ArticleBMJ open2025
Individual-level and community-level determinants of the number of antenatal care visits in emerging regions of Ethiopia: a negative binomial model.
Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Zero-inflated negative binomial modelling of antenatal care utilization and it's predictors in Somaliland:Frontiers in global women's health · 2026Article
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Abstract
objectiveThis study was carried out to identify individual-level and community-level factors influencing the number of antenatal care (ANC) visits in Ethiopia's emerging regions (Afar, Somali, Benishangul-Gumuz and Gambella).
designCross-sectional study design.
settingEthiopia's emerging regions (Afar, Somali, Benishangul-Gumuz and Gambella) from the 2016 Ethiopian Demographic and Health Survey (EDHS).
participantsThe analysis included a total weighted sample of 441 women from the EDHS dataset who had given birth within the 5 years before the survey. PRIMARY OUTCOMES: The number of ANC visits.
resultsIn this study, 20.5% (95% CI: 16.7%, 24.5%) of pregnant women received four minimum recommended visits. Women with secondary (incidence rate ratio, IRR 1.3; 95% CI: 1.1, 1.5), and higher (IRR 1.3; 95% CI: 1.1, 1.5) education, terminated pregnancy (IRR 2.3; 95% CI: 1.9, 3.1), wanted pregnancy (IRR 1.4; 95% CI: 1.3, 2.3), high community poverty (IRR 0.5; 95% CI: 0.4, 0.7), community media exposure (IRR 1.3; 95% CI: 1.3, 1.8) and high community illiteracy (IRR 0.6; 95% CI: 0.5, 0.9) were significant predictors of many ANC visits in Ethiopia's emerging regions.
conclusionsAccording to the findings of our study, more than three-quarters of pregnant mothers in Ethiopia's emerging region did not receive the adequate number of visits recommended by the WHO. Pregnancy desirability, history of a terminated pregnancy, maternal education, community poverty level, community literacy and community media exposure were significantly associated with the number of ANC visits. Therefore, promoting interpectoral actions would be vital in improving maternal health.
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