Abstract
BackgroundAntenatal care provides the best opportunity to promote maternal and child health services use. But many Ethiopian mothers deliver at home and fail to attend postnatal care. Therefore, this study was done to identify factors associated with health facility delivery among mothers who attended four or more antenatal care visits. The study was also intended to identify factors associated with postnatal care service use among mothers who delivered at home after four or more antenatal care visits.MethodsThis study used the 2016 Ethiopian Demographic and Health Survey data. Two thousand four hundred fifteen women who attended four or more antenatal care visits were included to identify factors associated with health facility delivery after four or more antenatal care visits. Among them, 1055 mothers delivered at home. These women were included to identify factors associated with postnatal care service use. Stata 15.1 was used to analyze the data. Multivariable logistic regression model was fitted to identify associations between the outcome and predictor variables.ResultsAmong women who had four or more antenatal care visits, 56% delivered at health facility. Mothers with secondary or higher level of education (AOR = 2.9; 95% CI = 1.6–5.3), urban residents (AOR = 3.4; 95% CI = 1.9–6.1), women with highest wealth quintile (AOR = 2.7; 95% CI = 1.5–4.8), and working women (AOR = 1.6; 95% CI = 1.2–2.3) had higher odds of delivering at health facilities. High birth order (AOR = 0.5; 95% CI = 0.3–0.7) was negatively associated with a lower likelihood of health facility delivery. Among women who delivered at home, only 8% received postnatal care within 42 days after delivery. Only the content of care received during antenatal care visits (AOR = 1.40; 95% CI = 1.1–1.8) was significantly associated with postnatal care attendance.ConclusionWomen with lower socio-economic status had lower odds of giving birth at health facility even after attending antenatal care. The more antenatal care components a mother received, the higher her probability of delivering at health facility. Similarly, postnatal care attendance was higher among women who had received more antenatal care components.
Highlights
Antenatal care provides the best opportunity to promote maternal and child health services use
These women were included to identify factors associated with postnatal care service use among mothers who delivered at home after four or more Antenatal care (ANC) visits (Fig. 1)
Health facility delivery among women who attended four or more antenatal care visits Among women who attended four or more ANC visits, 56% delivered at health facility
Summary
Antenatal care provides the best opportunity to promote maternal and child health services use. This study was done to identify factors associated with health facility delivery among mothers who attended four or more antenatal care visits. The study was intended to identify factors associated with postnatal care service use among mothers who delivered at home after four or more antenatal care visits. Antenatal care (ANC), skilled attendant at delivery and postnatal care (PNC) are some of these effective interventions [3,4,5,6,7,8,9]. A systematic review and meta-analysis of evidences in sub-Saharan African countries documented that mothers who attended at least four ANC visits were seven times more likely to deliver in health facility [16]. A study conducted in Debremarkos town, Northwest Ethiopia, reported that women who attended four or more ANC visits were five times more likely to deliver in health facility compared with women who attended fewer visits [23]
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