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Trends and disparities in antenatal care utilization: A multilevel analysis of four-plus and eight-plus ANC visits among urban women in Ethiopia

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  • Worku Dechassa Heyi
  • Wubegzier Mekonnen Ayele
  • Dessalegn Y Melesse

Abstract

Introduction: Antenatal care(ANC) is the gateway of the continuum of reproductive health care, offering a framework for complication prevention, screening, diagnosis, and health promotion. Objective: This study examined trends, disparities and associated factors of ANC utilization (ANC4+ and ANC8+) among urban women in Ethiopia between 2000 and 2019. Methods: We analyzed five rounds of Ethiopian Demographic and Health Surveys (2000–2019) data, disaggregated by wealth, education, and region using Stata version 16.1. Multilevel logistic regression model was used to identify factors associated with four-plus and eight-plus ANC utilization. Adjusted odds ratios (AORs) with 95% confidence intervals were reported, with statistical significance set at p

Suggested Citation

  • Worku Dechassa Heyi & Wubegzier Mekonnen Ayele & Dessalegn Y Melesse, 2025. "Trends and disparities in antenatal care utilization: A multilevel analysis of four-plus and eight-plus ANC visits among urban women in Ethiopia," PLOS ONE, Public Library of Science, vol. 20(11), pages 1-19, November.
  • Handle: RePEc:plo:pone00:0337241
    DOI: 10.1371/journal.pone.0337241
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