IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v20y2023i13p6320-d1189245.html
   My bibliography  Save this article

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

Author

Listed:
  • 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
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/20/13/6320/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/20/13/6320/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    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.
    Full references (including those not matched with items on IDEAS)

    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. Ashrita Saran & Howard White & Kerry Albright & Jill Adona, 2020. "Mega‐map of systematic reviews and evidence and gap maps on the interventions to improve child well‐being in low‐ and middle‐income countries," Campbell Systematic Reviews, John Wiley & Sons, vol. 16(4), December.
    2. Usman, Mohd. & Banerjee, Adrita & Srivastava, Shobhit, 2021. "Association between maternal health continuum of care and child Survival: Evidence from a population based survey," Children and Youth Services Review, Elsevier, vol. 128(C).
    3. Sabrina Sharmin Priyanka & Dibbya Pravas Dasgupta & Abu Yousuf Md Abdullah & Nazia Binte Ali & Hafeza Khatun & Sk Masum Billah, 2024. "Assessing the Quality and Coverage of Maternal Postnatal Care in Bangladesh: A Comparative Analysis of Quality Postnatal Care among Home and Facility Births," IJERPH, MDPI, vol. 21(3), pages 1-15, March.
    4. Kimiyo Kikuchi & Sumiyo Okawa & Collins O F Zamawe & Akira Shibanuma & Keiko Nanishi & Azusa Iwamoto & Yu Mon Saw & Masamine Jimba, 2016. "Effectiveness of Continuum of Care—Linking Pre-Pregnancy Care and Pregnancy Care to Improve Neonatal and Perinatal Mortality: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 11(10), pages 1-13, October.

    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:gam:jijerp:v:20:y:2023:i:13:p:6320-:d:1189245. 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: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    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.