Socioeconomic inequality in timing of ANC visit among pregnant women in Ethiopia, 2019
BackgroundAntenatal care (ANC) remains an invaluable approach to preventive care for ensuring maternal and infant health outcomes. Women in sub-Saharan Africa tend to delay their first antenatal care visits. In Ethiopia, only 20% of women received their first antenatal care during the first trimeste...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-03-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1243433/full |
| _version_ | 1797263070037278720 |
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| author | Atitegeb Abera Kidie Desale Bihonegn Asmamaw Tadele Biresaw Belachew Samrawit Mihret Fetene Tsegaw Amare Baykeda Abel Endawkie Alebachew Ferede Zegeye Tadesse Tarik Tamir Sisay Maru Wubante Elsa Awoke Fentie Wubshet Debebe Negash Banchilay Addis |
| author_facet | Atitegeb Abera Kidie Desale Bihonegn Asmamaw Tadele Biresaw Belachew Samrawit Mihret Fetene Tsegaw Amare Baykeda Abel Endawkie Alebachew Ferede Zegeye Tadesse Tarik Tamir Sisay Maru Wubante Elsa Awoke Fentie Wubshet Debebe Negash Banchilay Addis |
| author_sort | Atitegeb Abera Kidie |
| collection | DOAJ |
| description | BackgroundAntenatal care (ANC) remains an invaluable approach to preventive care for ensuring maternal and infant health outcomes. Women in sub-Saharan Africa tend to delay their first antenatal care visits. In Ethiopia, only 20% of women received their first antenatal care during the first trimester of pregnancy. Timely and appropriate antenatal care practices can potentially save the lives of both mothers and children. Understanding socioeconomic inequality in the timing of antenatal care visits and its determinants may contribute to tackling disparities and achieving the sustainable development goals for maternal health.ObjectiveThis study aimed to assess the socioeconomic inequality in the timing of antenatal care visit.MethodSecondary data sourced from the Mini Ethiopian Demographic Health Survey 2019 were used for this study. A total of 2,906 pregnant women were included in the study, and concentration curves were used to show inequality among sociodemographic and economic variables. Decomposition analysis was performed to estimate the contribution of each independent variable to the inequality in the timing of antenatal care visits.ResultThe estimate of early initiation of antenatal care was 63%. The concentration index was 0.18 (P < 0.001). The inequality in the timing of antenatal care visit was more concentrated among the wealthiest pregnant women with a concentration index value of 0.18 (P < 0.001). Based on decomposition analysis results, the wealth index (81.9%.), education status (22.29%), and region (0.0642%) were identified as contributing factors to the inequality in the timing of antenatal care visits among women.ConclusionThe wealth index, educational status, and region were significant contributors to inequality in the early initiation of antenatal care visit. Improving women's wealth and education and narrowing the inequality gap are crucial for improving the health status of women and their children. We should focus on interventions targeted at early antenatal care visit to address the determinants of socioeconomic inequities. |
| first_indexed | 2024-04-25T00:07:09Z |
| format | Article |
| id | doaj.art-9437d26c5f2645d1bec3df6164832e5a |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-25T00:07:09Z |
| publishDate | 2024-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-9437d26c5f2645d1bec3df6164832e5a2024-03-14T04:59:13ZengFrontiers Media S.A.Frontiers in Public Health2296-25652024-03-011210.3389/fpubh.2024.12434331243433Socioeconomic inequality in timing of ANC visit among pregnant women in Ethiopia, 2019Atitegeb Abera Kidie0Desale Bihonegn Asmamaw1Tadele Biresaw Belachew2Samrawit Mihret Fetene3Tsegaw Amare Baykeda4Abel Endawkie5Alebachew Ferede Zegeye6Tadesse Tarik Tamir7Sisay Maru Wubante8Elsa Awoke Fentie9Wubshet Debebe Negash10Banchilay Addis11Department of Public Health, College of Health Science, Woldia University, Woldia, EthiopiaDepartment of Reproductive Health, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Science, Wollo University, Dessie, EthiopiaDepartment of Medical Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Pediatric and Child Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Health Informatics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Reproductive Health, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaBackgroundAntenatal care (ANC) remains an invaluable approach to preventive care for ensuring maternal and infant health outcomes. Women in sub-Saharan Africa tend to delay their first antenatal care visits. In Ethiopia, only 20% of women received their first antenatal care during the first trimester of pregnancy. Timely and appropriate antenatal care practices can potentially save the lives of both mothers and children. Understanding socioeconomic inequality in the timing of antenatal care visits and its determinants may contribute to tackling disparities and achieving the sustainable development goals for maternal health.ObjectiveThis study aimed to assess the socioeconomic inequality in the timing of antenatal care visit.MethodSecondary data sourced from the Mini Ethiopian Demographic Health Survey 2019 were used for this study. A total of 2,906 pregnant women were included in the study, and concentration curves were used to show inequality among sociodemographic and economic variables. Decomposition analysis was performed to estimate the contribution of each independent variable to the inequality in the timing of antenatal care visits.ResultThe estimate of early initiation of antenatal care was 63%. The concentration index was 0.18 (P < 0.001). The inequality in the timing of antenatal care visit was more concentrated among the wealthiest pregnant women with a concentration index value of 0.18 (P < 0.001). Based on decomposition analysis results, the wealth index (81.9%.), education status (22.29%), and region (0.0642%) were identified as contributing factors to the inequality in the timing of antenatal care visits among women.ConclusionThe wealth index, educational status, and region were significant contributors to inequality in the early initiation of antenatal care visit. Improving women's wealth and education and narrowing the inequality gap are crucial for improving the health status of women and their children. We should focus on interventions targeted at early antenatal care visit to address the determinants of socioeconomic inequities.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1243433/fullantenatal caretiminginequalitypregnant womenEthiopia |
| spellingShingle | Atitegeb Abera Kidie Desale Bihonegn Asmamaw Tadele Biresaw Belachew Samrawit Mihret Fetene Tsegaw Amare Baykeda Abel Endawkie Alebachew Ferede Zegeye Tadesse Tarik Tamir Sisay Maru Wubante Elsa Awoke Fentie Wubshet Debebe Negash Banchilay Addis Socioeconomic inequality in timing of ANC visit among pregnant women in Ethiopia, 2019 Frontiers in Public Health antenatal care timing inequality pregnant women Ethiopia |
| title | Socioeconomic inequality in timing of ANC visit among pregnant women in Ethiopia, 2019 |
| title_full | Socioeconomic inequality in timing of ANC visit among pregnant women in Ethiopia, 2019 |
| title_fullStr | Socioeconomic inequality in timing of ANC visit among pregnant women in Ethiopia, 2019 |
| title_full_unstemmed | Socioeconomic inequality in timing of ANC visit among pregnant women in Ethiopia, 2019 |
| title_short | Socioeconomic inequality in timing of ANC visit among pregnant women in Ethiopia, 2019 |
| title_sort | socioeconomic inequality in timing of anc visit among pregnant women in ethiopia 2019 |
| topic | antenatal care timing inequality pregnant women Ethiopia |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1243433/full |
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