity (AOR: 1.35, 95% CI (1.005, 1.83)) were significantly associated with late ANC booking. ANC services utilization is far behind its targets and the proportion of pregnant women entering ANC late is high. It is necessary to intensify efforts to raise awareness about the need of early ANC initiation, particularly in rural areas.
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spelling pubmed-100211872023-03-17 Late antenatal care utilization in Ethiopia: The effect of socio-economic inequities and regional disparities Mengist, Belayneh Endalew, Bekalu Diress, Gedefaw Abajobir, Amanuel PLOS Glob Public Health Research Article Antenatal care (ANC) is one of the most crucial components of maternal health care services. However, less than two-third of pregnant women receive ANC at least once and only 32% had at least 4 ANC visits in Ethiopia. There is dearth of nationally representative data that indicate changes in utilization of ANC services at the end of health sector transformation plan I period (HSTP I) in the country. Therefore, the present study aimed to investigate utilization of ANC the effect of socio-economic inequities and regional disparities in Ethiopia. The 2019 Ethiopian Mini Demographic and Health Survey data were used. A total of 5753 women in the reproductive age who gave live births in the five years preceding the survey were used for this study. Multivariable logistic regression model was fitted to identify factors associated with ANC booking. This study indicated that 74% women had at least one ANC visit during their last pregnancy of which four out of ten did not receive the recommended 4+ visits. The proportion of women who had late ANC booking (i.e., first ANC visit to health facility after 4 months of pregnancy) was found to be 32% and significant disparities were observed across regions. Rural residency (adjusted OR (AOR): 1.62, 95% CI (1.28, 2.05)), being wealth (AOR: 0.69, 95% CI (0.55, 0.85)), education (AOR: 0.25, 95% CI (0.15, 0.40)) and being grand multi-parity (AOR: 1.35, 95% CI (1.005, 1.83)) were significantly associated with late ANC booking. ANC services utilization is far behind its targets and the proportion of pregnant women entering ANC late is high. It is necessary to intensify efforts to raise awareness about the need of early ANC initiation, particularly in rural areas. Public Library of Science 2022-11-29 /pmc/articles/PMC10021187/ /pubmed/36962733 http://dx.doi.org/10.1371/journal.pgph.0000584 Text en © 2022 Mengist et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Mengist, Belayneh
Endalew, Bekalu
Diress, Gedefaw
Abajobir, Amanuel
Late antenatal care utilization in Ethiopia: The effect of socio-economic inequities and regional disparities
title Late antenatal care utilization in Ethiopia: The effect of socio-economic inequities and regional disparities
title_full Late antenatal care utilization in Ethiopia: The effect of socio-economic inequities and regional disparities
title_fullStr Late antenatal care utilization in Ethiopia: The effect of socio-economic inequities and regional disparities
title_full_unstemmed Late antenatal care utilization in Ethiopia: The effect of socio-economic inequities and regional disparities
title_short Late antenatal care utilization in Ethiopia: The effect of socio-economic inequities and regional disparities
title_sort late antenatal care utilization in ethiopia: the effect of socio-economic inequities and regional disparities
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021187/
https://www.ncbi.nlm.nih.gov/pubmed/36962733
http://dx.doi.org/10.1371/journal.pgph.0000584
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