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Multilevel Modelling of the Individual and Regional Level Variability in Predictors of Incomplete Antenatal Care Visit among Women of Reproductive Age in Ethiopia: Classical and Bayesian Approaches

Author

Listed:
  • Teshita Uke Chikako

    (Wondo Genet College of Forestry and Natural Resource, Hawassa University, Hawassa P.O. Box 05, Ethiopia)

  • Reta Habtamu Bacha

    (Department of Statistics, Jimma University, Jimma P.O. Box 378, Ethiopia)

  • John Elvis Hagan

    (Department of Health, Physical Education and Recreation, University of Cape Coast, Cape Coast PMB TF0494, Ghana
    Neurocognition and Action-Biomechanics-Research Group, Faculty of Psychology and Sport Sciences, Bielefeld University, Postfach 10 01 31, 33501 Bielefeld, Germany)

  • Abdul-Aziz Seidu

    (Centre for Gender and Advocacy, Takoradi Technical University, Takoradi P.O. Box 256, Ghana
    College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, QLD 4811, Australia)

  • Kenenisa Abdisa Kuse

    (Department of Statistics, Bule Hora University, Bule Hora P.O. Box 144, Ethiopia)

  • Bright Opoku Ahinkorah

    (School of Public Health, Faculty of Health, University of Technology Sydney, Sydney, NSW 2007, Australia)

Abstract

Background: Antenatal care is an operational public health intervention to minimize maternal and child morbidity and mortality. However, for varied reasons, many women fail to complete the recommended number of visits. The objective of this study was to assess antenatal care utilization and identify the factors associated with the incomplete antenatal care visit among reproductive age women in Ethiopia. Methods: The 2019 Ethiopian Mini Demographic and Health Survey data were used for this study. Multilevel logistic regression analysis and two level binary logistic regression models were utilized. Results: Around 56.8% of women in Ethiopia did not complete the recommended number of antenatal care visits. Women from rural areas were about 1.622 times more likely to have incomplete antenatal care compared to women from urban areas. Women who had no pregnancy complication signs were about 2.967 times more likely to have incomplete antenatal care compared to women who had pregnancy complication signs. Women who had a slight problem and a big problem with the distance from a health center were about 1.776 and 2.973 times more likely, respectively, to have incomplete antenatal care compared to women whose distance from a health center was not a problem. Furthermore, women who had ever terminated pregnancy were about 10.6% less likely to have incomplete antenatal care compared to women who had never terminated pregnancy. Conclusions: The design and strengthening of existing interventions (e.g., small clinics) should consider identified factors aimed at facilitating antenatal care visits to promote maternal and child health related outcomes. Issues related to urban–rural disparities and noted hotspot areas for incomplete antenatal care visits should be given special attention.

Suggested Citation

  • Teshita Uke Chikako & Reta Habtamu Bacha & John Elvis Hagan & Abdul-Aziz Seidu & Kenenisa Abdisa Kuse & Bright Opoku Ahinkorah, 2022. "Multilevel Modelling of the Individual and Regional Level Variability in Predictors of Incomplete Antenatal Care Visit among Women of Reproductive Age in Ethiopia: Classical and Bayesian Approaches," IJERPH, MDPI, vol. 19(11), pages 1-14, May.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:11:p:6600-:d:826722
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    References listed on IDEAS

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    1. Saifuddin Ahmed & Andreea A Creanga & Duff G Gillespie & Amy O Tsui, 2010. "Economic Status, Education and Empowerment: Implications for Maternal Health Service Utilization in Developing Countries," PLOS ONE, Public Library of Science, vol. 5(6), pages 1-6, June.
    2. Sanni Yaya & Ghose Bishwajit & Michael Ekholuenetale, 2017. "Factors associated with the utilization of institutional delivery services in Bangladesh," PLOS ONE, Public Library of Science, vol. 12(2), pages 1-14, February.
    3. R. Bock & Murray Aitkin, 1981. "Marginal maximum likelihood estimation of item parameters: Application of an EM algorithm," Psychometrika, Springer;The Psychometric Society, vol. 46(4), pages 443-459, December.
    4. 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.
    5. Abdu Seid & Mohammed Ahmed, 2021. "Survival time to first antenatal care visit and its predictors among women in Ethiopia," PLOS ONE, Public Library of Science, vol. 16(5), pages 1-11, May.
    6. Tanvir M Huda & Morseda Chowdhury & Shams El Arifeen & Michael J Dibley, 2019. "Individual and community level factors associated with health facility delivery: A cross sectional multilevel analysis in Bangladesh," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-13, February.
    7. Dawit Nageso & Kebede Tefera & Keneni Gutema, 2020. "Enrollment in community based health insurance program and the associated factors among households in Boricha district, Sidama Zone, Southern Ethiopia; a cross-sectional study," PLOS ONE, Public Library of Science, vol. 15(6), pages 1-14, June.
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