Andiso Worku, Wudie Gebiyaw, Mulatu Kebadenew, Daka Deresse
Bahir Dar University College of Medicine and Health Science, Bahir Dar, Ethiopia.
Hawassa University College of Medicine and Health Sciences, Hawassa, Ethiopia.
Womens Health (Lond). 2025 Jan-Dec;21:17455057251332491. doi: 10.1177/17455057251332491. Epub 2025 Apr 21.
Antenatal care (ANC) is vital for the health and well-being of mothers and their babies during pregnancy. It provides care, education, counseling, screening, and treatment to manage pregnancy-related complications. However, many pregnant women, especially in low-income regions like sub-Saharan Africa, do not complete recommended visits, leading to high dropout rates. Ethiopia, following WHO 2016 recommendations, has adopted an eight-contact ANC model, but still faces a 30% dropout rate. Effective ANC is crucial for reducing maternal mortality rates and ensuring positive pregnancy outcomes.
The aim of the study is to identify the determinants of ANC dropout among mothers who delivered in South Mecha Woreda, North West Ethiopia, 2024.
A community-based unmatched case-control study design was employed.
Study conducted from May 25 to June 25, 2024, using a structured and pre-tested interviewer-administered questionnaire. The final sample included 111 cases and 215 controls, totaling 326 participants. Participants were selected based on the outcome variable of ANC visit dropout (mothers who did not complete the recommended four visits during pregnancy) and ANC visit completion, identified through simple random sampling. Bivariable and multivariable analyses were performed, with a 95% confidence interval (CI) and -value used to determine significance.
Women who could not read and write had higher likelihood of ANC drop out (adjusted odds ratio (AOR) = 6.475; 95% CI: 2.662, 13.747; < 0.001), women from families with a monthly income of less than 3000 (AOR = 2.036; 95% CI: 1.666, 6.221; = 0.012), women who waited more than 30 min (AOR = 5.132; 95% CI: 3.352, 12.877; < 0.001), and dissatisfaction with the service received (AOR = 5.397; 95% CI: 1.406, 10.719; = 0.014).
The research indicates that variables like educational level, family income, service waiting times, and satisfaction with services are significant determinants of ANC dropout rates among women in South Mecha Woreda. Women with lower levels of education and income are at a higher risk of dropping out, highlighting the necessity for focused interventions. The research underscores the need for holistic strategies to enhance maternal health and decrease ANC dropout rates.
产前护理（ANC）对于孕期母亲及其婴儿的健康和福祉至关重要。它提供护理、教育、咨询、筛查和治疗，以管理与妊娠相关的并发症。然而，许多孕妇，特别是在撒哈拉以南非洲等低收入地区的孕妇，并未完成推荐的产检次数，导致高辍学率。埃塞俄比亚遵循世界卫生组织2016年的建议，采用了八次产检接触模式，但仍面临30%的辍学率。有效的产前护理对于降低孕产妇死亡率和确保良好的妊娠结局至关重要。
本研究的目的是确定2024年在埃塞俄比亚西北部南梅查县分娩的母亲中，产前护理辍学的决定因素。
采用基于社区的非匹配病例对照研究设计。
研究于2024年5月25日至6月25日进行，使用结构化且经过预测试的访谈员管理问卷。最终样本包括111例病例和215例对照，共326名参与者。参与者根据产前护理访视辍学的结果变量（孕期未完成推荐的四次产检的母亲）和通过简单随机抽样确定的产前护理访视完成情况进行选择。进行了双变量和多变量分析，使用95%置信区间（CI）和P值来确定显著性。
无法读写的女性产前护理辍学的可能性更高（调整后的优势比（AOR）=6.475；95%CI：2.662，13.747；P<0.001），月收入低于3000的家庭中的女性（AOR=2.036；95%CI：1.666，6.221；P=0.012），等待超过30分钟的女性（AOR=5.132；95%CI：3.352，12.877；P<0.001），以及对所接受服务不满意的女性（AOR=5.397；95%CI：1.406，10.719；P=0.014）。
该研究表明，教育水平、家庭收入、服务等待时间和对服务的满意度等变量是南梅查县女性产前护理辍学率的重要决定因素。教育水平和收入较低的女性辍学风险更高，这凸显了针对性干预措施的必要性。该研究强调了采取整体策略以改善孕产妇健康和降低产前护理辍学率的必要性。
