ArticlePloS one2020
Using Andersen's behavioral model of health care utilization in a decentralized program to examine the use of antenatal care in rural western Ethiopia.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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Who cites it
29 citing papers in PubMed, 52 citations in OpenAlex.
- Modeling predictors of incomplete antenatal care utilization among reproductive-age women in Ethiopia using machine learning algorithms and SHAP interpretation.PLOS digital health · 2026Article
- "But they are hard work": A qualitative study of the perceptions of healthcare workers in providing care to persons with disabilities in Uganda.BMC health services research · 2026Article
- Assessing the Consistency of Antenatal Care Visits, Their Determinants, and Health Outcomes Among Post-Natal Women Admitted in Maternity Wards in Selected Health Facilities in Ifakara Town: A Cross-Sectional Study.Health science reports · 2025Article
- Modeling determinants of accessibility for healthcare services in rural and urban areas of Dodoma, Tanzania.BMC public health · 2025Article
- Uptake and determinants of routine vaccines among children aged 12-23 months in adansi South district of Ghana. a cross-sectional study.BMC pediatrics · 2025Article
- Assessment of maternal healthcare services among the women of reproductive age in the rural municipality of Nepal: a cross-sectional study.BMJ public health · 2025Article
- Strengthening primary health care in Ethiopia: A scoping review of successes, challenges, and pathways towards universal health coverage using the WHO monitoring framework.PLOS global public health · 2025Article
- Factors associated with antenatal care utilization among women with disabilities in Ethiopia: Using Andersen's Behaviour Model of Health Service Use.PLOS global public health · 2025Article
- Decentralizing and task sharing within the primary health system improved access and quality of ANC services in Amhara and Oromia regions: pre-post health facility data.BMC primary care · 2024Article
- Article
- The Content Validity of an Instrument That Measures Health-Seeking Behavior for Tuberculosis among People Living with HIV in India.Tropical medicine and infectious disease · 2024Article
- The effects of a large-scale home visiting programme for child development on use of health services in Brazil.Health policy and planning · 2024Article
- Utilization of Antenatal Care Services Within the Context of COVID-19, Security Challenges, and an Unstable Healthcare System at Primary Health Care Centers.International journal of women's health · 2024Article
- Comparing full immunisation status of children (0-23 months) between slums of Kampala City and the rural setting of Iganga District in Uganda: a cross-sectional study.BMC health services research · 2023Article
- Challenges of medical commodity availability in public and private health care facilities in the Upper East Region of Ghana: a patient-centered perspective.BMC health services research · 2023Article
- Using Andersen's behavioral model of health care use for intermittent preventive treatment of malaria in pregnancy in Nigeria.BMC pregnancy and childbirth · 2023Article
- Utilization of Maternal Healthcare Services among Adolescent Mothers in Indonesia.Healthcare (Basel, Switzerland) · 2023Article
- Factors Influencing Utilization of Assistive Devices by Tibetan Seniors on the Qinghai-Tibet Plateau: Based on Research Strategy of Triangulation.Patient preference and adherence · 2023Article
- Social capital and its role to improve maternal and child health services in Northwest Ethiopia: A qualitative study.PloS one · 2023Article
- Maternal healthcare utilization in rural Bangladesh: A comparative analysis between high and low disaster-prone areas.PLOS global public health · 2023Article
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn Ethiopia, most women do not make the minimum number of antenatal care (ANC) visits recommended by WHO. This study modeled predisposing, enabling, need, and external environmental factors in the utilization of decentralized health facilities for ANC services in rural western Ethiopian communities.
methodsA community-based, cross-sectional study was conducted in Gida Ayana Woreda (District) among 454 women. Data were collected through structured questionnaires. Multinomial logistic regression was used to model the association between the explanatory variables and the use of recommended and fewer than recommended visits for ANC with reference to the base model, no ANC visits.
resultsOnly 15.2% of women made the recommended minimum number of ANC visits. Women with fewer than 2 children (AOR 10.7; 95% CI 3.0-8.4) were 10.7 times more likely received ANC service as recommended. Women with a delivery of 2 or more (AOR 9.7; 95% CI 3.7-5.2) home visits by health extension workers (HEWS) were 9.7 times more likely receiving minimum ANC services. Involvement in gainful activities had 4 times higher log odds of seeking recommended ANC (AOR 4.0; 95% CI 1.4-11.7). Women who experienced high fever were more likely to obtain the recommended ANC services (AOR 7.1; 95% CI 2.9-7.5). Residents of Ayana Kebele decentralization entity were 60% more likely to make the recommended number of visits to ANC (AOR 24.6; 95% CI 4.8-15.2).
conclusionsNumber of children, home visits, gainful activities, monthly income, high fever, and decentralized administrative kebele were strongly linked with recommended ANC schedule. The need for a program intervention aimed at meeting WHO recommendations for ANC visits include economizing birth size and spacing; improving home attendance by HEWs, knowledge of pregnancy complications and benefits of minimum ANC visits, local socio-economic development measures targeting poor women/households; further decentralization of health system improving proximity to ANC in rural western Ethiopia.
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