Inadequate receipt of ANC components and associated factors among pregnant women in Northwest Ethiopia, 2020–2021: a community-based cross-sectional study

Abstract Background Women's health and pregnancy outcomes are directly depends on the extent of ANC components received during their ANC visits. There are limited information about the components of ANC and associated factors. Therefore, the aim of this study was to assess the magnitude of inad...

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Main Authors: Abebaw Addis Gelagay, Tadele Biresaw Belachew, Desale Bihonegn Asmamaw, Desalegn Anmut Bitew, Elsa Awoke Fentie, Abebaw Gebeyehu Worku, Debrework Tesgera Bashah, Nigusie Birhan Tebeje, Mignote Hailu Gebrie, Hedija Yenus Yeshita, Endeshaw Adimasu Cherkose, Birhanu Abera Ayana, Ayenew Molla Lakew, Wubshet Debebe Negash
Format: Article
Language:English
Published: BMC 2023-05-01
Series:Reproductive Health
Subjects:
Online Access:https://doi.org/10.1186/s12978-023-01612-0
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author Abebaw Addis Gelagay
Tadele Biresaw Belachew
Desale Bihonegn Asmamaw
Desalegn Anmut Bitew
Elsa Awoke Fentie
Abebaw Gebeyehu Worku
Debrework Tesgera Bashah
Nigusie Birhan Tebeje
Mignote Hailu Gebrie
Hedija Yenus Yeshita
Endeshaw Adimasu Cherkose
Birhanu Abera Ayana
Ayenew Molla Lakew
Wubshet Debebe Negash
author_facet Abebaw Addis Gelagay
Tadele Biresaw Belachew
Desale Bihonegn Asmamaw
Desalegn Anmut Bitew
Elsa Awoke Fentie
Abebaw Gebeyehu Worku
Debrework Tesgera Bashah
Nigusie Birhan Tebeje
Mignote Hailu Gebrie
Hedija Yenus Yeshita
Endeshaw Adimasu Cherkose
Birhanu Abera Ayana
Ayenew Molla Lakew
Wubshet Debebe Negash
author_sort Abebaw Addis Gelagay
collection DOAJ
description Abstract Background Women's health and pregnancy outcomes are directly depends on the extent of ANC components received during their ANC visits. There are limited information about the components of ANC and associated factors. Therefore, the aim of this study was to assess the magnitude of inadequate recipient of ANC components and associated factors in northwest Ethiopia. Methods This is a community based cross sectional survey conducted in Dabat Demographic and health survey from December 10/2020 to January 10/2021 among women who gave birth within two years before the survey. This study applied a census method to identify and select eligible pregnant women. A structured and pretested questionnaire was used to collect the data. The data was entered into Epi-data version 3.1 and exported to STATA version 14 for analysis purpose. Adjusted Odds Ratio at 95% confidence interval was used to show the association between dependent and independent variables. Statistical significance was declared at a P value less than 0.05. Results A total of 871 pregnant women were identified from the survey and included in this study. Overall, 96.67% (95% CI: 95.24, 97.67) had not get adequate (all components) ANC. The components of ANC services were increased from 3.35 to 32.34%, 2.52 to 46.33% 1.96 to 55.8%, 2.31 to 46.53%, 3.54 to 55.75%, 2.46 to 44.62%, 1.18 to 45.96%, and 2.45 to 54.6% for tetanus toxoid Vaccine, HIV/AIDS testing and counseling, danger sign, place of delivery, deworming, iron folic acid, family planning, and breast feeding counseling, from first ANC visit to fourth ANC visit, respectively. Rural residence (AOR = 4.89, 95% CI: 1.21, 19.86), and less than four number of ANC visit (AOR = 5.15, 95% CI: 2.06, 12.86) were significantly associated with inadequate uptake of ANC components. Conclusion Only three in hundred pregnant women were received adequate ANC components in the study area. Rural residence and less than four number of ANC visit were factors significantly associated with inadequate ANC uptake. Therefore, the district health department managers and program implementers need to train the health care providers about the components of ANC. As well, increasing community and facility awareness of WHO recommendations on ANC visits focusing on rural women is needed.
