ArticleAdvances in preventive medicine2020
Spatial Pattern and Associated Factors of ANC Visits in Ethiopia: Spatial and Multilevel Modeling of Ethiopian Demographic Health Survey Data.
Article in Advances in preventive medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- How applicable is geospatial analysis in maternal and neonatal health in sub-Saharan Africa? A systematic review.Journal of global health · 2022Pooled it
- Maternal health inequity in Somalia: A multivariate analysis of poverty and service utilization using nationwide cross-sectional survey data.Public health in practice (Oxford, England) · 2025Article
- Geospatial variation and determinants of incomplete antenatal care follow-up in ethiopia: a spatial and geographically weighted regression analysis.BMC pregnancy and childbirth · 2025Article
- Spatial patterns and predictors of antenatal care interruption in war-torn Tigray, northern Ethiopia: Spatial modelling approach.PloS one · 2025Article
- Spatial patterns and associated factors of HIV testing and counselling (HTC) as a component of antenatal care services in Ethiopia.PloS one · 2024Article
- Why does the number of antenatal care visits in Ethiopia remain low?: A Bayesian multilevel approach.PloS one · 2024Article
- Effect of optimal antenatal care on maternal and perinatal health in Ethiopia.Frontiers in pediatrics · 2023Article
- Pooled prevalence and determinants of antenatal care visits in countries with high maternal mortality: A multi-country analysis.Frontiers in public health · 2023Article
- Factors determining antenatal care utilization among mothers of deceased perinates in Ethiopia.Frontiers in medicine · 2023Article
- Identifying geographical inequalities of maternal care utilization in Ethiopia: a Spatio-temporal analysis from 2005 to 2019.BMC health services research · 2022Article
- Multilevel Modelling of the Individual and Regional Level Variability in Predictors of Incomplete Antenatal Care Visit among Women of Reproductive Age in Ethiopia: Classical and Bayesian Approaches.International journal of environmental research and public health · 2022Article
- Spatial variation and factors associated with home delivery after ANC visit in Ethiopia; spatial and multilevel analysis.PloS one · 2022Article
- Spatial Patterns and Multilevel Analysis of Factors Associated with Antenatal Care Visits in Nigeria: Insight from the 2018 Nigeria Demographic Health Survey.Healthcare (Basel, Switzerland) · 2021Article
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2 authors.
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Abstract
backgroundAlthough there is an increase in having antenatal care (ANC), still many women lack recommended ANC contacts in Ethiopia. Therefore, this study was aimed at determining spatial patterns and associated factors of not having ANC visits using the Ethiopian Demographic and Health Survey (EDHS) 2016 data.
methodsA two-stage stratified cluster sampling technique was employed based on EDHS data from January 18 to June 27, 2016. A total of 7,462 women were included in the study. ArcGIS version 10.7 software was used to visualize the spatial distribution. The Bernoulli model was applied using Kilduff SaTScan version 9.6 software to identify significant purely spatial clusters for not having ANC visits in Ethiopia. A multivariable multilevel logistic regression model was used to identify individual- and community-level determinants of not having antenatal care. Model comparison was checked using the likelihood test and goodness of fit was assessed by the deviance test.
resultsThe primary clusters' spatial window was located in Somalia, Oromia, Afar, Dire Dawa, and Harari regions with the log-likelihood ratio (LLR) of 133.02, at
conclusionThe spatial distribution of ANC in Ethiopia is non-random. A higher proportion of not having ANC is found in northeast Amhara, west Benishangul Gumuz, Somali, Afar, north, and northeast SNNPR. On the other hand, a low proportion of not having ANC was found in Tigray, Addis Ababa, and Dire Dawa. In Ethiopia, not having antenatal care is affected by both individual- and community-level factors. Prompt attention by the Federal Ministry of Health is compulsory to improve ANC especially in rural residents, uneducated women, poor households, and regions like Oromia, Gambella, and Somalia.
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