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Antenatal care use in Ethiopia: A spatial and multilevel analysis

Tegegne, Teketo, Chojenta, C, Getachew, T, Smith, R and Loxton, D 2019, Antenatal care use in Ethiopia: A spatial and multilevel analysis, BMC Pregnancy and Childbirth, vol. 19, pp. 1-16, doi: 10.1186/s12884-019-2550-x.

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Title Antenatal care use in Ethiopia: A spatial and multilevel analysis
Author(s) Tegegne, TeketoORCID iD for Tegegne, Teketo orcid.org/0000-0002-9137-3632
Chojenta, C
Getachew, T
Smith, R
Loxton, D
Journal name BMC Pregnancy and Childbirth
Volume number 19
Article ID 399
Start page 1
End page 16
Total pages 16
Publisher BMC
Place of publication London, Eng.
Publication date 2019
ISSN 1471-2393
Keyword(s) Antenatal care
Prenatal care
Spatial variations
Summary Background: Accessibility and utilization of antenatal care (ANC) service varies depending on different geographical locations, sociodemographic characteristics, political and other factors. A geographically linked data analysis using population and health facility data is valuable to map ANC use, and identify inequalities in service access and provision. Thus, this study aimed to assess the spatial patterns of ANC use, and to identify associated factors among pregnant women in Ethiopia. Method: A secondary data analysis of the 2016 Ethiopia Demographic and Health Survey linked with the 2014 Ethiopian Service Provision Assessment was conducted. A multilevel analysis was carried out using the SAS GLIMMIX procedure. Furthermore, hot spot analysis and spatial regressions were carried out to identify the hot spot areas of and factors associated with the spatial variations in ANC use using ArcGIS and R softwares. Results: A one-unit increase in the mean score of ANC service availability in a typical region was associated with a five-fold increase in the odds of having more ANC visits. Moreover, every one-kilometre increase in distance to the nearest ANC facility in a typical region was negatively associated with having at least four ANC visits. Twenty-five percent of the variability in having at least four ANC visits was accounted for by region of living. The spatial analysis found that the Southern Nations, Nationalities and Peoples region had high clusters of at least four ANC visits. Furthermore, the coefficients of having the first ANC visit during the first trimester were estimated to have spatial variations in the use of at least four ANC visits. Conclusion: There were significant variations in the use of ANC services across the different regions of Ethiopia. Region of living and distance were key drivers of ANC use underscoring the need for increased ANC availability, particularly in the cold spot regions.
Language eng
DOI 10.1186/s12884-019-2550-x
Field of Research 1110 Nursing
1114 Paediatrics and Reproductive Medicine
1117 Public Health and Health Services
HERDC Research category C1 Refereed article in a scholarly journal
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30149530

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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.