Completion of the Continuum of Maternity Care in the Emerging Regions of Ethiopia

Analysis of the 2019 Demographic and Health Survey

Dados Bibliográficos

ID15470882
AutoresAbdulaziz Mohammed Hussen (0000-0003-1609-8498, Utrecht University, autor correspondente), Ibrahim Mohammed Ibrahim (0000-0003-3909-5433, Samara University), Binyam Tilahun (0000-0003-0565-708X, University of Gondar), Özge Tunçalp (0000-0002-5370-682X, World Health Organization), Diederick E Grobbee (0000-0003-4472-4468, Utrecht University), Jessica L Browne (0000-0001-7048-3245, Utrecht University), Joyce L Browne (Julius Global Health, Julius Centre for Health Sciences and Primary Care University Medical Centre Utrecht, Utrecht University, 3584 CX Utrecht, The Netherlands)
Ano2023
Volume20
Fascículo13
Páginas6320-6320
Data de publicação2023-07-07
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoInternational Journal of Environmental Research and Public Health (JOURNAL)
Identificadores do periódicoISSN: 1661-7827 • E-ISSN: 1660-4601
EditoraMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph20136320
PMID37444167
OpenAlexW4383819643
IdiomaEN
Citações recebidas2
Referências citadas57

Maternal mortality in Ethiopia was estimated to be 267 per 100,000 live births in 2020. A significant number of maternal deaths occur in the emerging regions of the country: Afar, Somali, Gambela, and Benishangul-Gumuz. Achieving the Sustainable Development Goal (SDG) target requires a dramatic increase in maternal healthcare utilisation during pregnancy, childbirth, and the postpartum period. Yet, there is a paucity of evidence on the continuum of maternity care utilisation in Ethiopia, particularly in the emerging regions. Therefore, this study aimed to assess completion and factors associated with the continuum of maternity care in the emerging regions of Ethiopia. This study used the 2019 Ethiopian Demographic and Health Survey data (n = 1431). Bivariable and multivariable logistic regression analyses were carried out to identify factors associated with the completion of the continuum of maternity care. An adjustment was made to the survey design (weight, stratification, and clustering). 9.5% (95% Confidence Interval (CI): 7.0-13.0) of women completed the continuum of maternity care (four or more antenatal care, institutional delivery, and postnatal care within 24 h). Living in Somali (adjusted Odds Ratio (aOR): 0.23, 95%CI: 0.07-0.78) and Benishangul-Gumuz (aOR 3.41, 95%CI: 1.65-7.04) regions, having a secondary and higher educational level (aOR 2.12, 95%CI: 1.13-4.00), and being in the richest wealth quintile (aOR 4.55, 95%CI: 2.04-10.15) were factors associated with completion of the continuum of maternity care. Although nearly half of the women had one antenatal care, fewer than 10% completed the continuum of maternity care. This indicates that women in these regions are not getting the maximum health benefits from maternal healthcare services, and this might contribute to the high maternal death in the regions. Moreover, the completion of the continuum of maternity care was skewed toward women who are more educated (secondary or higher education) and in the richest quintile

Childbirth · Confidence interval · Health care · Logistic regression · Maternity care · Obstetrics · Odds · Odds ratio · Postnatal Care · Postpartum period · Pregnancy · Somali · Child Nutrition and Water Access · Demography · Global Health Care Issues · Global Maternal and Child Health · Medicine