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article · BMC Pregnancy and Childbirth

Determinants of utilization of antenatal care services in Benishangul Gumuz Region, Western Ethiopia: a study based on demographic and health survey

2019101 citationsOpen accessDebre Berhan University

In plain language

Maternal healthcare uptake varies widely across Ethiopia, with antenatal care utilisation remaining low in several regions. Using data from the 2011 Ethiopian Demographic and Health Survey, this investigation assessed socio-economic and demographic factors influencing antenatal care attendance among 674 mothers in the Benishangul Gumuz Region who had given birth within the preceding five years. Binary logistic regression analysis established that maternal education, place of residence, household wealth status, and ethnicity were statistically significant determinants of whether mothers used antenatal care services. Based on these findings, targeted public health recommendations include raising awareness among rural women through community meetings, workplaces, and local associations. Additionally, supporting poor women through an improved environment for entrepreneurial activities could help enhance uptake of essential maternal health services.

Key takeaways

  • Antenatal care utilisation in the Benishangul Gumuz Region was significantly determined by education level, place of residence, household wealth, and ethnicity.
  • Lower educational attainment, rural residence, and lower household wealth were associated with lower antenatal care attendance.
  • Community meetings, social associations, and healthcare visits are proposed as channels for awareness campaigns directed at rural women.
  • Fostering entrepreneurial opportunities for economically disadvantaged women was highlighted as a mechanism to improve service uptake.

Why it matters

Identifying the specific barriers preventing women from accessing antenatal care is critical for reducing maternal health disparities. This analysis demonstrates how local economic status, geographical location, education, and cultural identity intersect to influence healthcare access. Recognising these specific factors allows policymakers and local organisations to design targeted community interventions and economic initiatives that directly assist vulnerable mothers in underserved regions.

Commercialisation angle

The abstract does not indicate a direct commercial application pathway, as it focuses on epidemiological analysis and public health policy. However, the findings provide baseline demographic and socio-economic data that could be utilised by public health authorities, development agencies, and non-profit organisations designing maternal health outreach campaigns and targeted economic empowerment programmes for rural women in the region.

AI-generated from the published abstract. Always read the original work before citing.

Abstract

BACKGROUND: Utilization of antenatal care (ANC) in Ethiopia was low. There was also a variation of this underutilization of ANC service from region to region in the country. Therefore, this study aimed at providing a comprehensive analysis on socio-economic and demographic determinants of utilizing ANC services in Benishangul Gumuz Region. METHODS: The study was conducted based on the 2011 Ethiopian Demographic and Health Survey. Data analyzed were taken from 674 mothers in Benishangul Gumuz Region who had at least one child in the 5 years before the survey was undertaken. Binary logistic regression model was used to analyze the data. Variables with a p-value< 0.25 in bivariable analysis were considered for the final model. In the final multivariable model, a variable was declared as significantly associated with ANC utilization for p-value< 0.05. Adjusted odds ratio with its respective 95% confidence interval was reported to show the strength of association. RESULTS: The results of the study showed that educational level, place of residence, ethnicity, and household's wealth were determinants of ANC utilization in the region at 5% level of significance. CONCLUSION: Lower educational level, difference of ethnicity, lower wealth status and rural residence of women were determinants on ANC utilization. Providing awareness creation on ANC visits for rural women during health care services provision, at community meeting, at working place and at any social association were recommended. In addition, creating conducive environment in entrepreneurial activities for poor women would improve ANC utilization. Lastly, further researches were recommended to study the effect of various traditional, cultural and other related practices on utilization of ANC services among ethnic groups in the region.

Research topics

  • Global Maternal and Child Health
  • Healthcare Systems and Reforms
  • Child Nutrition and Water Access

Sustainable Development Goals

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DOI: 10.1186/s12884-019-2259-x

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