Poor linkages in maternal health care services—evidence on antenatal care and institutional delivery from a community-based longitudinal study in Tigray region, Ethiopia
Background Progress towards attaining the maternal mortality and maternal health targets set by Millennium Development Goal 5 has been slow in most African countries. Assessing antenatal care and institutional delivery service utilization and their determinants is an important step towards improving...
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| Autor*in: |
Melaku, Yohannes Adama [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2014 |
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| Anmerkung: |
© Melaku et al.; licensee BioMed Central. 2014 |
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| Übergeordnetes Werk: |
Enthalten in: BMC pregnancy and childbirth - London : BioMed Central, 2001, 14(2014), 1 vom: 19. Dez. |
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| Übergeordnetes Werk: |
volume:14 ; year:2014 ; number:1 ; day:19 ; month:12 |
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| DOI / URN: |
10.1186/s12884-014-0418-7 |
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SPR027574792 |
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| 520 | |a Background Progress towards attaining the maternal mortality and maternal health targets set by Millennium Development Goal 5 has been slow in most African countries. Assessing antenatal care and institutional delivery service utilization and their determinants is an important step towards improving maternal health care services. Methods Data were drawn from the longitudinal database of Kilite-Awlaelo Health and Demographic Surveillance System. A total of 2361 mothers who were pregnant and who gave birth between September 2009 and August 2013 were included in the analysis. Potential variables to explain antenatal care and institutional delivery service utilization were extracted, and descriptive statistics and logistic regression were used to determine the magnitude of maternal health care service utilization and associated factors, respectively. Results More than three-quarters, 76% [95% CI: 74.8%-78.2%] (n = 1806), of mothers had undergone at least one antenatal care visit during their previous pregnancy. However, only 27% [95% CI: 25.3%-28.9%] (n = 639) of mothers gave birth at a health institution. Older mothers, urban residents, mothers with higher education attainment, and farmer mothers were more likely to use antenatal care. Institutional delivery services were more likely to be used among older mothers, urban residents, women with secondary education, mothers who visited antenatal care, and mothers with lower parity. Conclusions Despite a relatively high proportion of mothers attending antenatal care services at least once, we found low levels of institutional delivery service utilization. Health service providers in Kilite-Awlaelo should be particularly vigilant regarding the additional maternal health needs of rural and less educated women with high parity. | ||
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| 700 | 1 | |a Kinsman, John |4 aut | |
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10.1186/s12884-014-0418-7 doi (DE-627)SPR027574792 (SPR)s12884-014-0418-7-e DE-627 ger DE-627 rakwb eng Melaku, Yohannes Adama verfasserin aut Poor linkages in maternal health care services—evidence on antenatal care and institutional delivery from a community-based longitudinal study in Tigray region, Ethiopia 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Melaku et al.; licensee BioMed Central. 2014 Background Progress towards attaining the maternal mortality and maternal health targets set by Millennium Development Goal 5 has been slow in most African countries. Assessing antenatal care and institutional delivery service utilization and their determinants is an important step towards improving maternal health care services. Methods Data were drawn from the longitudinal database of Kilite-Awlaelo Health and Demographic Surveillance System. A total of 2361 mothers who were pregnant and who gave birth between September 2009 and August 2013 were included in the analysis. Potential variables to explain antenatal care and institutional delivery service utilization were extracted, and descriptive statistics and logistic regression were used to determine the magnitude of maternal health care service utilization and associated factors, respectively. Results More than three-quarters, 76% [95% CI: 74.8%-78.2%] (n = 1806), of mothers had undergone at least one antenatal care visit during their previous pregnancy. However, only 27% [95% CI: 25.3%-28.9%] (n = 639) of mothers gave birth at a health institution. Older mothers, urban residents, mothers with higher education attainment, and farmer mothers were more likely to use antenatal care. Institutional delivery services were more likely to be used among older