Poor linkages in maternal health care services—evidence on antenatal care and institutional delivery from a community-based longitudinal study in Tigray region, Ethiopia

BMC Pregnancy and Childbirth

John Kinsman⁵  Yihunie Lakew⁴  Ashenafi Haile²  Friehiwot Eshetu²  Yemane Ashebir¹  Alemseged Aregay⁶  Loko Abraham³  Semaw Ferede Abera¹  Fisaha Haile Tesfay¹  Berhe Weldearegawi¹  Yohannes Adama Melaku¹ 

[1] Department of Public Health, Mekelle University, College of Health Sciences, Mekelle, Ethiopia;Center for Disease Control and Prevention, CDC-Ethiopia, Addis Ababa, Ethiopia;Department of Medicine, Mekelle University, College of Health Sciences, Mekelle, Ethiopia;Ethiopian Public Health Association (EPHA), Addis Ababa, Ethiopia;Department of Public Health and Clinical Medicine, Umeå Centre for Global Health Research, Umeå University, Umeå 901 85, Sweden;Department of Nursing, Mekelle University, College of Health Sciences, Mekelle, Ethiopia

关键词: Northern Ethiopia;    Kilte-Awlaelo;    Health and demographic surveillance system;    Institutional delivery;    Antenatal care;   

Others  :  1090751
DOI  :  10.1186/s12884-014-0418-7

 received in 2014-03-29, accepted in 2014-12-05,  发布年份 2014

【 摘 要 】

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.

【 授权许可】

   
2014 Melaku et al.; licensee BioMed Central.

【 图 表 】

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