ArticlePloS one2022
Levels and associated factors of the maternal healthcare continuum in Hadiya zone, Southern Ethiopia: A multilevel analysis.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Effect of pregnancy intention on completion of maternity continuum of care in Sub-Saharan Africa: systematic review and meta-analysis.BMC pregnancy and childbirth · 2024Pooled it
- The continuum of care for maternal health in Africa: A systematic review and meta-analysis.PloS one · 2024Pooled it
- First trimester antenatal care contact in Africa: a systematic review and meta-analysis of prevalence and contributing factors.BMC pregnancy and childbirth · 2023Pooled it
- Husbands' Knowledge of Obstetric Danger Signs, Attitude, and Involvement in the Maternity Continuum of Care in Rural Central Ethiopia: A Community-Based Cross-Sectional Study.Health science reports · 2026Article
- Effectiveness of couple-based maternity education on husbands' involvement in maternity continuum of care service utilization in rural communities of Central Ethiopia: Protocol of cluster randomized controlled trial.Contemporary clinical trials communications · 2026Article
- Assessing metrics for evaluating the maternal continuum of care in Ethiopia: A scoping review.PLOS global public health · 2026Article
- The Determinants of Coexisting Anemia and Undernutrition Among Pregnant Women in Southern Ethiopia: A Multi-Level Analysis.Healthcare (Basel, Switzerland) · 2025Article
- Continuum of maternal health care utilisation in Sub-Saharan African countries: A positive deviance approach.PloS one · 2025Article
- Completion of maternal and child health continuum of care and associated factors in West Gondar Zone, North West Ethiopia, 2023: a community based cross sectional study.BMC pregnancy and childbirth · 2024Article
- Quality intrapartum care and associated factors in East Africa: multilevel analysis of recent demographic and health survey.Frontiers in global women's health · 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
- Completion of the Continuum of Maternity Care in the Emerging Regions of Ethiopia: Analysis of the 2019 Demographic and Health Survey.International journal of environmental research and public health · 2023Article
- Completion of the maternal continuity of care and associated factors among women who gave birth in the last 6 months in Kena District, southern Ethiopia: A community-based cross-sectional study, 2023.Women's health (London, England)Article
- Individual- and community-level determinants of maternal health service utilization in southern Ethiopia: A multilevel analysis.Women's health (London, England)Article
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9 authors.
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Abstract
backgroundThe continuity of care throughout pregnancy, birth, and after delivery is an effective strategy to avert maternal and newborn deaths. A low proportion of mothers have achieved the continuum of maternal care in Ethiopia. This study aimed to assess the rate and factors associated with the completion of a continuum of maternal healthcare services in Hadiya Zone, Southern Ethiopia.
methodsA community-based, cross-sectional study was conducted over two months (from September to October 2021) in 18 kebeles of the Hadiya zone, southern Ethiopia. Multistage cluster sampling was carried out to select the required study subjects, and data were collected using a structured, interviewer-administered questionnaire. A multilevel binary logistic regression model was used to examine the effects of individual and community-level factors on key elements of the care continuum. The measure of fixed effects was expressed as an odds ratio with a 95% confidence interval (CI).
resultsIn this study, only 11.3% of women completed all components of the care continuum, which included four or more antenatal visits, skilled birth attendance, and postnatal care. The factors that are significantly associated with the completion of maternal care include higher maternal education [AOR = 4.1; 95%CI: 1.3-12.6], urban residence [AOR = 1.8; 95%CI: 1.1-3.0], time of first antenatal care follow-up [AOR = 2.7; 95% CI: 1.6-4.6], knowledgeability regarding postnatal danger signs [AOR = 1.9, 95% CI: 1.1-3.3], being in the highest wealth quintile [AOR = 2.8; 95%CI: 1.2-6.6] and primipara [AOR = 3.6; 95%CI: 1.4-9.4].
conclusionThe rate of continuum of maternal healthcare services utilization was low in the study area. The findings indicated that higher maternal education, urban residence, time of first antenatal care follow-up, knowledgeability regarding postnatal danger signs, being in the highest wealth quintile and primipara were the factors associated with the completion of the continuum of maternal care. As a result of this study's findings, program planners and ministry of health and non-governmental organizations working on maternal health should prioritize continued and strengthened health education in order to increase the completion level of the continuum of maternal healthcare services.
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