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Poor linkages in maternal health care services-evidence on antenatal care and institutional delivery from a community-based longitudinal study in Tigray region, Ethiopia.

Melaku YA, Weldearegawi B, Tesfay FH, Abera SF, Abraham L, Aregay A, Ashebir Y, Eshetu F, Haile A, Lakew Y, Kinsman J - BMC Pregnancy Childbirth (2014)

Bottom Line: Institutional delivery services were more likely to be used among older mothers, urban residents, women with secondary education, mothers who visited antenatal care, and mothers with lower parity.Despite a relatively high proportion of mothers attending antenatal care services at least once, we found low levels of institutional delivery service utilization.Health service providers in Kilite-Awlaelo should be particularly vigilant regarding the additional maternal health needs of rural and less educated women with high parity.

View Article: PubMed Central - PubMed

Affiliation: Department of Public Health, Mekelle University, College of Health Sciences, P.O. Box 1871, Mekelle, Ethiopia. adamayohannes@gmail.com.

ABSTRACT

Background: Progress towards attaining the maternal mortality and maternal health targets set by Millennium Development Goal 5 has been slow in most African countries. Assessing antenatal care and institutional delivery service utilization and their determinants is an important step towards improving maternal health care services.

Methods: Data were drawn from the longitudinal database of Kilite-Awlaelo Health and Demographic Surveillance System. A total of 2361 mothers who were pregnant and who gave birth between September 2009 and August 2013 were included in the analysis. Potential variables to explain antenatal care and institutional delivery service utilization were extracted, and descriptive statistics and logistic regression were used to determine the magnitude of maternal health care service utilization and associated factors, respectively.

Results: More than three-quarters, 76% [95% CI: 74.8%-78.2%] (n = 1806), of mothers had undergone at least one antenatal care visit during their previous pregnancy. However, only 27% [95% CI: 25.3%-28.9%] (n = 639) of mothers gave birth at a health institution. Older mothers, urban residents, mothers with higher education attainment, and farmer mothers were more likely to use antenatal care. Institutional delivery services were more likely to be used among older mothers, urban residents, women with secondary education, mothers who visited antenatal care, and mothers with lower parity.

Conclusions: Despite a relatively high proportion of mothers attending antenatal care services at least once, we found low levels of institutional delivery service utilization. Health service providers in Kilite-Awlaelo should be particularly vigilant regarding the additional maternal health needs of rural and less educated women with high parity.

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Related in: MedlinePlus

Pattern of antenatal care and institutional delivery services utilization across age categories in northern Ethiopia between 2009 and 2012 (trend of odds χ2: institutional delivery, p = 0.0389 and antenatal care, p = 0.0636).
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Fig2: Pattern of antenatal care and institutional delivery services utilization across age categories in northern Ethiopia between 2009 and 2012 (trend of odds χ2: institutional delivery, p = 0.0389 and antenatal care, p = 0.0636).

Mentions: More than a third (35.5%) of mothers in the age group 15–19 years gave birth in a health institution, while twice as many mothers in the same age category received ANC services (71.1%). Similarly, the proportion of women aged between 35 and 39 who used ANC services was three times (76.8%) higher than the proportion in the same age group who delivered at health institution (25.8%). In general, the proportion of women who had an ANC visit was 2 to 3 times higher than the proportion of mothers who gave birth at a health institution. As age increased the proportion of women who delivered at health institution tended to decline (Figure 2).Figure 2


Poor linkages in maternal health care services-evidence on antenatal care and institutional delivery from a community-based longitudinal study in Tigray region, Ethiopia.

Melaku YA, Weldearegawi B, Tesfay FH, Abera SF, Abraham L, Aregay A, Ashebir Y, Eshetu F, Haile A, Lakew Y, Kinsman J - BMC Pregnancy Childbirth (2014)

Pattern of antenatal care and institutional delivery services utilization across age categories in northern Ethiopia between 2009 and 2012 (trend of odds χ2: institutional delivery, p = 0.0389 and antenatal care, p = 0.0636).
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4279812&req=5

Fig2: Pattern of antenatal care and institutional delivery services utilization across age categories in northern Ethiopia between 2009 and 2012 (trend of odds χ2: institutional delivery, p = 0.0389 and antenatal care, p = 0.0636).
Mentions: More than a third (35.5%) of mothers in the age group 15–19 years gave birth in a health institution, while twice as many mothers in the same age category received ANC services (71.1%). Similarly, the proportion of women aged between 35 and 39 who used ANC services was three times (76.8%) higher than the proportion in the same age group who delivered at health institution (25.8%). In general, the proportion of women who had an ANC visit was 2 to 3 times higher than the proportion of mothers who gave birth at a health institution. As age increased the proportion of women who delivered at health institution tended to decline (Figure 2).Figure 2

Bottom Line: Institutional delivery services were more likely to be used among older mothers, urban residents, women with secondary education, mothers who visited antenatal care, and mothers with lower parity.Despite a relatively high proportion of mothers attending antenatal care services at least once, we found low levels of institutional delivery service utilization.Health service providers in Kilite-Awlaelo should be particularly vigilant regarding the additional maternal health needs of rural and less educated women with high parity.

View Article: PubMed Central - PubMed

Affiliation: Department of Public Health, Mekelle University, College of Health Sciences, P.O. Box 1871, Mekelle, Ethiopia. adamayohannes@gmail.com.

ABSTRACT

Background: Progress towards attaining the maternal mortality and maternal health targets set by Millennium Development Goal 5 has been slow in most African countries. Assessing antenatal care and institutional delivery service utilization and their determinants is an important step towards improving maternal health care services.

Methods: Data were drawn from the longitudinal database of Kilite-Awlaelo Health and Demographic Surveillance System. A total of 2361 mothers who were pregnant and who gave birth between September 2009 and August 2013 were included in the analysis. Potential variables to explain antenatal care and institutional delivery service utilization were extracted, and descriptive statistics and logistic regression were used to determine the magnitude of maternal health care service utilization and associated factors, respectively.

Results: More than three-quarters, 76% [95% CI: 74.8%-78.2%] (n = 1806), of mothers had undergone at least one antenatal care visit during their previous pregnancy. However, only 27% [95% CI: 25.3%-28.9%] (n = 639) of mothers gave birth at a health institution. Older mothers, urban residents, mothers with higher education attainment, and farmer mothers were more likely to use antenatal care. Institutional delivery services were more likely to be used among older mothers, urban residents, women with secondary education, mothers who visited antenatal care, and mothers with lower parity.

Conclusions: Despite a relatively high proportion of mothers attending antenatal care services at least once, we found low levels of institutional delivery service utilization. Health service providers in Kilite-Awlaelo should be particularly vigilant regarding the additional maternal health needs of rural and less educated women with high parity.

Show MeSH
Related in: MedlinePlus