IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0214848.html
   My bibliography  Save this article

Factors affecting utilization of antenatal care in Ethiopia: A systematic review and meta-analysis

Author

Listed:
  • Tesfalidet Tekelab
  • Catherine Chojenta
  • Roger Smith
  • Deborah Loxton

Abstract

Background: In the context of high maternal morbidity and mortality in Sub-Saharan Africa, less than 80% of pregnant women receive antenatal care services. According to a 2016 national report, only 62% of pregnant women in Ethiopia made at least one antenatal care visit. The aim of this review was to systematically and quantitatively summarize the factors affecting utilization of antenatal care in Ethiopia. Methods: We searched PubMed, Medline, EMBASE, CINAHL, Google Scholar and Maternity and Infant Care database for studies that had been conducted in Ethiopia between 2002 and 2016. We summarized the studies on the use of antenatal care services quantitatively and qualitatively. A random-effects model was conducted to obtain the pooled estimates. Results: A total of fifteen observational studies were included in this review. The pooled prevalence of utilization of antenatal care services in Ethiopia was 63.77% (95CI 53.84–75.54). The pooled odds ratio showed that a significant positive association was found between utilization of antenatal care and urban residence (OR = 1.92, 95%CI = 1.35–2.72), women’s education (OR = 1.90, 95%CI = 1.52–2.37), husband’s education (OR = 1.49, 95%CI = 1.32–1.69) and planned pregnancy (OR = 2.08, 95%CI = 1.45–2.98). Based on narrative synthesis exposure to mass media, family income and accessibility of the service were strongly associated with utilization of antenatal care. Conclusion: The findings of this review found several modifiable factors such as empowering women through education and increasing their decision-making power, promoting family planning to prevent unplanned pregnancy, increasing awareness of women through mass media and making services more accessible would likely to increase utilization of antenatal care. Further research is needed on accessibility and availability of the service at the individual and community level to assess the predictors of antenatal care service utilization.