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spelling doaj.art-f5c744b6b5ec471faf165bf4ba82f8ae2023-05-07T11:14:55ZengBMCReproductive Health1742-47552023-05-012011910.1186/s12978-023-01612-0Inadequate receipt of ANC components and associated factors among pregnant women in Northwest Ethiopia, 2020–2021: a community-based cross-sectional studyAbebaw Addis Gelagay0Tadele Biresaw Belachew1Desale Bihonegn Asmamaw2Desalegn Anmut Bitew3Elsa Awoke Fentie4Abebaw Gebeyehu Worku5Debrework Tesgera Bashah6Nigusie Birhan Tebeje7Mignote Hailu Gebrie8Hedija Yenus Yeshita9Endeshaw Adimasu Cherkose10Birhanu Abera Ayana11Ayenew Molla Lakew12Wubshet Debebe Negash13Department of Reproductive Health, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Reproductive Health, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Reproductive Health, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Reproductive Health, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Reproductive Health, Institute of Public Health, College of Medicine and Health Sciences, University of GondarSchool of Nursing, College of Medicine and Health Sciences, University of GondarDepartment of Reproductive Health, Institute of Public Health, College of Medicine and Health Sciences, University of GondarSchool of Nursing, College of Medicine and Health Sciences, University of GondarDepartment of Reproductive Health, Institute of Public Health, College of Medicine and Health Sciences, University of GondarSchool of Midwifery, College of Medicine and Health Sciences, University of GondarDepartment of Obstetrics and Gynecology, Zewuditu Memorial HospitalDepartment of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of GondarAbstract Background Women's health and pregnancy outcomes are directly depends on the extent of ANC components received during their ANC visits. There are limited information about the components of ANC and associated factors. Therefore, the aim of this study was to assess the magnitude of inadequate recipient of ANC components and associated factors in northwest Ethiopia. Methods This is a community based cross sectional survey conducted in Dabat Demographic and health survey from December 10/2020 to January 10/2021 among women who gave birth within two years before the survey. This study applied a census method to identify and select eligible pregnant women. A structured and pretested questionnaire was used to collect the data. The data was entered into Epi-data version 3.1 and exported to STATA version 14 for analysis purpose. Adjusted Odds Ratio at 95% confidence interval was used to show the association between dependent and independent variables. Statistical significance was declared at a P value less than 0.05. Results A total of 871 pregnant women were identified from the survey and included in this study. Overall, 96.67% (95% CI: 95.24, 97.67) had not get adequate (all components) ANC. The components of ANC services were increased from 3.35 to 32.34%, 2.52 to 46.33% 1.96 to 55.8%, 2.31 to 46.53%, 3.54 to 55.75%, 2.46 to 44.62%, 1.18 to 45.96%, and 2.45 to 54.6% for tetanus toxoid Vaccine, HIV/AIDS testing and counseling, danger sign, place of delivery, deworming, iron folic acid, family planning, and breast feeding counseling, from first ANC visit to fourth ANC visit, respectively. Rural residence (AOR = 4.89, 95% CI: 1.21, 19.86), and less than four number of ANC visit (AOR = 5.15, 95% CI: 2.06, 12.86) were significantly associated with inadequate uptake of ANC components. Conclusion Only three in hundred pregnant women were received adequate ANC components in the study area. Rural residence and less than four number of ANC visit were factors significantly associated with inadequate ANC uptake. Therefore, the district health department managers and program implementers need to train the health care providers about the components of ANC. As well, increasing community and facility awareness of WHO recommendations on ANC visits focusing on rural women is needed.https://doi.org/10.1186/s12978-023-01612-0Antenatal careInadequate ANCDabatEthiopia
spellingShingle Abebaw Addis Gelagay
Tadele Biresaw Belachew
Desale Bihonegn Asmamaw
Desalegn Anmut Bitew
Elsa Awoke Fentie
Abebaw Gebeyehu Worku
Debrework Tesgera Bashah
Nigusie Birhan Tebeje
Mignote Hailu Gebrie
Hedija Yenus Yeshita
Endeshaw Adimasu Cherkose
Birhanu Abera Ayana
Ayenew Molla Lakew
Wubshet Debebe Negash
Inadequate receipt of ANC components and associated factors among pregnant women in Northwest Ethiopia, 2020–2021: a community-based cross-sectional study
Reproductive Health
Antenatal care
Inadequate ANC
Dabat
Ethiopia
title Inadequate receipt of ANC components and associated factors among pregnant women in Northwest Ethiopia, 2020–2021: a community-based cross-sectional study
title_full Inadequate receipt of ANC components and associated factors among pregnant women in Northwest Ethiopia, 2020–2021: a community-based cross-sectional study
title_fullStr Inadequate receipt of ANC components and associated factors among pregnant women in Northwest Ethiopia, 2020–2021: a community-based cross-sectional study
title_full_unstemmed Inadequate receipt of ANC components and associated factors among pregnant women in Northwest Ethiopia, 2020–2021: a community-based cross-sectional study
title_short Inadequate receipt of ANC components and associated factors among pregnant women in Northwest Ethiopia, 2020–2021: a community-based cross-sectional study
title_sort inadequate receipt of anc components and associated factors among pregnant women in northwest ethiopia 2020 2021 a community based cross sectional study
topic Antenatal care
Inadequate ANC
Dabat
Ethiopia
url https://doi.org/10.1186/s12978-023-01612-0
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