ArticleReproductive health2021
Timing of first antenatal care visits and number of items of antenatal care contents received and associated factors in Ethiopia: multilevel mixed effects analysis.
Article in Reproductive health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed.
- A multilevel modelling approach to understanding antenatal care utilisation in Uganda.BMC pregnancy and childbirth · 2026Article
- Time to initiation of antenatal care and its predictors among pregnant women across 35 sub-Saharan African countries (2011-2024): A multilevel mixed-effects acceleration failure time model of multination population survey data.Reproductive health · 2026Article
- Maternal factors associated with antenatal care attendance: Nationally representative cross-sectional survey in Mexico.Journal of family medicine and primary care · 2026Article
- Healthcare access barriers and maternal healthcare service uptake in 14 sub-Saharan African countries (2017-2021): a propensity score matched analysis.BMJ public health · 2026Article
- Unlock the drivers of early ANC visits among pregnant women in Kasulu town council, Tanzania: an institutional cross-sectional study.Reproductive health · 2025Article
- Strengthening the first antenatal visit to improve maternal health: results from a cross-sectional study in Bantul, Indonesia.BMC pregnancy and childbirth · 2025Article
- Unveiling the sociodemographic and socioeconomic determinants of antenatal care utilization in Bangladesh: insights from the 2017-18 BDHS.Journal of health, population, and nutrition · 2025Article
- Article
- 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
- Trends and factors associated with delays in the first prenatal consultation in Guinea.Journal of public health in Africa · 2025Article
- Universal Utilization of Optimally Timed First Obstetric Ultrasound Among Pregnant Women in a Low-Middle Income Country: A Multicenter Prospective Study.Obstetrics and gynecology international · 2025Article
- Joint predictors of antenatal care contacts and timing of antenatal care initiation among women of reproductive age in Ethiopia.PloS one · 2025Article
- Article
- Socioeconomic inequality in timing of ANC visit among pregnant women in Ethiopia, 2019.Frontiers in public health · 2024Article
- Assessment of quality of antenatal care services and associated factors in Malawi: Insights from a nationwide household survey.PloS one · 2024Article
- Article
- Spatial patterns and predictors of missing key contents of care during prenatal visits in Ethiopia: Spatial and multilevel analyses.PloS one · 2024Article
- Mean difference in timing of first antenatal checks across regions and associated factors among pregnant women attending health facilities in Ethiopia: evidence from Ethiopian demographic health survey, 2019.BMC public health · 2023Article
- Determinants of fetomaternal complication of instrumental vaginal delivery among women who gave childbirth in Southern Ethiopia: a facility-based cross-sectional study.BMC research notes · 2023Article
- Disparities in health and nutrition between semi-urban and rural mothers and birth outcomes of their newborns in Bukavu, DR Congo: a baseline assessment.Primary health care research & development · 2023Article
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2 authors.
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Abstract
backgroundReceiving quality antenatal care (ANC) from skilled providers is essential to ensure the critical health circumstances of a pregnant woman and her child. Thus, this study attempted to assess which risk factors are significantly associated with the timing of antenatal care and the number of items of antenatal care content received from skilled providers in recent pregnancies among mothers in Ethiopia.
methodsThe data was extracted from the Ethiopian Demographic and Health Survey 2016. A total of 6645 mothers were included in the analysis. Multilevel mixed-effects logistic regression analysis and multilevel mixed Negative binomial models were fitted to find the factors associated with the timing and items of the content of ANC services. The 95% Confidence Interval of Odds Ratio/Incidence Rate Ratio, excluding one, was reported as significant.
resultsAbout 20% of the mothers initiated ANC within the first trimester, and only 53% received at least four items of antenatal care content. Being rural residents (IRR = 0.82; 95%CI: 0.75-0.90), wanting no more children (IRR = 0.87; 95%CI: 0.79-0.96), and the husband being the sole decision maker of health care (IRR = 0.88; 95%CI: 0.81-0.96), were associated with reduced items of ANC content received. Further, birth order of six or more (IRR = 0.74; 95%CI: 0.56-0.96), rural residence (IRR = 0.0.41; 95%CI: 0.34-0.51), and wanting no more children (IRR = 0.61; 95%CI: 0.48-0.77) were associated with delayed antenatal care utilization.
conclusionsRural residences, the poorest household wealth status, no education level of mothers or partners, unexposed to mass media, unwanted pregnancy, mothers without decision-making power, and considerable distance to the nearest health facility have a significant impact on delaying the timing of ANC visits and reducing the number of items of ANC received in Ethiopia. Mothers should start an antenatal care visit early to ensure that a mother receives all of the necessary components of ANC treatment during her pregnancy.
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