Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Nov 8:10:1203758.
doi: 10.3389/fmed.2023.1203758. eCollection 2023.

Factors determining antenatal care utilization among mothers of deceased perinates in Ethiopia

Neamin Tesfay  1 , Mandefro Kebede  1 , Negga Asamene  1 , Muse Tadesse  1 , Dumesa Begna  1 , Fitsum Woldeyohannes  2
Affiliations

Factors determining antenatal care utilization among mothers of deceased perinates in Ethiopia

Neamin Tesfay et al. Front Med (Lausanne). .

Abstract

Introduction: Receiving adequate antenatal care (ANC) had an integral role in improving maternal and child health outcomes. However, several factors influence the utilization of ANC from the individual level up to the community level factors. Thus, this study aims to investigate factors that determine ANC service utilization among mothers of deceased perinate using the proper count regression model.

Method: Secondary data analysis was performed on perinatal death surveillance data. A total of 3,814 mothers of deceased perinates were included in this study. Hurdle Poisson regression with a random intercept at both count-and zero-part (MHPR.ERE) model was selected as a best-fitted model. The result of the model was presented in two ways, the first part of the count segment of the model was presented using the incidence rate ratio (IRR), while the zero parts of the model utilized the adjusted odds ratio (AOR).

Result: This study revealed that 33.0% of mothers of deceased perinates had four ANC visits. Being in advanced maternal age [IRR = 1.03; 95CI: (1.01-1.09)], attending primary level education [IRR = 1.08; 95 CI: (1.02-1.15)], having an advanced education (secondary and above) [IRR = 1.14; 95 CI: (1.07-1.21)] and being resident of a city administration [IRR = 1.17; 95 CI: (1.05-1.31)] were associated with a significantly higher frequency of ANC visits. On the other hand, women with secondary and above education [AOR = 0.37; 95CI: (0.26-0.53)] and women who live in urban areas [AOR = 0.42; 95 CI: (0.33-0.54)] were less likely to have unbooked ANC visit, while women who resided in pastoralist regions [AOR = 2.63; 95 CI: (1.02-6.81)] were more likely to have no ANC visit.

Conclusion: The uptake of ANC service among mothers having a deceased perinate was determined by both individual (maternal age and educational status) and community (residence and type of region) level factors. Thus, a concerted effort is needed to improve community awareness through various means of communication by targeting younger women. Furthermore, efforts should be intensified to narrow down inequalities observed in ANC service provision due to the residence of the mothers by availing necessary personnel and improving the accessibility of service in rural areas.

Keywords: Ethiopia; antenatal care; count modeling; pastoralist regions; perinatal death surveillance.

PubMed Disclaimer

Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Distribution of the number of antenatal care (ANC) visits among mothers of deceased perinate in Ethiopia.
See this image and copyright information in PMC

References

    1. Mondal D, Galloway TS, Bailey TC, Mathews F. Elevated risk of stillbirth in males: a systematic review and meta-analysis of more than 30 million births. BMC Med. (2014) 12:1. doi: 10.1186/s12916-014-0220-4 - DOI - PMC - PubMed
    1. Girum T, Wasie A. Correlates of maternal mortality in developing countries: an ecological study in 82 countries. Matern Health Neonatol Perinatol. (2017) 3:1–6. doi: 10.1186/s40748-017-0059-8 - DOI - PMC - PubMed
    1. Woldegiorgis MA, Hiller J, Mekonnen W, Meyer D, Bhowmik J. Determinants of antenatal care and skilled birth attendance in sub-Saharan Africa: a multilevel analysis. Health Serv Res. (2019) 54:1110–8. doi: 10.1111/1475-6773.13163, PMID: - DOI - PMC - PubMed
    1. UNICEF D . Monitoring the situation of children and women. New York: United Nations Children’s Fund; (2017).
    1. Central Statistical Agency/CSA/Ethiopia and ICF . Ethiopia demographic and health survey 2016. Addis Ababa, Ethiopia, and Rockville, Maryland: CSA and ICF; (2016).

LinkOut - more resources