Adequacy and timeliness of antenatal care visits among Ethiopian women: a community-based panel study
Objectives The purposes of the study are; (A) to identify whether Ethiopian women’s antenatal care (ANC) visits are adequate and timely and (B) to explore factors that determine these.Design Panel study design.Setting Ethiopia.Participants A total of 2855 women nested within 217 enumeration areas.Pr...
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BMJ Publishing Group
2021-12-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/11/12/e053357.full |
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| author | Assefa Seme Kasiye Shiferaw Bezatu Mengistie Tesfaye Gobena Merga Dheresa |
| author_facet | Assefa Seme Kasiye Shiferaw Bezatu Mengistie Tesfaye Gobena Merga Dheresa |
| author_sort | Assefa Seme |
| collection | DOAJ |
| description | Objectives The purposes of the study are; (A) to identify whether Ethiopian women’s antenatal care (ANC) visits are adequate and timely and (B) to explore factors that determine these.Design Panel study design.Setting Ethiopia.Participants A total of 2855 women nested within 217 enumeration areas.Primary outcome measures Adequacy and timeliness of ANC visits.Results Of all the 2855 respondents, 65% had made an ANC visit once, while 26.8% initiated ANC visits in a timely way and 43.3% attended adequate ANC visits. Rural residence (adjusted OR (AOR)=0.55, 95% CI: 0.36 to 0.84), attending higher level of education (AOR=2.64, 95% CI: 1.47 to 4.77), being multipara (AOR=0.53, 95% CI: 0.32 to 0.89) and encouragement by partners to attend clinic for ANC (AOR=1.98, 95% CI: 1.14 to 3.44) were significantly associated with timeliness of ANC visit. Similarly, residing in rural areas (AOR=0.20, 95% CI: 0.12 to 0.35), attending higher level of education (AOR=2.96, 95% CI: 1.38 to 6.15), encouragement by partners to attend clinic for ANC (AOR=2.11, 95% CI: 1.31 to 3.40) and timeliness of ANC visit (AOR=4.59, 95% CI: 2.93 to 7.21) were significantly associated with adequacy of ANC visits.Conclusions A quarter of the pregnant women started ANC visits during the first trimester and nearly half attended adequate ANC visits with wider disparities across regions of their origin and their background characteristics. Concerted efforts on tailored interventions for rural residents, female education and partner involvement are recommended for early and adequate ANC visit(s). |
| format | Article |
| id | doaj-art-258ccdcff5e34787ba31577acf1dac1a |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2021-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-258ccdcff5e34787ba31577acf1dac1a2024-12-10T15:00:08ZengBMJ Publishing GroupBMJ Open2044-60552021-12-01111210.1136/bmjopen-2021-053357Adequacy and timeliness of antenatal care visits among Ethiopian women: a community-based panel studyAssefa Seme0Kasiye Shiferaw1Bezatu Mengistie2Tesfaye Gobena3Merga Dheresa42 Addis Ababa University, Addis Ababa, Oromia, EthiopiaSchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaSchool of Public Health, St Paul`s Hospital Millennium Medical College, Addis Ababa, EthiopiaEnvironmental Health Science, Haramaya University College of Health and Medical Sciences, Harar, EthiopiaSchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaObjectives The purposes of the study are; (A) to identify whether Ethiopian women’s antenatal care (ANC) visits are adequate and timely and (B) to explore factors that determine these.Design Panel study design.Setting Ethiopia.Participants A total of 2855 women nested within 217 enumeration areas.Primary outcome measures Adequacy and timeliness of ANC visits.Results Of all the 2855 respondents, 65% had made an ANC visit once, while 26.8% initiated ANC visits in a timely way and 43.3% attended adequate ANC visits. Rural residence (adjusted OR (AOR)=0.55, 95% CI: 0.36 to 0.84), attending higher level of education (AOR=2.64, 95% CI: 1.47 to 4.77), being multipara (AOR=0.53, 95% CI: 0.32 to 0.89) and encouragement by partners to attend clinic for ANC (AOR=1.98, 95% CI: 1.14 to 3.44) were significantly associated with timeliness of ANC visit. Similarly, residing in rural areas (AOR=0.20, 95% CI: 0.12 to 0.35), attending higher level of education (AOR=2.96, 95% CI: 1.38 to 6.15), encouragement by partners to attend clinic for ANC (AOR=2.11, 95% CI: 1.31 to 3.40) and timeliness of ANC visit (AOR=4.59, 95% CI: 2.93 to 7.21) were significantly associated with adequacy of ANC visits.Conclusions A quarter of the pregnant women started ANC visits during the first trimester and nearly half attended adequate ANC visits with wider disparities across regions of their origin and their background characteristics. Concerted efforts on tailored interventions for rural residents, female education and partner involvement are recommended for early and adequate ANC visit(s).https://bmjopen.bmj.com/content/11/12/e053357.full |
| spellingShingle | Assefa Seme Kasiye Shiferaw Bezatu Mengistie Tesfaye Gobena Merga Dheresa Adequacy and timeliness of antenatal care visits among Ethiopian women: a community-based panel study BMJ Open |
| title | Adequacy and timeliness of antenatal care visits among Ethiopian women: a community-based panel study |
| title_full | Adequacy and timeliness of antenatal care visits among Ethiopian women: a community-based panel study |
| title_fullStr | Adequacy and timeliness of antenatal care visits among Ethiopian women: a community-based panel study |
| title_full_unstemmed | Adequacy and timeliness of antenatal care visits among Ethiopian women: a community-based panel study |
| title_short | Adequacy and timeliness of antenatal care visits among Ethiopian women: a community-based panel study |
| title_sort | adequacy and timeliness of antenatal care visits among ethiopian women a community based panel study |
| url | https://bmjopen.bmj.com/content/11/12/e053357.full |
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