Evidence map›Paper›PMID 40811640›Full record

ArticlePloS one2025

Spatial patterns and predictors of antenatal care interruption in war-torn Tigray, northern Ethiopia: Spatial modelling approach.

Assefa Ayalew Gebrselassie, Mussie Alemayehu, Haftu Gebrehiwot, Brhane Ayele, Hailay Gebretnsae, Ferehiwot Hailemariam, Tsegay Wellay, Adhena Ayalew, Araya Abrha Medhanyie, Znabu Hadush Kahsay and 22 more

Erratum issuedAbstract read
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Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

32 authors.

Assefa Ayalew GebrselassieSchool of Public Health, Mekelle University, College of Health Sciences, Mekelle, Ethiopia.ORCID https://orcid.org/0000-0003-2938-4653
Mussie AlemayehuSchool of Public Health, Mekelle University, College of Health Sciences, Mekelle, Ethiopia.
Haftu GebrehiwotTigray Health Research Institute, Mekelle, Tigray, Ethiopia.
Brhane AyeleTigray Health Research Institute, Mekelle, Tigray, Ethiopia.ORCID https://orcid.org/0000-0003-4749-4629
Hailay GebretnsaeTigray Health Research Institute, Mekelle, Tigray, Ethiopia.
Ferehiwot HailemariamSchool of Public Health, Mekelle University, College of Health Sciences, Mekelle, Ethiopia.
Tsegay WellaySchool of Public Health, Mekelle University, College of Health Sciences, Mekelle, Ethiopia.
Adhena AyalewSchool of Public Health, Mekelle University, College of Health Sciences, Mekelle, Ethiopia.
Araya Abrha MedhanyieSchool of Public Health, Mekelle University, College of Health Sciences, Mekelle, Ethiopia.
Znabu Hadush KahsaySchool of Public Health, Mekelle University, College of Health Sciences, Mekelle, Ethiopia.
Liya MamoSchool of Public Health, Mekelle University, College of Health Sciences, Mekelle, Ethiopia.
Mebrahtu Kalayu ChekoleSchool of Public Health, Mekelle University, College of Health Sciences, Mekelle, Ethiopia.
Reda ShamieSchool of Public Health, Mekelle University, College of Health Sciences, Mekelle, Ethiopia.
Mohammedtahir YahyaDepartment of Obstetrics and Gynecology, School of Medicine, Mekelle University, College of Health Sciences, Mekelle, Ethiopia.
Melaku AbrahaMekelle Hamlin Fistula Center, Mekelle, Tigray, Ethiopia.
Hayelom KahsayTigray Health Research Institute, Mekelle, Tigray, Ethiopia.
Tsegay HadguTigray Health Research Institute, Mekelle, Tigray, Ethiopia.
Fana GebreslassieTigray Health Research Institute, Mekelle, Tigray, Ethiopia.
Asfawosen AregayTigray Health Research Institute, Mekelle, Tigray, Ethiopia.
Kiros DemozTigray Health Research Institute, Mekelle, Tigray, Ethiopia.
Mulugeta TilahunTigray Health Research Institute, Mekelle, Tigray, Ethiopia.
Mulugeta WolduTigray Health Research Institute, Mekelle, Tigray, Ethiopia.
Ataklti GebrtsadikTigray Health Research Institute, Mekelle, Tigray, Ethiopia.
Abraham Aregay DestaTigray Health Research Institute, Mekelle, Tigray, Ethiopia.
Gebrehaweria GebrekuristosTigray Health Bureau, Mekelle, Tigray, Ethiopia.
Amanuel HaileTigray Health Bureau, Mekelle, Tigray, Ethiopia.
Rieye EsayasTigray Health Bureau, Mekelle, Tigray, Ethiopia.
Tsegay BerihuTigray Health Bureau, Mekelle, Tigray, Ethiopia.
Abrham GebrelibanosMARCH research center, College of Health Sciences, Mekelle, Tigray, Ethiopia.
Tadele TesfeanMARCH research center, College of Health Sciences, Mekelle, Tigray, Ethiopia.ORCID https://orcid.org/0000-0001-5142-5218
Ashenafi AsmelashMums for Mums, Mekelle, Tigray, Ethiopia.
Afework Mulugeta BezabhSchool of Public Health, Mekelle University, College of Health Sciences, Mekelle, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAntenatal care (ANC) is vital for maternal health, yet its provision has been severely disrupted in conflict-affected Tigray, Ethiopia. This study employs a community-based approach to analyze the spatial patterns and predictors of ANC interruption in conflict-affected, Tigray region, northern Ethiopia. METHODS AND MATERIALS: A cross-sectional design was used, to select 2,444 eligible women from 13,915 women of reproductive age across from six zones and 57 clusters. Multistage cluster sampling was employed to approach the study participants. Data were collected using structured questionnaires, and geographic coordinates were obtained for spatial geo-points. A spatial logistic regression model was used to assess the effects of geographic and socio-demographic factors on ANC interruptions, accounting for spatial dependencies.

resultsThe prevalence of ANC interruption was24.8% (n = 605, 95% CI: 23.1%, 26.5%). Each additional minute of travel increased the log-odds of interruption by 0.000353 (SE = 0.0001, p < 0.001. Geographic zone significantly influenced ANC interruptions, with women in the southeast and eastern zones experiencing lower log-odds compared to the northwest zone. Moreover, having more under- five children raised the log-odds of ANC interruption by 0.083 (SE = 0.01, p < 0.001). Households without a radio had a 0.089 lower log-odds of ANC interruption (SE = 0.033425, p = 0.007), highlighting the importance of access to information. The war's impact was significant, with 96.5% (2,358, 95% CI: [95.4%, 97.6%]) reporting a family member was disabled; of these, 72.7% (1,778, 95% CI: [71.0%, 74.4%]) did not postpone their ANC visit, while 23.7% (580, 95% CI: [22.2%, 25.2%]) did.

conclusionsThe findings revealed a significant ANC interruption in Tigray, influenced by geographic disparities, household dynamics, and information access. Improving infrastructure and security, implementing targeted interventions, enhancing mass media health information dissemination, and further research on geographic disparities are essential.

Indexed as

Prenatal CareAdolescentAdultArmed ConflictsCross-Sectional StudiesEthiopiaFemaleHumansMiddle AgedPregnancySpatial AnalysisYoung Adult

Identifiers

PMID40811640
PMCPMC12352755

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