The Number of Antenatal Care Visit and its Determinant Factors Using the 2016 EDHS Data: Application of Count Regression Models
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Date
2021-10
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Addis Ababa University
Abstract
Background: Antenatal care gives women and their families the information and advice they
need to have a healthy pregnancy, have safe childbirth, and recover postpartum. ANC is an
important intervention for lowering maternal and newborn mortality. There have been some
studies done on determinants that affect the number of the minimum recommended antenatal
care visits attendance, and it would be interesting to see the number of antenatal care visits
and its determinant factor among pregnant women in Ethiopia from the 2016 Ethiopia
Demographic Health Survey.
Objective: To assess the frequency of antenatal care visits and the factors affecting it using
the 2016 EDHS Data through the application of count regression models
Methods: The research was carried out in Ethiopia using data from the 2016 Ethiopia
Demographic Health Survey. A weighted sample of 7575 women who gave birth in the last
five years before the survey was included in the final analysis. The data was exported to
STATASE 14 (64-bit) software was used for analysis. A multivariable Negative Binomial
regression analysis approach was carried out to identify the number of ANC visits and the
determinants that affect the number of ANC visits, because the response variable was over
dispersed. Finally, the IRR was used to report the relationship between the frequency of ANC
and explanatory variables, along with its 95 percent confidence interval.
Result: (62.79%) of mothers had at least one antenatal care visit, (37.21%) had no antenatal
care visit, and only 31.88% attended four or more ANC visits during their pregnancy in
Ethiopia. Maternal age (+35 years, IRR = 1.13; 95% CI: 1.01-1.26), residence (rural, IRR =
0.91; 95% CI: 0.83-0.99), maternal education (primary, IRR = 1.05; 95% CI: 1.00-1.09, and
secondary, IRR = 1.08; 95% CI: 1.01-1.15), wealth quintile (richer, IRR = 1.13; 95% CI:
1.06-1.21, and richest, IRR = 1.17; 95% CI: 1.08-1.28), place of ANC service (public, IRR =
1.28; 95% CI: 1.06-1.56, and private, IRR = 1.32; 95% CI: 1.05-1.66), and ANC providers
(nurse/midwife/HO, IRR = 0.86; 95% CI: 0.79-0.94, HEW, IRR = 0.87; 95% CI: 0.78-0.97),
and first ANC visit (>3 months, IRR = 0.71; 95% CI: 0.68-0.74) were significantly
associated with level of antenatal care visits.
Conclusion: Frequency of antenatal care visits is low in Ethiopia. Maternal age, residence,
maternal educational status, wealth quintile, place of ANC service, and type of ANC
providers were significantly associated with the level of antenatal care visits.
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Keywords
Number of antenatal care visits, count regression model, EDHS