Evidence map›Paper›PMID 42499175›Full record

ArticleJournal of pregnancy2026

Nonadherence to the WHO 2016 Antenatal Care Model and Associated Factors Among Delivering and Postnatal Women in Southern Ethiopia: A Cross-Sectional Study.

Kassa Genetu, Genet Mekuye, Anteneh Gashaw, Addisu Getnet, Zerihun Figa

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Article in Journal of pregnancy, 2026. 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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1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Kassa GenetuDepartment of Midwifery, College of Medicine and Health Sciences, Dilla University, Dilla, Ethiopia, du.edu.et.ORCID https://orcid.org/0000-0002-6021-6327
Genet MekuyeDepartment of Midwifery, College of Medicine and Health Sciences, Dilla University, Dilla, Ethiopia, du.edu.et.ORCID https://orcid.org/0009-0000-9702-6335
Anteneh GashawDepartment of Midwifery, College of Medicine and Health Sciences, Dilla University, Dilla, Ethiopia, du.edu.et.ORCID https://orcid.org/0009-0002-8396-2186
Addisu GetnetDepartment of Midwifery, College of Medicine and Health Sciences, Dilla University, Dilla, Ethiopia, du.edu.et.ORCID https://orcid.org/0000-0002-9771-3167
Zerihun FigaDepartment of Midwifery, College of Medicine and Health Sciences, Dilla University, Dilla, Ethiopia, du.edu.et.ORCID https://orcid.org/0000-0003-1731-5511

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo reduce maternal and fetal mortality and morbidity, the World Health Organization (WHO) recommended eight or more antenatal care (ANC) contacts for pregnant mothers, known as the WHO 2016 ANC model. However, the effectiveness of the model depends on the adherence of pregnant mothers. Therefore, this study is aimed at assessing nonadherence to the 2016 ANC model and the associated factors among delivering and postnatal mothers in southern Ethiopia.

methodAn institution-based cross-sectional study was conducted from August 25, 2024, to October 20, 2024, at Dilla University Teaching Hospital, Dilla town, southern Ethiopia. A systematic random sampling technique was used to select the study participants. A pretested questionnaire was used to collect data on KoboCollect, and data analysis was conducted using the Statistical Package for the Social Sciences (SPSS) Version 25. A descriptive analysis was conducted and presented in tables, graphs, charts, and bars. Bivariate and multivariate analyses were performed to identify associations between nonadherence to the 2016 ANC model and other factors. Multivariable analysis at the level of 95% confidence intervals of statistical significance was declared at a p value < 0.05.

resultIn this study, 308 women participated, making a response rate of 95%. The mean age of study participants was 26.16 ± 5.51. Almost half (49.7%) of participants were housewives, 94 (30.5%) of the women attended secondary school, and 160 (51.9%) resided in urban settings. The study revealed that 45.5% (95% CI: 42.12, 56.3) of respondents were nonadherent to the WHO 2016 ANC model. Women who reside in rural settings (AOR: 2.4; 95% CL: 1.14-3.42), having no formal education (AOR: 2.4; 95% CI: 1.009-4.08), women's husbands being the principal income generator of the household (AOR: 2.01; 95% CI: 1.009-4.08), and women's husbands being head of the household (AOR: 11.53; 95% CI: 1.024-38.6) were significantly associated with nonadherence to the WHO 2016 model.

conclusionWe found that nearly half of laboring and postnatal women were nonadherent to the newly recommended WHO 2016 eight-contact ANC model. Therefore, efforts should focus on women's economic empowerment and education, with particular emphasis on raising awareness about the importance of attending frequent ANC visits. Future researchers should consider conducting qualitative studies to better explore the reasons behind nonadherence to ANC.

Indexed as

Patient CompliancePrenatal CareAdolescentAdultCross-Sectional StudiesEthiopiaFemaleHumansPregnancySurveys and QuestionnairesWorld Health OrganizationYoung Adultantenatal careassociated factornonadherencepregnant womensouthern Ethiopia

Identifiers

PMID42499175
PMCPMC13400987

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.