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Time to initiation of antenatal care and its predictors among pregnant women in Ethiopia: Cox-gamma shared frailty model

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  • Reta Dewau
  • Amare Muche
  • Zinabu Fentaw
  • Melaku Yalew
  • Gedamnesh Bitew
  • Erkihun Tadesse Amsalu
  • Mastewal Arefaynie
  • Asnakew Molla Mekonen

Abstract

Background: Timely initiating antenatal care (ANC) is crucial in the countries that have high maternal morbidity and mortality. However, in developing countries including Ethiopia, pregnant mother’s time to initiate antenatal care was not well-studied. Therefore, this study aimed to assess time to first ANC and its predictors among pregnant women in Ethiopia. Methods: A community-based cross-sectional study was conducted among 7,543 pregnant women in Ethiopia using the Ethiopian Demographic Health Survey (EDHS), 2016 data. A two-stage stratified cluster sampling was employed. The Kaplan-Meier (KM) method was used to estimate time to first antenatal care visit. Cox-gamma shared frailty model was applied to determine predictors. Adjusted Hazard Ratio (AHR) with 95% confidence interval was reported as the effect size. Model adequacy was assessed by using the Cox-Snell residual plot. Statistical significance was considered at p value

Suggested Citation

  • 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.
    • Handle: RePEc:plo:pone00:0246349
    DOI: 10.1371/journal.pone.0246349
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    References listed on IDEAS

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    1. 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.
    2. Felix Akpojene Ogbo & Mansi Vijaybhai Dhami & Ebere Maureen Ude & Praween Senanayake & Uchechukwu L. Osuagwu & Akorede O. Awosemo & Pascal Ogeleka & Blessing Jaka Akombi & Osita Kingsley Ezeh & Kingsl, 2019. "Enablers and Barriers to the Utilization of Antenatal Care Services in India," IJERPH, MDPI, vol. 16(17), pages 1-14, August.
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