Pooled prevalence and determinants of antenatal care visits in countries with high maternal mortality: A multi-country analysis
BackgroundComplications 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 supple...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-01-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1035759/full |
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| author | Dagmawi Chilot Dagmawi Chilot Daniel Gashaneh Belay Daniel Gashaneh Belay Tigist Andargie Ferede Kegnie Shitu Melaku Hunie Asratie Sintayehu Ambachew Yadelew Yimer Shibabaw Demiss Mulatu Geberu Melkamu Deresse Adugnaw Zeleke Alem |
| author_facet | Dagmawi Chilot Dagmawi Chilot Daniel Gashaneh Belay Daniel Gashaneh Belay Tigist Andargie Ferede Kegnie Shitu Melaku Hunie Asratie Sintayehu Ambachew Yadelew Yimer Shibabaw Demiss Mulatu Geberu Melkamu Deresse Adugnaw Zeleke Alem |
| author_sort | Dagmawi Chilot |
| collection | DOAJ |
| description | BackgroundComplications 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.MethodsSecondary 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.ResultThe 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 recommendationsOptimal 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. |
| first_indexed | 2024-04-10T19:34:54Z |
| format | Article |
| id | doaj.art-c9f56477cb184ebc8322de3ce01f65f9 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-10T19:34:54Z |
| publishDate | 2023-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-c9f56477cb184ebc8322de3ce01f65f92023-01-30T08:43:04ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-01-011110.3389/fpubh.2023.10357591035759Pooled prevalence and determinants of antenatal care visits in countries with high maternal mortality: A multi-country analysisDagmawi Chilot0Dagmawi Chilot1Daniel Gashaneh Belay2Daniel Gashaneh Belay3Tigist Andargie Ferede4Kegnie Shitu5Melaku Hunie Asratie6Sintayehu Ambachew7Yadelew Yimer Shibabaw8Demiss Mulatu Geberu9Melkamu Deresse10Adugnaw Zeleke Alem11Center for Innovative Drug Development and Therapeutic Trials for Africa (CDT-Africa), College of Health Sciences, Addis Ababa University, Addis Ababa, EthiopiaDepartment of Human Physiology, College of Medicine and Health Science, School of Medicine, University of Gondar, Gondar, EthiopiaDepartment of Human Anatomy, College of Medicine and Health Science, School of Medicine, University of Gondar, Gondar, EthiopiaDepartment of Epidemiology and Biostatistics, College of Medicine and Health Science, Institute of Public Health, University of Gondar, Gondar, EthiopiaDepartment of Epidemiology and Biostatistics, College of Medicine and Health Science, Institute of Public Health, University of Gondar, Gondar, EthiopiaDepartment of Health Education and Behavioral Sciences, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Women and Family Health, College of Medicine and Health Science, School of Midwifery, University of Gondar, Gondar, EthiopiaDepartment of Clinical Chemistry, School of Biomedical and Laboratory, University of Gondar, Gondar, EthiopiaDepartment of Biochemistry, College of Medicine and Health Science, School of Medicine, University of Gondar, Gondar, EthiopiaDepartment of Health Systems and Policy, College of Medicine and Health Science, Institute of Public Health, University of Gondar, Gondar, Ethiopia0Department of Physiotherapy, St. Peter's Specialized Hospital, Addis Ababa, EthiopiaDepartment of Epidemiology and Biostatistics, College of Medicine and Health Science, Institute of Public Health, University of Gondar, Gondar, EthiopiaBackgroundComplications 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.MethodsSecondary 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.ResultThe 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 recommendationsOptimal 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.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1035759/fullantenatal carewomenmaternal mortalitylow- and middle-income countriesreproductive-age women |
| spellingShingle | Dagmawi Chilot Dagmawi Chilot Daniel Gashaneh Belay Daniel Gashaneh Belay Tigist Andargie Ferede Kegnie Shitu Melaku Hunie Asratie Sintayehu Ambachew Yadelew Yimer Shibabaw Demiss Mulatu Geberu Melkamu Deresse Adugnaw Zeleke Alem Pooled prevalence and determinants of antenatal care visits in countries with high maternal mortality: A multi-country analysis Frontiers in Public Health antenatal care women maternal mortality low- and middle-income countries reproductive-age women |
| 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 | antenatal care women maternal mortality low- and middle-income countries reproductive-age women |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1035759/full |
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