ArticleBMC pregnancy and childbirth2021
The impact of antenatal care on under-five mortality in Ethiopia: a difference-in-differences analysis.
Article in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Social capital and maternal and child health services uptake in low- and middle-income countries: mixed methods systematic review.BMC health services research · 2021Pooled it
- Rates and causes of neonatal and under-five mortality: insights from a national household survey in Pakistan.Journal of global health · 2026Article
- Primary Health Care Coverage and Child Mortality in Sub-Saharan Africa.JAMA network open · 2026Article
- Trend and pattern of antenatal care utilisation and neonatal mortality in Ghana: analyses 2003-2022 demographic and health survey.BMJ open · 2026Article
- Exploring the association between home delivery and under-five mortality in Ethiopia: A bivariate multilevel mixed-effects analysis.PloS one · 2026Article
- Predictors of antenatal care utilization among the Rohingya population in the refugee camps of Cox's Bazar, Bangladesh.Conflict and health · 2025Article
- The impact of maternal and child health on sustainable development goals: evidence from Turkic Republics (2000-2020).BMC public health · 2025Article
- Survival probability and under-five mortality predictors in Western Kenya between 2015 and 2020.BMC public health · 2025Article
- Difference-in-differences analysis with repeated cross-sectional survey data.Health services & outcomes research methodology · 2025Article
- Prevalence and associated factors of eight antenatal care contacts among mothers who give birth in Shebel Berenta district, East Gojjam zone, northeast Ethiopia, 2024.Frontiers in reproductive health · 2025Article
- Application of machine learning methods for predicting under-five mortality: analysis of Nigerian demographic health survey 2018 dataset.BMC medical informatics and decision making · 2024Article
- Count regression models analysis of factors affecting antenatal care utilization in Ethiopia: original article.Annals of medicine and surgery (2012) · 2023Review
- Spatio-temporal modelling of under-five mortality in Lesotho using demographic and health survey data.African health sciences · 2023Article
- Effect of optimal antenatal care on maternal and perinatal health in Ethiopia.Frontiers in pediatrics · 2023Article
- Measuring the Protective Effect of Health Insurance Coverage on Out-of-Pocket Expenditures During the COVID-19 Pandemic in the Peruvian Population.International journal of health policy and management · 2022Article
- Factors Affecting Nonadherence to WHO's Recommended Antenatal Care Visits among Women in Pastoral Community, Northeastern Ethiopia: A Community-Based Cross-Sectional Study.Nursing research and practice · 2022Article
- Decomposing the urban-rural inequalities in the utilisation of maternal health care services: evidence from 27 selected countries in Sub-Saharan Africa.Reproductive health · 2021Article
- Does attitude towards wife beating determine infant feeding practices during diarrheal illness in sub-Saharan Africa?Tropical medicine and health · 2021Article
- Determinants of Antenatal Care Visits Among Pregnant Women in Somalia: A Zero-Inflated Poisson Regression Analysis of the First-Ever Somali Health and Demographic Survey 2020 Datasets.Women's health reports (New Rochelle, N.Y.)Article
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Abstract
backgroundSub-Saharan Africa, as opposed to other regions, has the highest under-five mortality rates yet makes the least improvement in reducing under-five mortality. Despite the decline, Ethiopia is among the top ten countries contributing the most to global under-five mortalities. This article examines the impact of the number of antenatal care and the timing of first antenatal care on child health outcomes. We specifically investigated if the utilization of antenatal care services positively affects the reduction of under-five mortality.
methodsWe employ a difference-in-differences design with propensity score matching to identify direct causal effects of antenatal care on under-five mortality based on the Ethiopian Demographic Health Survey data of 2011 and 2016. Our sample includes 22 295 women between the ages of 14-49 who had antenatal care visits at different times before delivery.
resultsThe study revealed 1 481 cases of reported under-five mortality. 99.0% of that under-five mortality cases are women who had less than eight antenatal care visits, while only 1% of that is by women who had eight or more antenatal care visits. Antenatal care visit decreases the likelihood of under-five mortality in Ethiopia by 45.2% (CI = 19.2-71.3%, P-value < 0.001) while the timing of first antenatal care within the first trimester decreases the likelihood of under-five mortality by 10% (CI = 5.7-15.6%, P-value < 0.001).
conclusionsTo achieve a significant reduction in the under-five mortality rate, Intervention programs that encourages more antenatal care visits should be considered. This will improve child survival and help in attaining Sustainable Development Goal targets.
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