Quality of antenatal care and associated factors among pregnant women in East Africa using Demographic and Health Surveys: A multilevel analysis
Introduction: Antenatal care offers a forum for critical healthcare functions, including health education, screening, and disease prevention. Several pocket studies carried out in specific localities of East African countries were investigated. However, these were neither representative of the count...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2022-02-01
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| Series: | Women's Health |
| Online Access: | https://doi.org/10.1177/17455065221076731 |
| _version_ | 1798024319879610368 |
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| author | Temam Beshir Raru Galana Mamo Ayana Nebiyu Bahiru Alemayehu Deressa Addisu Alemu Abdi Birhanu Mohammed Yuya Bedasa Taye Merga Belay Negash Shiferaw Letta |
| author_facet | Temam Beshir Raru Galana Mamo Ayana Nebiyu Bahiru Alemayehu Deressa Addisu Alemu Abdi Birhanu Mohammed Yuya Bedasa Taye Merga Belay Negash Shiferaw Letta |
| author_sort | Temam Beshir Raru |
| collection | DOAJ |
| description | Introduction: Antenatal care offers a forum for critical healthcare functions, including health education, screening, and disease prevention. Several pocket studies carried out in specific localities of East African countries were investigated. However, these were neither representative of the country nor specific to the recommended minimum of four antenatal care visits. Therefore, this study aimed to identify factors associated with quality of antenatal care among pregnant women in East Africa. Methods: A secondary data analysis was done using Demographic and Health Survey data of six East African Countries from 2008 to 2018. A total of 46,656 women who gave birth in the 5 years preceding the survey were included in this study. A multilevel mixed-effect logistic regression model was fitted. Variables with a p-value < 0.05 were declared as significant factors associated with the quality of antenatal care. Results: The magnitude of quality of antenatal care in East Africa was 11.16% (95% confidence interval: 10.87–11.45). Women of age 35–49 (adjusted odds ratio = 1.51; 95% confidence interval: 1.25–1.80), primary education (adjusted odds ratio = 1.35; 95% confidence interval: 1.18–1.55), richest wealth index (adjusted odds ratio = 2.35; 95% confidence interval: 2.02–2.74), and rural resident (adjusted odds ratio = 0.62; 95% confidence interval: 0.55–0.69) were among factors significantly associated with quality of antenatal care. Conclusion: The magnitude of antenatal care quality was low in East Africa. Age, level of education, wealth index, birth order, husband/partners’ level of education, residence, and living countries were among the factors associated with the quality of antenatal care. It would be useful to increase financial support strategies that enable mothers from poor households to use health services and enhance women’s understanding of the significance of antenatal care utilization through health education targeting both women and partners with no education is very crucial. |
| first_indexed | 2024-04-11T18:00:35Z |
| format | Article |
| id | doaj.art-1c18456b477b4bfaa2c76bfae48390ef |
| institution | Directory Open Access Journal |
| issn | 1745-5065 |
| language | English |
| last_indexed | 2024-04-11T18:00:35Z |
| publishDate | 2022-02-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Women's Health |
| spelling | doaj.art-1c18456b477b4bfaa2c76bfae48390ef2022-12-22T04:10:32ZengSAGE PublishingWomen's Health1745-50652022-02-011810.1177/17455065221076731Quality of antenatal care and associated factors among pregnant women in East Africa using Demographic and Health Surveys: A multilevel analysisTemam Beshir Raru0Galana Mamo Ayana1Nebiyu Bahiru2Alemayehu Deressa3Addisu Alemu4Abdi Birhanu5Mohammed Yuya6Bedasa Taye Merga7Belay Negash8Shiferaw Letta9Department of Epidemiology and Biostatistics, School of Public Health, Haramaya University, Harar, EthiopiaDepartment of Epidemiology and Biostatistics, School of Public Health, Haramaya University, Harar, EthiopiaDepartment of Public Health and Health Policy, School of Public Health, Haramaya University, Harar, EthiopiaDepartment of Public Health and Health Policy, School of Public Health, Haramaya University, Harar, EthiopiaDepartment of Reproductive Health and Nutrition, School of Public Health, Haramaya University, Harar, EthiopiaSchool of Medicine, Haramaya University, Harar, EthiopiaDepartment of Reproductive Health and Nutrition, School of Public Health, Haramaya University, Harar, EthiopiaDepartment of Public Health and Health Policy, School of Public Health, Haramaya University, Harar, EthiopiaDepartment of Public Health and Health Policy, School of Public Health, Haramaya University, Harar, EthiopiaDepartment of Nursing, School of Nursing and Midwifery, Haramaya University, Harar, EthiopiaIntroduction: Antenatal care offers a forum for critical healthcare functions, including health education, screening, and disease prevention. Several pocket studies carried out in specific localities of East African countries were investigated. However, these were neither representative of the country nor specific to the recommended minimum of four antenatal care visits. Therefore, this study aimed to identify factors associated with quality of antenatal care among pregnant women in East Africa. Methods: A secondary data analysis was done using Demographic and Health Survey data of six East African Countries from 2008 to 2018. A total of 46,656 women who gave birth in the 5 years preceding the survey were included in this study. A multilevel mixed-effect logistic regression model was fitted. Variables with a p-value < 0.05 were declared as significant factors associated with the quality of antenatal care. Results: The magnitude of quality of antenatal care in East Africa was 11.16% (95% confidence interval: 10.87–11.45). Women of age 35–49 (adjusted odds ratio = 1.51; 95% confidence interval: 1.25–1.80), primary education (adjusted odds ratio = 1.35; 95% confidence interval: 1.18–1.55), richest wealth index (adjusted odds ratio = 2.35; 95% confidence interval: 2.02–2.74), and rural resident (adjusted odds ratio = 0.62; 95% confidence interval: 0.55–0.69) were among factors significantly associated with quality of antenatal care. Conclusion: The magnitude of antenatal care quality was low in East Africa. Age, level of education, wealth index, birth order, husband/partners’ level of education, residence, and living countries were among the factors associated with the quality of antenatal care. It would be useful to increase financial support strategies that enable mothers from poor households to use health services and enhance women’s understanding of the significance of antenatal care utilization through health education targeting both women and partners with no education is very crucial.https://doi.org/10.1177/17455065221076731 |
| spellingShingle | Temam Beshir Raru Galana Mamo Ayana Nebiyu Bahiru Alemayehu Deressa Addisu Alemu Abdi Birhanu Mohammed Yuya Bedasa Taye Merga Belay Negash Shiferaw Letta Quality of antenatal care and associated factors among pregnant women in East Africa using Demographic and Health Surveys: A multilevel analysis Women's Health |
| title | Quality of antenatal care and associated factors among pregnant women in East Africa using Demographic and Health Surveys: A multilevel analysis |
| title_full | Quality of antenatal care and associated factors among pregnant women in East Africa using Demographic and Health Surveys: A multilevel analysis |
| title_fullStr | Quality of antenatal care and associated factors among pregnant women in East Africa using Demographic and Health Surveys: A multilevel analysis |
| title_full_unstemmed | Quality of antenatal care and associated factors among pregnant women in East Africa using Demographic and Health Surveys: A multilevel analysis |
| title_short | Quality of antenatal care and associated factors among pregnant women in East Africa using Demographic and Health Surveys: A multilevel analysis |
| title_sort | quality of antenatal care and associated factors among pregnant women in east africa using demographic and health surveys a multilevel analysis |
| url | https://doi.org/10.1177/17455065221076731 |
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