The DOI matches its Crossref record; 2 of the 2 references it cites were found in a registry or an index.
Spatial distribution of antenatal care utilization and associated factors in Ethiopia: evidence from Ethiopian demographic health surveys
Open accessAbstract
BACKGROUND: Antenatal care (ANC) is one of the components of care to be provided to pregnant women. In Ethiopia, characterizing the spatial distribution of antenatal care utilization is essential to prioritize risk areas where ANC is needed and facilitate interventions. Therefore, this spatial analysis was performed to assess the spatial distribution of ANC utilization between 2000 and 2011 and to identify factors associated with ANC utilization in Ethiopia. METHODS: A total of 23,179 women who had a live birth in the five years preceding the surveys were included in the study. The spatial data were created in ArcGIS10.1 for each study clusters. The Bernoulli model was used by applying Kulldorff methods using the SaTScan™ software to analyze the purely spatial clusters of ANC utilization. Multiple logistic regression analysis was used to identify predictors affecting ANC utilization. RESULTS: ANC utilization had spatial variations across the country. Spatial scan statistics identified 49 high performing clusters (LLR = 111.92, P < 0.001) in 2000, 51 (LLR = 114.49, P < 0.001) in 2005 and, 86 (LLR = 121.53, P < 0.001) in 2011. ANC utilization was higher among mothers; with richest wealth quintiles, lowest number of birth order, who are living in urban areas, younger and educated. CONCLUSION: These results provide further insight into differences in ANC utilization in the country and highlight high and modest performing clusters. This could enable efficient and timely spatial targeting to improve ANC service up take in Ethiopia.
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Higher educational attainment is associated with more knowledge about the best age for marriage and the harmful health outcomes of early marriage.
“Besides, the higher educational attainment the women had, the more knowledge women get about the best age for marriage, and the harmful health outcomes of early marriage [40, 41].”
From Spatial Distribution and Determinants of Early Marriage among Married Women in Ethiopia: A spatial and Multilevel Analysis (2020) · cites this paper as [40]
The Discussion (page unavailable) links education to antenatal-care use and to seeking knowledge about pregnancy complications. Neither that passage nor searches for marriage age and early marriage address whether education increases knowledge of the best age for marriage or the health harms of early marriage. (LLM, conf=0.76)
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Alem, A. Z., Yeshaw, Y., Kebede, S. A., Liyew, A. M., Tesema, G. A., Agegnehu, C. D., & Teshale, A. B. (2020) · BMC Women's Health · doi:10.1186/s12905-020-01070-x · Cited by 39
Metadata
- Authors
- Yeneneh, A., Alemu, K., Dadi, A. F., & Alamirrew, A.
- Affiliations
- University of Gondar (ET)
- Corresponding author
- Dadi, Abel Fekadu
- ORCID
- Dadi, Abel Fekadu
- Venue
- BMC Pregnancy and Childbirth
- Published
- 2018-06-18
- Volume
- 18
- Issue
- 1
- Pages
- 242-242
- ISSN
- 1471-2393 (ISSN-L)
- PMC
- PMC6007057
- OpenAlex
- W2808512127
- Cited by
- 66
- References
- 2
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 11 · 2023: 9 · 2022: 13 · 2021: 9 · 2020: 10 · 2019: 5
- FWCI
- 6.62
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Pregnancy and Childbirth (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Greater South Information System
- Funders
- There was no funding for this study.
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Keywords
- antenatal care utilization, spatial distribution, spatial clustering, Ethiopia, obstetric care, risk areas, wealth status, birth order, urban-rural differences, maternal education, spatial targeting
- MeSH terms
- Adolescent, Adult, Cross-Sectional Studies, Demography, Ethiopia, Female, Humans, Middle Aged, Patient Acceptance of Health Care, Pregnancy, Prenatal Care, Binomial Distribution, Young Adult, Spatial Analysis
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