Suggested Citation

  • Tesfalidet Tekelab & Catherine Chojenta & Roger Smith & Deborah Loxton, 2019. "Factors affecting utilization of antenatal care in Ethiopia: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-24, April.
    • Handle: RePEc:plo:pone00:0214848
    DOI: 10.1371/journal.pone.0214848
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0214848
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0214848&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0214848?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. United Nations UN, 2015. "The Millennium Development Goals Report 2015," Working Papers id:7097, eSocialSciences.
    2. Rajagopal, 2014. "The Human Factors," Palgrave Macmillan Books, in: Architecting Enterprise, chapter 9, pages 225-249, Palgrave Macmillan.
    3. Shelah Bloom & David Wypij & Monica Gupta, 2001. "Dimensions of women’s autonomy and the influence on maternal health care utilization in a north indian city," Demography, Springer;Population Association of America (PAA), vol. 38(1), pages 67-78, February.
    4. Jejeebhoy, Shireen J., 1995. "Women's Education, Autonomy, and Reproductive Behaviour: Experience from Developing Countries," OUP Catalogue, Oxford University Press, number 9780198290339.
    5. Pallikadavath, Saseendran & Foss, Mary & Stones, R William, 2004. "Antenatal care: provision and inequality in rural north India," Social Science & Medicine, Elsevier, vol. 59(6), pages 1147-1158, September.
    6. Kenneth Finlayson & Soo Downe, 2013. "Why Do Women Not Use Antenatal Services in Low- and Middle-Income Countries? A Meta-Synthesis of Qualitative Studies," PLOS Medicine, Public Library of Science, vol. 10(1), pages 1-12, January.
    7. Markos Mezmur & Kannan Navaneetham & Gobopamang Letamo & Hadgu Bariagaber, 2017. "Individual, household and contextual factors associated with skilled delivery care in Ethiopia: Evidence from Ethiopian demographic and health surveys," PLOS ONE, Public Library of Science, vol. 12(9), pages 1-16, September.
    8. Emmanuel Olorunleke Adewuyi & Asa Auta & Vishnu Khanal & Olasunkanmi David Bamidele & Cynthia Pomaa Akuoko & Kazeem Adefemi & Samson Joseph Tapshak & Yun Zhao, 2018. "Prevalence and factors associated with underutilization of antenatal care services in Nigeria: A comparative study of rural and urban residences based on the 2013 Nigeria demographic and health survey," PLOS ONE, Public Library of Science, vol. 13(5), pages 1-21, May.
    9. United Nations UN, 2015. "The Millennium Development Goals Report 2015," Working Papers id:7222, eSocialSciences.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Reta Dewau & Amare Muche & Zinabu Fentaw & Melaku Yalew & Gedamnesh Bitew & Erkihun Tadesse Amsalu & Mastewal Arefaynie & Asnakew Molla Mekonen, 2021. "Time to initiation of antenatal care and its predictors among pregnant women in Ethiopia: Cox-gamma shared frailty model," PLOS ONE, Public Library of Science, vol. 16(2), pages 1-18, February.
    2. Tasuku Okui & Masayuki Ochiai & Naoki Nakashima, 2021. "An Association between Maternal Occupations and Low Birth Weight Infants in Japan from 1995 to 2015," IJERPH, MDPI, vol. 18(15), pages 1-9, July.
    3. Alem Desta Wuneh & Afework Mulugeta Bezabih & Lars Åke Persson & Yemisrach Behailu Okwaraji & Araya Abrha Medhanyie, 2022. "“If I Was Educated, I Would Call the Ambulance and Give Birth at the Health Facility”—A Qualitative Exploratory Study of Inequities in the Utilization of Maternal, Newborn, and Child Health Services i," IJERPH, MDPI, vol. 19(18), pages 1-14, September.
    4. Devaraj Acharya & Ramesh Adhikari & Gary L. Kreps, 2021. "Does exposure of mass media associate with utilisation of ANC services? A trend analysis from Nepal demographic and health surveys," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(6), pages 2145-2161, November.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Quamruzzaman, Amm & Lange, Matthew, 2016. "Female political representation and child health: Evidence from a multilevel analysis," Social Science & Medicine, Elsevier, vol. 171(C), pages 48-57.
    2. José Antonio Rodríguez Martín & Juan Dios Jiménez Aguilera & José Antonio Salinas Fernández & José María Martín Martín, 2016. "Millennium Development Goals 4 and 5: Progress in the Least Developed Countries of Asia," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 129(2), pages 489-504, November.
    3. Caroline Jennings Saul & Heiko Gebauer, 2018. "Digital Transformation as an Enabler for Advanced Services in the Sanitation Sector," Sustainability, MDPI, vol. 10(3), pages 1-18, March.
    4. Subramaniam, Mega & Pang, Natalie & Morehouse, Shandra & Asgarali-Hoffman, S. Nisa, 2020. "Examining vulnerability in youth digital information practices scholarship: What are we missing or exhausting?," Children and Youth Services Review, Elsevier, vol. 116(C).
    5. Bruno F. Sunguya & Yue Ge & Linda B. Mlunde & Rose Mpembeni & Germana H. Leyna & Krishna C. Poudel & Niyati Parekh & Jiayan Huang, 2022. "Targeted and Population-Wide Interventions Are Needed to Address the Persistent Burden of Anemia among Women of Reproductive Age in Tanzania," IJERPH, MDPI, vol. 19(14), pages 1-12, July.
    6. Yong‐Shik Lee, 2020. "New general theory of economic development: Innovative growth and distribution," Review of Development Economics, Wiley Blackwell, vol. 24(2), pages 402-423, May.
    7. Leena Eklund Karlsson & Anne Leena Ikonen & Kothar Mohammed Alqahtani & Pernille Tanggaard Andersen & Subash Thapa, 2020. "Health Equity Lens Embedded in the Public Health Policies of Saudi Arabia: A Qualitative Document Analysis," SAGE Open, , vol. 10(4), pages 21582440209, October.
    8. Valensisi, Giovanni & Gauci, Adrian, 2013. "Graduated without passing? The employment dimension and LDCs' prospects under the Istanbul Programme of Action," MPRA Paper 86966, University Library of Munich, Germany.
    9. Yue-Hui Yu & Man-Man Peng, 2022. "Development and Poverty Dynamics in Severe Mental Illness: A Modified Capability Approach in the Chinese Context," IJERPH, MDPI, vol. 19(4), pages 1-13, February.
    10. Lisa F. Clark, 2018. "Policy conflicts in global food assistance strategies: balancing local procurement and harmonization," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 10(1), pages 211-222, February.
    11. Simon Meunier & Dale T. Manning & Loic Queval & Judith A. Cherni & Philippe Dessante & Daniel Zimmerle, 2019. "Determinants of the marginal willingness to pay for improved domestic water and irrigation in partially electrified Rwandan villages," Post-Print hal-02179229, HAL.
    12. Jussi T. S. Heikkila, 2020. "Classifying economics for the common good: Connecting sustainable development goals to JEL codes," Papers 2004.04384, arXiv.org.
    13. Menon Martina & Perali Federico & Veronesi Marcella, 2017. "“Leaving No Child Behind:” Preferences for Social Inclusion and Altruism," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 17(3), pages 1-19, July.
    14. Shannon L. Sibbald & Nicole Haggerty, 2019. "Integrating Business and Medical Pedagogy to Accomplish the Sustainable Development Goals," Journal of Education for Sustainable Development, , vol. 13(1), pages 92-101, March.
    15. Dedy Rahman Wijaya & Ni Luh Putu Satyaning Pradnya Paramita & Ana Uluwiyah & Muhammad Rheza & Annisa Zahara & Dwi Rani Puspita, 2022. "Estimating city-level poverty rate based on e-commerce data with machine learning," Electronic Commerce Research, Springer, vol. 22(1), pages 195-221, March.
    16. Józsa, Krisztián & Török, Balázs & Stevenson, Cerissa, 2018. "Preschool and kindergarten in Hungary and the United States: A comparison within transnational development policy," International Journal of Educational Development, Elsevier, vol. 62(C), pages 88-95.
    17. Kasuga, Hidefumi & Morita, Yuichi, 2022. "The health gap and its effect on economic outcomes," Journal of Macroeconomics, Elsevier, vol. 74(C).
    18. Soumi Roy Chowdhury & Alok K. Bohara & Hari Katuwal & José A. Pagán & Jennifer A. Thacher, 2019. "The Impact of Ritual Bathing in a Holy Hindu River on Waterborne Diseases," The Developing Economies, Institute of Developing Economies, vol. 57(1), pages 36-54, March.
    19. Samuel Dorevitch, 2015. "Health Effects of Waterborne Contaminants: A Focus on Emerging Concerns," IJERPH, MDPI, vol. 12(10), pages 1-3, October.
    20. Santangelo, Grazia D., 2018. "The impact of FDI in land in agriculture in developing countries on host country food security," Journal of World Business, Elsevier, vol. 53(1), pages 75-84.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0214848. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.