Antenatal Care Service Utilization among Women of Recent Delivery under COVID Environment: Analysis of the Determinants of Access and Quality of Services in Selected Health Facilities in Burayu Town, Oromia, Ethiopia
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Date
2021-09
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Addis Ababa University
Abstract
In Ethiopia, although the use of maternal health services, including antenatal care has improved, most
of the mothers do not attend and use a minimum number of four visits and the six-core set of items
of ANC services recommended by the World Health Organization (WHO). Therefore, the objective
of the study was to investigate determinants and quality of ANC in the Burayu Healthcare center,
Ethiopia. A cross-sectional study was conducted on 420 mothers who gave birth within the past six
months as of March to June 2021 at Burayu Healthcare center, Ethiopia. Data were entered into Epi
data version 3.1 and exported to STATA version 14 software. Multivariable logistic and Negative
Binomial regression models were used to determine the determinants of the two outcome variables.
Among the 420 mothers included in this study, the majority of the mothers (68.6%) attended 4+ ANC
visits and a very small proportion (1.9%) of mothers received all the six selected elements of ANC
services. In multivariable logistic regression analysis of the determinants of frequency of ANC visits,
women who were from urban, early starters of ANC visit, those with inter-pregnancy of less than or
equal to 24 months and who had pregnancy-related acute illness had higher odds of receiving at least
4
+visits compared to their respective reference categories. Similarly in multivariate negative
binomial regression analysis, married mothers, mothers with morbidity history, pregnancy-related
acute illness, and who spent less than 30 minutes to reach health facilities were more likely to receive
the WHO recommended items/contents of ANC services than their counter parts. Their respective
odds ratios were marital statuses (AOR =1.05; 95%CI: 1.01-1.09), mothers with no morbidity history
(AOR = 1.03, 95% CI: 1.02–1.06), and the mothers who lives at a distant greater than one hour from
health facilities (AOR = 1.88; 95% CI: 1.85–1.91). Moderate and extremely low levels of compliance
with the WHO minimum recommended ANC visit (4+ visit) and core contents or items of the ANC
respectively have been observed in Burayu town. Health promotion programs targeting mothers are
vital to increase their awareness about the importance of antenatal services and to improve the
coverage and contents of ANC services in Burayu.
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Keywords
Antenatal Care Utilization, Recently delivered mothers, Burayu, Ethiopia