mothers, urban residents, women with secondary education, mothers who visited antenatal care, and mothers with lower parity. Conclusions Despite a relatively high proportion of mothers attending antenatal care services at least once, we found low levels of institutional delivery service utilization. Health service providers in Kilite-Awlaelo should be particularly vigilant regarding the additional maternal health needs of rural and less educated women with high parity. Antenatal care (dpeaa)DE-He213 Institutional delivery (dpeaa)DE-He213 Health and demographic surveillance system (dpeaa)DE-He213 Kilte-Awlaelo (dpeaa)DE-He213 Northern Ethiopia (dpeaa)DE-He213 Weldearegawi, Berhe aut Tesfay, Fisaha Haile aut Abera, Semaw Ferede aut Abraham, Loko aut Aregay, Alemseged aut Ashebir, Yemane aut Eshetu, Friehiwot aut Haile, Ashenafi aut Lakew, Yihunie aut Kinsman, John aut Enthalten in BMC pregnancy and childbirth London : BioMed Central, 2001 14(2014), 1 vom: 19. Dez. (DE-627)335489087 (DE-600)2059869-5 1471-2393 nnns volume:14 year:2014 number:1 day:19 month:12 https://dx.doi.org/10.1186/s12884-014-0418-7 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2014 1 19 12 |
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10.1186/s12884-014-0418-7 doi (DE-627)SPR027574792 (SPR)s12884-014-0418-7-e DE-627 ger DE-627 rakwb eng Melaku, Yohannes Adama verfasserin aut Poor linkages in maternal health care services—evidence on antenatal care and institutional delivery from a community-based longitudinal study in Tigray region, Ethiopia 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Melaku et al.; licensee BioMed Central. 2014 Background Progress towards attaining the maternal mortality and maternal health targets set by Millennium Development Goal 5 has been slow in most African countries. Assessing antenatal care and institutional delivery service utilization and their determinants is an important step towards improving maternal health care services. Methods Data were drawn from the longitudinal database of Kilite-Awlaelo Health and Demographic Surveillance System. A total of 2361 mothers who were pregnant and who gave birth between September 2009 and August 2013 were included in the analysis. Potential variables to explain antenatal care and institutional delivery service utilization were extracted, and descriptive statistics and logistic regression were used to determine the magnitude of maternal health care service utilization and associated factors, respectively. Results More than three-quarters, 76% [95% CI: 74.8%-78.2%] (n = 1806), of mothers had undergone at least one antenatal care visit during their previous pregnancy. However, only 27% [95% CI: 25.3%-28.9%] (n = 639) of mothers gave birth at a health institution. Older mothers, urban residents, mothers with higher education attainment, and farmer mothers were more likely to use antenatal care. Institutional delivery services were more likely to be used among older mothers, urban residents, women with secondary education, mothers who visited antenatal care, and mothers with lower parity. Conclusions Despite a relatively high proportion of mothers attending antenatal care services at least once, we found low levels of institutional delivery service utilization. Health service providers in Kilite-Awlaelo should be particularly vigilant regarding the additional maternal health needs of rural and less educated women with high parity. Antenatal care (dpeaa)DE-He213 Institutional delivery (dpeaa)DE-He213 Health and demographic surveillance system (dpeaa)DE-He213 Kilte-Awlaelo (dpeaa)DE-He213 Northern Ethiopia (dpeaa)DE-He213 Weldearegawi, Berhe aut Tesfay, Fisaha Haile aut Abera, Semaw Ferede aut Abraham, Loko aut Aregay, Alemseged aut Ashebir, Yemane aut Eshetu, Friehiwot aut Haile, Ashenafi aut Lakew, Yihunie aut Kinsman, John aut Enthalten in BMC pregnancy and childbirth London : BioMed Central, 2001 14(2014), 1 vom: 19. Dez. (DE-627)335489087 (DE-600)2059869-5 1471-2393 nnns volume:14 year:2014 number:1 day:19 month:12 https://dx.doi.org/10.1186/s12884-014-0418-7 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2014 1 19 12 |
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10.1186/s12884-014-0418-7 doi (DE-627)SPR027574792 (SPR)s12884-014-0418-7-e DE-627 ger DE-627 rakwb eng Melaku, Yohannes Adama verfasserin aut Poor linkages in maternal health care services—evidence on antenatal care and institutional delivery from a community-based longitudinal study in Tigray region, Ethiopia 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Melaku et al.; licensee BioMed Central. 