Translational Health Research Institute (THRI), School of Medicine, Western Sydney University, Penrith, NSW 2751, Australia.
School of Science and Health, Western Sydney University, Penrith, NSW 2751, Australia.
Int J Environ Res Public Health. 2019 Mar 1;16(5):748. doi: 10.3390/ijerph16050748.
Antenatal care (ANC) services are an essential intervention for improving maternal and child health worldwide. In Ethiopia, however, ANC service use has been suboptimal, and examining the trends and factors associated with ANC service use is needed to inform targeted maternal health care interventions. This study aimed to investigate the trends and determinants of ANC service utilisation in Ethiopia for the period ranging from 2000 to 2016. This study draws on the Ethiopia Demographic and Health Survey data for the years 2000 ( = 7928), 2005 ( = 7276), 2011 ( = 7881) and 2016 ( = 7558) to estimate the trends in ANC service utilisation. Multivariate logistic regression models with adjustment for clustering and sampling weights were used to investigate the association between the study factors and ANC service utilisation. Over the sixteen-year period, the proportion of Ethiopian women who received the recommended four or more ANC visits increased from 10.0% (95% confidence interval (95% CI: 8.7⁻12.5%) in 2000 to 32.0% (95% CI: 29.4⁻34.3%) in 2016. Similarly, the proportion of women who received one to three ANC visits increased from 27.0% (95% CI: 23.6⁻30.7%) in 2000 to 62.0% in 2016 (95% CI: 60.4⁻67.3%). Multivariate analyses showed that higher maternal and paternal education, higher household wealth status, urban residency and previous use of a contraceptive were associated with ANC service use (1⁻3 and 4+ ANC visits). The study suggests that while Ethiopian pregnant women's engagement with ANC services improved during the millennium development goal era (2000⁻2015), recommended ANC use remains suboptimal. Improving the utilisation of ANC services among pregnant women is essential in Ethiopia, and efforts should focus on vulnerable women.
产前护理（ANC）服务是改善全球母婴健康的重要干预措施。然而，在埃塞俄比亚，ANC 服务的利用率一直不理想，需要研究 ANC 服务利用率的趋势和相关因素，以为有针对性的母婴保健干预措施提供信息。本研究旨在调查 2000 年至 2016 年期间埃塞俄比亚 ANC 服务利用的趋势和决定因素。本研究利用 2000 年（n=7928）、2005 年（n=7276）、2011 年（n=7881）和 2016 年（n=7558）的埃塞俄比亚人口与健康调查数据来估计 ANC 服务利用率的趋势。使用调整了聚类和抽样权重的多变量逻辑回归模型来研究研究因素与 ANC 服务利用之间的关联。在十六年期间，接受建议的四次或更多 ANC 检查的埃塞俄比亚妇女比例从 2000 年的 10.0%（95%置信区间（95%CI：8.7⁻12.5%））增加到 2016 年的 32.0%（95%CI：29.4⁻34.3%）。同样，接受一至三次 ANC 检查的妇女比例从 2000 年的 27.0%（95%CI：23.6⁻30.7%）增加到 2016 年的 62.0%（95%CI：60.4⁻67.3%）。多变量分析表明，母亲和父亲较高的教育程度、较高的家庭财富状况、城市居住和以前使用避孕药具与 ANC 服务的使用（1⁻3 次和 4+次 ANC 检查）相关。研究表明，虽然在千年发展目标时代（2000⁻2015 年），埃塞俄比亚孕妇接受 ANC 服务的情况有所改善，但建议的 ANC 使用率仍不理想。在埃塞俄比亚，提高孕妇对 ANC 服务的利用率至关重要，应重点关注弱势妇女。
