Prevalence and factors affecting the utilization of antenatal care in rural areas of Southwestern Ethiopia
Abstract Background Antenatal care (ANC) is a health care intervention intended to ensure the safety of pregnancy. According to the World Health Organization, at least four ANC visits are recommended for a healthy pregnancy. However, whether this recommended number of visits was followed or not in t...
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| Format: | Article |
| Language: | English |
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BMC
2022-01-01
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| Series: | BMC Pregnancy and Childbirth |
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| Online Access: | https://doi.org/10.1186/s12884-021-04362-8 |
| _version_ | 1819006820179509248 |
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| author | Assaye Belay Tessema Astatkie Solomon Abebaw Bekele Gebreamanule Wegayehu Enbeyle |
| author_facet | Assaye Belay Tessema Astatkie Solomon Abebaw Bekele Gebreamanule Wegayehu Enbeyle |
| author_sort | Assaye Belay |
| collection | DOAJ |
| description | Abstract Background Antenatal care (ANC) is a health care intervention intended to ensure the safety of pregnancy. According to the World Health Organization, at least four ANC visits are recommended for a healthy pregnancy. However, whether this recommended number of visits was followed or not in the rural areas of Southwestern Ethiopia is not known. Therefore, the study aimed to investigate the prevalence of, and the associated factors of ANC utilization by pregnant women in the rural areas of Southwestern Ethiopia. Methods A community-based cross-sectional study design was used in three rural zones. The data were collected from n = 978 women through a structured questionnaire with face-to-face interview. The collected data were analyzed using descriptive statistics and a multiple binary logistic regression model. Results The results showed that 56% of women made the recommended minimum number of ANC visits and the remaining 44% of them underutilized the ANC service. The multiple binary logistic regression model identified zone, marital status of the woman, educational level of the husband, occupation of the husband, knowledge of danger signs of pregnancy, birth interval, source of information, timely visits, and transportation problem to be statistically significant factors affecting the prevalence of ANC visit utilization of women. Bench Maji zone had smaller odds ratio of ANC visit prevalence as compared to Kaffa zone. Women who lived in the rural area of Sheko zone are 2.67 times less likely to utilize ANC visit than those who lived in the rural area of Kaffa zone keeping other variables constant. Conclusion The study results highlight the need to increase the number of ANC visits, and the importance of using an appropriate model to determine the important socio-demographic factors that ANC service providers shall focus on to improve the health of the unborn baby and the mother during pregnancy. |
| first_indexed | 2024-12-21T00:14:45Z |
| format | Article |
| id | doaj.art-a7a88d213bdc480d9d337d26ae26923f |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-12-21T00:14:45Z |
| publishDate | 2022-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-a7a88d213bdc480d9d337d26ae26923f2022-12-21T19:22:16ZengBMCBMC Pregnancy and Childbirth1471-23932022-01-012211810.1186/s12884-021-04362-8Prevalence and factors affecting the utilization of antenatal care in rural areas of Southwestern EthiopiaAssaye Belay0Tessema Astatkie1Solomon Abebaw2Bekele Gebreamanule3Wegayehu Enbeyle4Department of Statistics, Mizan-Tepi UniversityFaculty of Agriculture, Dalhousie UniversityDepartment of Statistics, Mizan-Tepi UniversityDepartment of Biology, Injibara UniversityDepartment of Statistics, Mizan-Tepi UniversityAbstract Background Antenatal care (ANC) is a health care intervention intended to ensure the safety of pregnancy. According to the World Health Organization, at least four ANC visits are recommended for a healthy pregnancy. However, whether this recommended number of visits was followed or not in the rural areas of Southwestern Ethiopia is not known. Therefore, the study aimed to investigate the prevalence of, and the associated factors of ANC utilization by pregnant women in the rural areas of Southwestern Ethiopia. Methods A community-based cross-sectional study design was used in three rural zones. The data were collected from n = 978 women through a structured questionnaire with face-to-face interview. The collected data were analyzed using descriptive statistics and a multiple binary logistic regression model. Results The results showed that 56% of women made the recommended minimum number of ANC visits and the remaining 44% of them underutilized the ANC service. The multiple binary logistic regression model identified zone, marital status of the woman, educational level of the husband, occupation of the husband, knowledge of danger signs of pregnancy, birth interval, source of information, timely visits, and transportation problem to be statistically significant factors affecting the prevalence of ANC visit utilization of women. Bench Maji zone had smaller odds ratio of ANC visit prevalence as compared to Kaffa zone. Women who lived in the rural area of Sheko zone are 2.67 times less likely to utilize ANC visit than those who lived in the rural area of Kaffa zone keeping other variables constant. Conclusion The study results highlight the need to increase the number of ANC visits, and the importance of using an appropriate model to determine the important socio-demographic factors that ANC service providers shall focus on to improve the health of the unborn baby and the mother during pregnancy.https://doi.org/10.1186/s12884-021-04362-8Antenatal careOdds ratioBinary logistic regression modelRural zoneWomen |
| spellingShingle | Assaye Belay Tessema Astatkie Solomon Abebaw Bekele Gebreamanule Wegayehu Enbeyle Prevalence and factors affecting the utilization of antenatal care in rural areas of Southwestern Ethiopia BMC Pregnancy and Childbirth Antenatal care Odds ratio Binary logistic regression model Rural zone Women |
| title | Prevalence and factors affecting the utilization of antenatal care in rural areas of Southwestern Ethiopia |
| title_full | Prevalence and factors affecting the utilization of antenatal care in rural areas of Southwestern Ethiopia |
| title_fullStr | Prevalence and factors affecting the utilization of antenatal care in rural areas of Southwestern Ethiopia |
| title_full_unstemmed | Prevalence and factors affecting the utilization of antenatal care in rural areas of Southwestern Ethiopia |
| title_short | Prevalence and factors affecting the utilization of antenatal care in rural areas of Southwestern Ethiopia |
| title_sort | prevalence and factors affecting the utilization of antenatal care in rural areas of southwestern ethiopia |
| topic | Antenatal care Odds ratio Binary logistic regression model Rural zone Women |
| url | https://doi.org/10.1186/s12884-021-04362-8 |
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