2014 Background Progress towards attaining the maternal mortality and maternal health targets set by Millennium Development Goal 5 has been slow in most African countries. Assessing antenatal care and institutional delivery service utilization and their determinants is an important step towards improving maternal health care services. Methods Data were drawn from the longitudinal database of Kilite-Awlaelo Health and Demographic Surveillance System. A total of 2361 mothers who were pregnant and who gave birth between September 2009 and August 2013 were included in the analysis. Potential variables to explain antenatal care and institutional delivery service utilization were extracted, and descriptive statistics and logistic regression were used to determine the magnitude of maternal health care service utilization and associated factors, respectively. Results More than three-quarters, 76% [95% CI: 74.8%-78.2%] (n = 1806), of mothers had undergone at least one antenatal care visit during their previous pregnancy. However, only 27% [95% CI: 25.3%-28.9%] (n = 639) of mothers gave birth at a health institution. Older mothers, urban residents, mothers with higher education attainment, and farmer mothers were more likely to use antenatal care. Institutional delivery services were more likely to be used among older mothers, urban residents, women with secondary education, mothers who visited antenatal care, and mothers with lower parity. Conclusions Despite a relatively high proportion of mothers attending antenatal care services at least once, we found low levels of institutional delivery service utilization. Health service providers in Kilite-Awlaelo should be particularly vigilant regarding the additional maternal health needs of rural and less educated women with high parity. Antenatal care (dpeaa)DE-He213 Institutional delivery (dpeaa)DE-He213 Health and demographic surveillance system (dpeaa)DE-He213 Kilte-Awlaelo (dpeaa)DE-He213 Northern Ethiopia (dpeaa)DE-He213 Weldearegawi, Berhe aut Tesfay, Fisaha Haile aut Abera, Semaw Ferede aut Abraham, Loko aut Aregay, Alemseged aut Ashebir, Yemane aut Eshetu, Friehiwot aut Haile, Ashenafi aut Lakew, Yihunie aut Kinsman, John aut Enthalten in BMC pregnancy and childbirth London : BioMed Central, 2001 14(2014), 1 vom: 19. Dez. (DE-627)335489087 (DE-600)2059869-5 1471-2393 nnns volume:14 year:2014 number:1 day:19 month:12 https://dx.doi.org/10.1186/s12884-014-0418-7 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2014 1 19 12 |
| allfieldsGer |
10.1186/s12884-014-0418-7 doi (DE-627)SPR027574792 (SPR)s12884-014-0418-7-e DE-627 ger DE-627 rakwb eng Melaku, Yohannes Adama verfasserin aut Poor linkages in maternal health care services—evidence on antenatal care and institutional delivery from a community-based longitudinal study in Tigray region, Ethiopia 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Melaku et al.; licensee BioMed Central. 2014 Background Progress towards attaining the maternal mortality and maternal health targets set by Millennium Development Goal 5 has been slow in most African countries. Assessing antenatal care and institutional delivery service utilization and their determinants is an important step towards improving maternal health care services. Methods Data were drawn from the longitudinal database of Kilite-Awlaelo Health and Demographic Surveillance System. A total of 2361 mothers who were pregnant and who gave birth between September 2009 and August 2013 were included in the analysis. Potential variables to explain antenatal care and institutional delivery service utilization were extracted, and descriptive statistics and logistic regression were used to determine the magnitude of maternal health care service utilization and associated factors, respectively. Results More than three-quarters, 76% [95% CI: 74.8%-78.2%] (n = 1806), of mothers had undergone at least one antenatal care visit during their previous pregnancy. However, only 27% [95% CI: 25.3%-28.9%] (n = 639) of mothers gave birth at a health institution. Older mothers, urban residents, mothers with higher education attainment, and farmer mothers were more likely to use antenatal care. Institutional delivery services were more likely to be used among older mothers, urban residents, women with secondary education, mothers who visited antenatal care, and mothers with lower parity. Conclusions Despite a relatively high proportion of mothers attending antenatal care services at least once, we found low levels of institutional delivery service utilization. Health service providers in Kilite-Awlaelo should be particularly vigilant regarding the additional maternal health needs of rural and less educated women with high parity. Antenatal care (dpeaa)DE-He213 Institutional delivery (dpeaa)DE-He213 Health and demographic surveillance system (dpeaa)DE-He213 Kilte-Awlaelo (dpeaa)DE-He213 Northern Ethiopia (dpeaa)DE-He213 Weldearegawi, Berhe aut Tesfay, Fisaha Haile aut Abera, Semaw Ferede aut Abraham, Loko aut Aregay, Alemseged aut Ashebir, Yemane aut Eshetu, Friehiwot aut Haile, Ashenafi aut Lakew, Yihunie aut Kinsman, John aut Enthalten in BMC pregnancy and childbirth London : BioMed Central, 2001 14(2014), 1 vom: 19. Dez. (DE-627)335489087 (DE-600)2059869-5 1471-2393 nnns volume:14 year:2014 number:1 day:19 month:12 https://dx.doi.org/10.1186/s12884-014-0418-7 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2014 1 19 12 |
