ArticleBMC pregnancy and childbirth2019
Antenatal care use in Ethiopia: a spatial and multilevel analysis.
Article in BMC pregnancy and childbirth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 7 of them syntheses that pooled it.
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Who cites it
70 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- Prevalence and risk factors for road traffic accidents and mortalities in the Amhara region, Ethiopia: a systematic review and meta-analysis.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2026Pooled it
- Maternal and neonatal health service access and utilisation in sub-Saharan Africa (2015-2023): a systematic review and meta-analysis.BMC health services research · 2026Pooled it
- Incidence of mortality and its predictors among low birth weight neonates in Ethiopia: Systematic review and meta-analysis.PloS one · 2026Pooled it
- Utilization of maternal healthcare services in low- and middle-income countries: a systematic review and meta-analysis.Systematic reviews · 2025Pooled it
- Worldwide Wellness of Mothers and Babies (WWOMB): program overview and lessons learned from Ethiopia.Archives of public health = Archives belges de sante publique · 2024Pooled it
- How applicable is geospatial analysis in maternal and neonatal health in sub-Saharan Africa? A systematic review.Journal of global health · 2022Pooled it
- A Systematic Review of Factors Associated with Under-Five Child Mortality.BioMed research international · 2022Pooled it
- Trial
- Effectiveness of checklist-based box system intervention (CBBSI) versus routine care on improving utilization of antenatal care visits in Northwest Ethiopia: a cluster randomized controlled trial.BMC health services research · 2022Trial
- Modeling predictors of incomplete antenatal care utilization among reproductive-age women in Ethiopia using machine learning algorithms and SHAP interpretation.PLOS digital health · 2026Article
- Exploration of facilitators and barriers to the implementation of the eight-contact antenatal care model in healthcare facilities in Nigeria.Maternal health, neonatology and perinatology · 2026Article
- Article
- Article
- Economic and Demographic Factors Associated With Antenatal Care Utilization in Bangladesh: An Ordered Response Analysis Using Cross-Sectional Data.Health science reports · 2026Article
- Problems with accessing healthcare and associated factors among reproductive-age women in Somaliland: a multilevel analysis of data from the 2020 SLDHS.Frontiers in global women's health · 2026Article
- Optimizing machine learning models for predicting health service access and determinants among pregnant women in rural Ethiopia.Scientific reports · 2025Article
- Assessment of effective coverage of antenatal care and factors affecting its outcome in Ethiopia.BMC pregnancy and childbirth · 2025Article
- Propensity score matching analysis of the effect of four or more antenatal care visits on basic childhood immunization in Ethiopia.Scientific reports · 2025Article
- Determinants of antenatal care service utilisation in sub-Saharan Africa: an analysis of demographic and health surveys data (2015-2022).Archives of public health = Archives belges de sante publique · 2025Article
- Home delivery among women with adequate antenatal care: insights from a multilevel analysis of the 2019 Ethiopian mini demographic and health survey.Reproductive health · 2025Article
10 more citing papers are in PubMed but not listed here.
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAccessibility 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.
methodA 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.
resultsA 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.
conclusionThere 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.
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