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Completion of the Continuum of Maternity Care in the Emerging Regions of Ethiopia: Analysis of the 2019 Demographic and Health Survey

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  • Abdulaziz Mohammed Hussen

    (Julius Global Health, Julius Centre for Health Sciences and Primary Care University Medical Centre Utrecht, Utrecht University, 3584 CX Utrecht, The Netherlands
    Department of Midwifery, College of Medicine and Health Science, Samara University, Samara P.O. Box 132, Ethiopia)

  • Ibrahim Mohammed Ibrahim

    (Department of Midwifery, College of Medicine and Health Science, Samara University, Samara P.O. Box 132, Ethiopia)

  • Binyam Tilahun

    (Department of Health Informatics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar P.O. Box 196, Ethiopia
    eHealth Lab Ethiopia, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar P.O. Box 196, Ethiopia)

  • Özge Tunçalp

    (UNDP—UNFPA—UNICEF—WHO—World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Sexual and Reproductive Health and Research, World Health Organization, 1211 Geneva, Switzerland)

  • Diederick E. Grobbee

    (Julius Global Health, Julius Centre for Health Sciences and Primary Care University Medical Centre Utrecht, Utrecht University, 3584 CX Utrecht, The Netherlands)

  • 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)

Abstract

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.

Suggested Citation

  • Abdulaziz Mohammed Hussen & Ibrahim Mohammed Ibrahim & Binyam Tilahun & Özge Tunçalp & Diederick E. Grobbee & Joyce L. Browne, 2023. "Completion of the Continuum of Maternity Care in the Emerging Regions of Ethiopia: Analysis of the 2019 Demographic and Health Survey," IJERPH, MDPI, vol. 20(13), pages 1-14, July.
  • Handle: RePEc:gam:jijerp:v:20:y:2023:i:13:p:6320-:d:1189245
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    References listed on IDEAS

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    1. Kimiyo Kikuchi & Evelyn Korkor Ansah & Sumiyo Okawa & Yeetey Enuameh & Junko Yasuoka & Keiko Nanishi & Akira Shibanuma & Margaret Gyapong & Seth Owusu-Agyei & Abraham Rexford Oduro & Gloria Quansah As, 2015. "Effective Linkages of Continuum of Care for Improving Neonatal, Perinatal, and Maternal Mortality: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 10(9), pages 1-27, September.
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