ArticlePloS one2022
Factors associated with comprehensive knowledge of antenatal care and attitude towards its uptake among women delivered at home in rural Sehala Seyemit district, northern Ethiopia: A community-based cross-sectional study.
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 10 papers.
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10 citing papers in PubMed.
- The Level of Knowledge About Antenatal Care Among Women of Childbearing Age in the United Arab Emirates.Cureus · 2025Article
- Using social ecological model to assess the determinants of health facility birth preparedness practices among Indigenous Maasai women in Northern Tanzania.BMC public health · 2025Article
- Receipt of adequate antenatal care and associated factors among women delivering in public hospitals, Afar region, Ethiopia.Scientific reports · 2025Article
- Awareness and Utilization of Maternal and Child Health Services Among Women of Reproductive Age in Osogbo, Nigeria.Cureus · 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
- Understanding Interpersonal Influences on Maternal Health Service Utilization at Community Health Centers: A Mixed-Methods Study in Indonesia.Healthcare (Basel, Switzerland) · 2024Article
- Disparities and barriers of health facility delivery following optimal and suboptimal pregnancy care in Nigeria: evidence of home births from cross-sectional surveys.BMC women's health · 2023Article
- Self-Medication and Associated Factors Among Pregnant Women in Rural Ethiopia: The Importance of Husband Education in Ensuring a Safe Pregnancy.Drug, healthcare and patient safety · 2023Article
- Factors determining antenatal care utilization among mothers of deceased perinates in Ethiopia.Frontiers in medicine · 2023Article
- Timely Initiation of Antenatal Care and its Determinants Among Pregnant Women in Ethiopia: A Cross-Sectional Study.SAGE open nursingArticle
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Abstract
backgroundDespite the current sustainable development goal period (i.e. SDG 3), the prevention of maternal and neonatal mortality is not satisfactory in Ethiopia. Keeping women knowledgeable about antenatal care and maintaining a positive attitude towards its uptake, particularly in the marginalized rural community is crucial. However, evidence regarding the knowledge and attitude of women towards antenatal care uptake is scarce. Therefore, this study aimed to assess factors affecting comprehensive knowledge of antenatal care and attitude towards its uptake among women delivered at home in rural Sehala Seyemit district, northern Ethiopia.
methodsA community-based cross-sectional study was conducted from September 1st to October 15th, 2020. A multi-stage sampling technique was used to select 653 women. The data were collected using a semi-structured interview guide. Data were entered into EPI INFO 7.1.2 and analyzed by SPSS version 25. Both bivariable and multivariable logistic regression analyses were undertaken to identify factors associated with women's knowledge of antenatal care and attitude towards its uptake. The level of significant association in the multivariable analysis was determined based on a p-value of < 0.05.
resultsWomen's knowledge of antenatal care and positive attitude towards its uptake was 56.5% and 75.2%, respectively. Older age (AOR = 7.2; 95% CI: 3.43, 15.1), media exposure (AOR = 3.69; 95% CI: 2.41, 5.65), history of abortion (AOR = 11.6; 95% CI: 3.3, 14.6), time to reach health facility (AOR = 4.58; 95% CI: 3.05, 6.88), and history of obstetric danger signs (AOR = 7.3; 95% CI: 3.92, 13.64) were factors significantly associated with knowledge of antenatal care. Furthermore, higher decision-making power (AOR = 8.3; 95% CI: 4.8, 13.83), adequate knowledge of antenatal care (AOR = 2.2; 95% CI: 1.26, 3.71), delivery attended by health extension workers (AOR = 2.3; 95% CI: 1.1, 5.1), and media exposure (AOR = 2.27; 95% CI: 1.30, 3.97) were predictors of a favorable attitude towards antenatal care utilization.
conclusionAlthough the majority of women in the present study had a favorable attitude towards antenatal care uptake, their knowledge level was inadequate. Strengthening access to transportation, mass media, involvement in household decision-making, and encouraging women to deliver at a health facility by a skilled provider may increase women's knowledge and attitude towards antenatal care uptake, thereby improving maternal healthcare service uptake.
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