Shibeshi Abdu Hailu, Seifu Beminate Lemma, Kase Bizunesh Fantahun, Ibrahim Mohammed Ahmed, Mare Kusse Urmale
Department of Statistics, College of Natural and Computational Sciences, Samara University, Samara, Ethiopia.
Department of Public Health, College of Medicine and Health Sciences, Samara University, Samara, Ethiopia.
Sci Rep. 2025 Aug 9;15(1):29197. doi: 10.1038/s41598-025-10535-8.
Adequate antenatal care (ANC) is crucial for improving pregnancy outcomes through preventive and promotive interventions. Despite WHO standards for regular check-ups, screenings, and counseling, compliance in Ethiopia's pastoral areas, particularly Afar, is underexplored. This study assessed adequate ANC receipt and its associated factors among 704 women who delivered in public hospitals in Afar, Northeast Ethiopia. Data were collected from May 1 to 30, 2024, using structured interviews administered via Kobo Toolbox. Analysis was performed using STATA version 17. Bivariable with [Formula: see text]and multivariable with [Formula: see text] binary logistic regressions were performed. Adjusted odds ratios (AOR) with 95% confidence intervals were reported to identify factors associated with adequate ANC. Only 34.8% of participants (95% CI: 31.3-38.4%) received adequate ANC. Key positive predictors included being married (AOR = 1.97), higher education (AOR = 1.53), higher household wealth (AOR = 1.89), awareness of ANC timing (AOR = 6.82), knowledge of pregnancy danger signs (AOR = 4.29), and understanding ANC visit frequency (AOR = 1.48). The findings reveal that only one-third of women received adequate ANC, underscoring the need for immediate interventions to improve ANC access and utilization in the Afar region to enhance maternal and child health outcomes.
充足的产前保健（ANC）对于通过预防和促进性干预措施改善妊娠结局至关重要。尽管世界卫生组织制定了定期检查、筛查和咨询的标准，但埃塞俄比亚牧区，特别是阿法尔地区的合规情况仍未得到充分探索。本研究评估了埃塞俄比亚东北部阿法尔地区704名在公立医院分娩的妇女中接受充足产前保健的情况及其相关因素。数据于2024年5月1日至30日收集，采用通过Kobo Toolbox进行的结构化访谈。使用STATA 17版本进行分析。进行了双变量[公式：见正文]和多变量[公式：见正文]二元逻辑回归。报告了具有95%置信区间的调整后比值比（AOR），以确定与充足产前保健相关的因素。只有34.8%的参与者（95%CI：31.3 - 38.4%）接受了充足的产前保健。关键的积极预测因素包括已婚（AOR = 1.97）、高等教育（AOR = 1.53）、较高的家庭财富（AOR = 1.89）、对产前保健时间的知晓（AOR = 6.82）、对妊娠危险信号的了解（AOR = 4.29）以及对产前保健就诊频率的理解（AOR = 1.48）。研究结果表明，只有三分之一的妇女接受了充足的产前保健，这突出表明需要立即采取干预措施，以改善阿法尔地区产前保健的可及性和利用率，从而提高母婴健康结局。