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10.1186/s12884-014-0418-7 doi (DE-627)SPR027574792 (SPR)s12884-014-0418-7-e DE-627 ger DE-627 rakwb eng Melaku, Yohannes Adama verfasserin aut Poor linkages in maternal health care services—evidence on antenatal care and institutional delivery from a community-based longitudinal study in Tigray region, Ethiopia 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Melaku et al.; licensee BioMed Central. 2014 Background Progress towards attaining the maternal mortality and maternal health targets set by Millennium Development Goal 5 has been slow in most African countries. Assessing antenatal care and institutional delivery service utilization and their determinants is an important step towards improving maternal health care services. Methods Data were drawn from the longitudinal database of Kilite-Awlaelo Health and Demographic Surveillance System. A total of 2361 mothers who were pregnant and who gave birth between September 2009 and August 2013 were included in the analysis. Potential variables to explain antenatal care and institutional delivery service utilization were extracted, and descriptive statistics and logistic regression were used to determine the magnitude of maternal health care service utilization and associated factors, respectively. Results More than three-quarters, 76% [95% CI: 74.8%-78.2%] (n = 1806), of mothers had undergone at least one antenatal care visit during their previous pregnancy. However, only 27% [95% CI: 25.3%-28.9%] (n = 639) of mothers gave birth at a health institution. Older mothers, urban residents, mothers with higher education attainment, and farmer mothers were more likely to use antenatal care. Institutional delivery services were more likely to be used among older mothers, urban residents, women with secondary education, mothers who visited antenatal care, and mothers with lower parity. Conclusions Despite a relatively high proportion of mothers attending antenatal care services at least once, we found low levels of institutional delivery service utilization. Health service providers in Kilite-Awlaelo should be particularly vigilant regarding the additional maternal health needs of rural and less educated women with high parity. Antenatal care (dpeaa)DE-He213 Institutional delivery (dpeaa)DE-He213 Health and demographic surveillance system (dpeaa)DE-He213 Kilte-Awlaelo (dpeaa)DE-He213 Northern Ethiopia (dpeaa)DE-He213 Weldearegawi, Berhe aut Tesfay, Fisaha Haile aut Abera, Semaw Ferede aut Abraham, Loko aut Aregay, Alemseged aut Ashebir, Yemane aut Eshetu, Friehiwot aut Haile, Ashenafi aut Lakew, Yihunie aut Kinsman, John aut Enthalten in BMC pregnancy and childbirth London : BioMed Central, 2001 14(2014), 1 vom: 19. Dez. (DE-627)335489087 (DE-600)2059869-5 1471-2393 nnns volume:14 year:2014 number:1 day:19 month:12 https://dx.doi.org/10.1186/s12884-014-0418-7 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2014 1 19 12 |
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Poor linkages in maternal health care services—evidence on antenatal care and institutional delivery from a community-based longitudinal study in Tigray region, Ethiopia Antenatal care (dpeaa)DE-He213 Institutional delivery (dpeaa)DE-He213 Health and demographic surveillance system (dpeaa)DE-He213 Kilte-Awlaelo (dpeaa)DE-He213 Northern Ethiopia (dpeaa)DE-He213 |
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Poor linkages in maternal health care services—evidence on antenatal care and institutional delivery from a community-based longitudinal study in Tigray region, Ethiopia |
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Background Progress towards attaining the maternal mortality and maternal health targets set by Millennium Development Goal 5 has been slow in most African countries. Assessing antenatal care and institutional delivery service utilization and their determinants is an important step towards improving maternal health care services. Methods Data were drawn from the longitudinal database of Kilite-Awlaelo Health and Demographic Surveillance System. A total of 2361 mothers who were pregnant and who gave birth between September 2009 and August 2013 were included in the analysis. Potential variables to explain antenatal care and institutional delivery service utilization were extracted, and descriptive statistics and logistic regression were used to determine the magnitude of maternal health care service utilization and associated factors, respectively. Results More than three-quarters, 76% [95% CI: 74.8%-78.2%] (n = 1806), of mothers had undergone at least one antenatal care visit during their previous pregnancy. However, only 27% [95% CI: 25.3%-28.9%] (n = 639) of mothers gave birth at a health institution. Older mothers, urban residents, mothers with higher education attainment, and farmer mothers were more likely to use antenatal care. Institutional delivery services were more likely to be used among older mothers, urban residents, women with secondary education, mothers who visited antenatal care, and mothers with lower parity. Conclusions Despite a relatively high proportion of mothers attending antenatal care services at least once, we found low levels of institutional delivery service utilization. Health service providers in Kilite-Awlaelo should be particularly vigilant regarding the additional maternal health needs of rural and less educated women with high parity. © Melaku et al.; licensee BioMed Central. 2014 |
