Abstract
Mortality from preventable pregnancy-related complications remains high in Ethiopia. Antenatal care remains a major public health intervention that prevents maternal and neonatal mortality. Thus, this study aimed to assess the magnitude and determinants of adequate antenatal care utilization in Southern Ethiopia. A community-based cross-sectional study was conducted between November and December 2019. A systematic random sampling technique was used to select 670 women. Data were collected using a pre-tested structured questionnaire administered with a digital survey tool (open data kit) and directly exported to STATA version 15 for analysis. Descriptive statistics followed by a multivariable logistic regression analysis were performed. Both crude and adjusted odds ratios (ORs) with 95% confidence intervals were reported. The magnitude of adequate antenatal care utilization was 23.13%. Tertiary and above education (AOR,4.15;95%CI: 1.95, 8.83), having the best friend who used maternal care (AOR,2.01;95%CI: 1.18,3.41), husband support (AOR,3.84; 95%CI: 1.05, 14.08), high wealth index (AOR,3.61; 95%CI: 1.86, 6.99), follow-up in private health facilities (AOR, 2.27;95% CI:1.33, 3.88), having a history of risky pregnancy (AOR,2.59; 95%CI: 1.55, 4.35), and planned pregnancy (AOR,2.60;95% CI: 1.35, 4.99) were significant determinants of overall adequate ANC service utilization. The utilization of adequate antenatal care services is quite low. The study findings suggest that interventions should be in place to improve husband's support, social networks, and women's education. There is also a need to counsel women to utilize family planning.
Highlights
Pregnancy and childbirth-related obstetric complications are the driving causes of maternal mortality among women of reproductive age in many developing countries [1, 2]
Tertiary and above education (AOR,4.15;95%Confidence Interval (CI): 1.95, 8.83), having the best friend who used maternal care (AOR,2.01;95%CI: 1.18,3.41), husband support (AOR,3.84; 95%CI: 1.05, 14.08), high wealth index (AOR,3.61; 95%CI: 1.86, 6.99), follow-up in private health facilities (AOR, 2.27;95% CI:1.33, 3.88), having a history of risky pregnancy (AOR,2.59; 95%CI: 1.55, 4.35), and planned pregnancy (AOR,2.60;95% CI: 1.35, 4.99) were significant determinants of overall adequate Ante Natal Care (ANC) service utilization
The study findings suggest that interventions should be in place to improve husband’s support, social networks, and women’s education
Summary
Pregnancy and childbirth-related obstetric complications are the driving causes of maternal mortality among women of reproductive age in many developing countries [1, 2]. Mortality from preventable pregnancy-related complications remains high with 300,000 maternal deaths which accounts for 66% of the global cases. Ethiopia is one of the 24 countries with a maternal mortality ratio greater than 400 and a high infant mortality rate of 48% [3,4,5,6,7]. Antenatal care remains a significant public health intercession for preventing maternal and neonatal mortality worldwide, by enhancing the chance of accessing life-saving obstetric care [11, 12]. Mortality from preventable pregnancy-related complications remains high in Ethiopia. Antenatal care remains a major public health intervention that prevents maternal and neonatal mortality.
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