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Pooled prevalence and determinants of antenatal care visits in countries with high maternal mortality: A multi-country analysis

BACKGROUND: Complications during pregnancy and childbirth are the leading causes of maternal and child deaths and disabilities, particularly in low- and middle-income countries. Timely and frequent antenatal care prevents these burdens by promoting existing disease treatments, vaccination, iron supp...

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Autores principales: Chilot, Dagmawi, Belay, Daniel Gashaneh, Ferede, Tigist Andargie, Shitu, Kegnie, Asratie, Melaku Hunie, Ambachew, Sintayehu, Shibabaw, Yadelew Yimer, Geberu, Demiss Mulatu, Deresse, Melkamu, Alem, Adugnaw Zeleke
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9923119/
https://www.ncbi.nlm.nih.gov/pubmed/36794067
http://dx.doi.org/10.3389/fpubh.2023.1035759
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author Chilot, Dagmawi
Belay, Daniel Gashaneh
Ferede, Tigist Andargie
Shitu, Kegnie
Asratie, Melaku Hunie
Ambachew, Sintayehu
Shibabaw, Yadelew Yimer
Geberu, Demiss Mulatu
Deresse, Melkamu
Alem, Adugnaw Zeleke
author_facet Chilot, Dagmawi
Belay, Daniel Gashaneh
Ferede, Tigist Andargie
Shitu, Kegnie
Asratie, Melaku Hunie
Ambachew, Sintayehu
Shibabaw, Yadelew Yimer
Geberu, Demiss Mulatu
Deresse, Melkamu
Alem, Adugnaw Zeleke
author_sort Chilot, Dagmawi
collection PubMed
description BACKGROUND: Complications during pregnancy and childbirth are the leading causes of maternal and child deaths and disabilities, particularly in low- and middle-income countries. Timely and frequent antenatal care prevents these burdens by promoting existing disease treatments, vaccination, iron supplementation, and HIV counseling and testing during pregnancy. Many factors could contribute to optimal ANC utilization remaining below targets in countries with high maternal mortality. This study aimed to assess the prevalence and determinants of optimal ANC utilization by using nationally representative surveys of countries with high maternal mortality. METHODS: Secondary data analysis was done using recent Demographic and Health Surveys (DHS) data of 27 countries with high maternal mortality. The multilevel binary logistic regression model was fitted to identify significantly associated factors. Variables were extracted from the individual record (IR) files of from each of the 27 countries. Adjusted odds ratios (AOR) with a 95% confidence interval (CI) and p-value of ≤0.05 in the multivariable model were used to declare significant factors associated with optimal ANC utilization. RESULT: The pooled prevalence of optimal ANC utilization in countries with high maternal mortality was 55.66% (95% CI: 47.48–63.85). Several determinants at the individual and community level were significantly associated with optimal ANC utilization. Mothers aged 25–34 years, mothers aged 35–49 years, mothers who had formal education, working mothers, women who are married, had media access, households of middle-wealth quintile, richest household, history of pregnancy termination, female household head, and high community education were positively associated with optimal ANC visits in countries with high maternal mortality, whereas being rural residents, unwanted pregnancy, having birth order 2–5, and birth order >5 were negatively associated. CONCLUSION AND RECOMMENDATIONS: Optimal ANC utilization in countries with high maternal mortality was relatively low. Both individual-level factors and community-level factors were significantly associated with ANC utilization. Policymakers, stakeholders, and health professionals should give special attention and intervene by targeting rural residents, uneducated mothers, economically poor women, and other significant factors this study revealed.
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spelling pubmed-99231192023-02-14 Pooled prevalence and determinants of antenatal care visits in countries with high maternal mortality: A multi-country analysis Chilot, Dagmawi Belay, Daniel Gashaneh Ferede, Tigist Andargie Shitu, Kegnie Asratie, Melaku Hunie Ambachew, Sintayehu Shibabaw, Yadelew Yimer Geberu, Demiss Mulatu Deresse, Melkamu Alem, Adugnaw Zeleke Front Public Health Public Health BACKGROUND: Complications during pregnancy and childbirth are the leading causes of maternal and child deaths and disabilities, particularly in low- and middle-income countries. Timely and frequent antenatal care prevents these burdens by promoting existing disease treatments, vaccination, iron supplementation, and HIV counseling and testing during pregnancy. Many factors could contribute to optimal ANC utilization remaining below targets in countries with high maternal mortality. This study aimed to assess the prevalence and determinants of optimal ANC utilization by using nationally representative surveys of countries with high maternal mortality. METHODS: Secondary data analysis was done using recent Demographic and Health Surveys (DHS) data of 27 countries with high maternal mortality. The multilevel binary logistic regression model was fitted to identify significantly associated factors. Variables were extracted from the individual record (IR) files of from each of the 27 countries. Adjusted odds ratios (AOR) with a 95% confidence interval (CI) and p-value of ≤0.05 in the multivariable model were used to declare significant factors associated with optimal ANC utilization. RESULT: The pooled prevalence of optimal ANC utilization in countries with high maternal mortality was 55.66% (95% CI: 47.48–63.85). Several determinants at the individual and community level were significantly associated with optimal ANC utilization. Mothers aged 25–34 years, mothers aged 35–49 years, mothers who had formal education, working mothers, women who are married, had media access, households of middle-wealth quintile, richest household, history of pregnancy termination, female household head, and high community education were positively associated with optimal ANC visits in countries with high maternal mortality, whereas being rural residents, unwanted pregnancy, having birth order 2–5, and birth order >5 were negatively associated. CONCLUSION AND RECOMMENDATIONS: Optimal ANC utilization in countries with high maternal mortality was relatively low. Both individual-level factors and community-level factors were significantly associated with ANC utilization. Policymakers, stakeholders, and health professionals should give special attention and intervene by targeting rural residents, uneducated mothers, economically poor women, and other significant factors this study revealed. Frontiers Media S.A. 2023-01-30 /pmc/articles/PMC9923119/ /pubmed/36794067 http://dx.doi.org/10.3389/fpubh.2023.1035759 Text en Copyright © 2023 Chilot, Belay, Ferede, Shitu, Asratie, Ambachew, Shibabaw, Geberu, Deresse and Alem. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Chilot, Dagmawi
Belay, Daniel Gashaneh
Ferede, Tigist Andargie
Shitu, Kegnie
Asratie, Melaku Hunie
Ambachew, Sintayehu
Shibabaw, Yadelew Yimer
Geberu, Demiss Mulatu
Deresse, Melkamu
Alem, Adugnaw Zeleke
Pooled prevalence and determinants of antenatal care visits in countries with high maternal mortality: A multi-country analysis
title Pooled prevalence and determinants of antenatal care visits in countries with high maternal mortality: A multi-country analysis
title_full Pooled prevalence and determinants of antenatal care visits in countries with high maternal mortality: A multi-country analysis
title_fullStr Pooled prevalence and determinants of antenatal care visits in countries with high maternal mortality: A multi-country analysis
title_full_unstemmed Pooled prevalence and determinants of antenatal care visits in countries with high maternal mortality: A multi-country analysis
title_short Pooled prevalence and determinants of antenatal care visits in countries with high maternal mortality: A multi-country analysis
title_sort pooled prevalence and determinants of antenatal care visits in countries with high maternal mortality: a multi-country analysis
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9923119/
https://www.ncbi.nlm.nih.gov/pubmed/36794067
http://dx.doi.org/10.3389/fpubh.2023.1035759
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