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Background Progress towards attaining the maternal mortality and maternal health targets set by Millennium Development Goal 5 has been slow in most African countries. Assessing antenatal care and institutional delivery service utilization and their determinants is an important step towards improving maternal health care services. Methods Data were drawn from the longitudinal database of Kilite-Awlaelo Health and Demographic Surveillance System. A total of 2361 mothers who were pregnant and who gave birth between September 2009 and August 2013 were included in the analysis. Potential variables to explain antenatal care and institutional delivery service utilization were extracted, and descriptive statistics and logistic regression were used to determine the magnitude of maternal health care service utilization and associated factors, respectively. Results More than three-quarters, 76% [95% CI: 74.8%-78.2%] (n = 1806), of mothers had undergone at least one antenatal care visit during their previous pregnancy. However, only 27% [95% CI: 25.3%-28.9%] (n = 639) of mothers gave birth at a health institution. Older mothers, urban residents, mothers with higher education attainment, and farmer mothers were more likely to use antenatal care. Institutional delivery services were more likely to be used among older mothers, urban residents, women with secondary education, mothers who visited antenatal care, and mothers with lower parity. Conclusions Despite a relatively high proportion of mothers attending antenatal care services at least once, we found low levels of institutional delivery service utilization. Health service providers in Kilite-Awlaelo should be particularly vigilant regarding the additional maternal health needs of rural and less educated women with high parity. © Melaku et al.; licensee BioMed Central. 2014 |
| abstract_unstemmed |
Background Progress towards attaining the maternal mortality and maternal health targets set by Millennium Development Goal 5 has been slow in most African countries. Assessing antenatal care and institutional delivery service utilization and their determinants is an important step towards improving maternal health care services. Methods Data were drawn from the longitudinal database of Kilite-Awlaelo Health and Demographic Surveillance System. A total of 2361 mothers who were pregnant and who gave birth between September 2009 and August 2013 were included in the analysis. Potential variables to explain antenatal care and institutional delivery service utilization were extracted, and descriptive statistics and logistic regression were used to determine the magnitude of maternal health care service utilization and associated factors, respectively. Results More than three-quarters, 76% [95% CI: 74.8%-78.2%] (n = 1806), of mothers had undergone at least one antenatal care visit during their previous pregnancy. However, only 27% [95% CI: 25.3%-28.9%] (n = 639) of mothers gave birth at a health institution. Older mothers, urban residents, mothers with higher education attainment, and farmer mothers were more likely to use antenatal care. Institutional delivery services were more likely to be used among older mothers, urban residents, women with secondary education, mothers who visited antenatal care, and mothers with lower parity. Conclusions Despite a relatively high proportion of mothers attending antenatal care services at least once, we found low levels of institutional delivery service utilization. Health service providers in Kilite-Awlaelo should be particularly vigilant regarding the additional maternal health needs of rural and less educated women with high parity. © Melaku et al.; licensee BioMed Central. 2014 |
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Poor linkages in maternal health care services—evidence on antenatal care and institutional delivery from a community-based longitudinal study in Tigray region, Ethiopia |
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Weldearegawi, Berhe Tesfay, Fisaha Haile Abera, Semaw Ferede Abraham, Loko Aregay, Alemseged Ashebir, Yemane Eshetu, Friehiwot Haile, Ashenafi Lakew, Yihunie Kinsman, John |
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