Evidence map›Paper›PMID 29914403›Full record

ArticleBMC pregnancy and childbirth2018

Spatial distribution of antenatal care utilization and associated factors in Ethiopia: evidence from Ethiopian demographic health surveys.

Abraham Yeneneh, Kassahun Alemu, Abel Fekadu Dadi, Atinkut Alamirrew

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Article in BMC pregnancy and childbirth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 5 pooled it
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Abraham YenenehCollege of Medicine and Health Sciences Institute of Public Health, Department of Health Informatics, University of Gondar, Gondar, Ethiopia.
Kassahun AlemuCollege of Medicine and Health Sciences, Institute of Public Health, Department of Health Informatics, Department of Epidemiology and Biostatistics, University of Gondar, Gondar, Ethiopia.
Abel Fekadu DadiCollege of Medicine and Health Sciences, Institute of Public Health, Department of Health Informatics, Department of Epidemiology and Biostatistics, University of Gondar, Gondar, Ethiopia. Fekten@yahoo.com.
Atinkut AlamirrewCollege of Medicine and Health Sciences Institute of Public Health, Department of Health Informatics, University of Gondar, Gondar, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAntenatal care (ANC) is one of the components of care to be provided to pregnant women. In Ethiopia, characterizing the spatial distribution of antenatal care utilization is essential to prioritize risk areas where ANC is needed and facilitate interventions. Therefore, this spatial analysis was performed to assess the spatial distribution of ANC utilization between 2000 and 2011 and to identify factors associated with ANC utilization in Ethiopia.

methodsA total of 23,179 women who had a live birth in the five years preceding the surveys were included in the study. The spatial data were created in ArcGIS10.1 for each study clusters. The Bernoulli model was used by applying Kulldorff methods using the SaTScan™ software to analyze the purely spatial clusters of ANC utilization. Multiple logistic regression analysis was used to identify predictors affecting ANC utilization.

resultsANC utilization had spatial variations across the country. Spatial scan statistics identified 49 high performing clusters (LLR = 111.92, P < 0.001) in 2000, 51 (LLR = 114.49, P < 0.001) in 2005 and, 86 (LLR = 121.53, P < 0.001) in 2011. ANC utilization was higher among mothers; with richest wealth quintiles, lowest number of birth order, who are living in urban areas, younger and educated.

conclusionThese results provide further insight into differences in ANC utilization in the country and highlight high and modest performing clusters. This could enable efficient and timely spatial targeting to improve ANC service up take in Ethiopia.

Indexed as

AdolescentAdultBinomial DistributionCross-Sectional StudiesDemographyEthiopiaFemaleHumansMiddle AgedPatient Acceptance of Health CarePregnancyPrenatal CareSpatial AnalysisYoung AdultAntenatal care utilizationEthiopiaSpatial distribution

Identifiers

PMID29914403
PMCPMC6007057

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