Mulu Abraha Woldegiorgis|Janet E. Hiller|Wubegzier Mekonnen|Denny Meyer|Jahar Bhowmik
Determinants of antenatal care and skilled birth attendance in sub?Saharan Africa: A multilevel analysis
Swinburne University of Technology|Swinburne University of Technology|University of Adelaide|Addis Ababa University|Swinburne University of Technology|Swinburne University of Technology
abstract objective determine individual countrylevel determinants utilization key maternal health services subsaharan africa ssa study setting used recent standard demographic health survey data period 2005 2015 34 ssa countries predictors key maternal health service indicators determined using sample 245 178 women least one live birth 5 years preceding survey study design used twolevel hierarchical model considering individual predictors level one country factors level two hierarchy principal findings skilled birth attendance sba utilization rate reached 53 percent study period recommended four antenatal care anc coverage commonly low less significant differences among different groups women countries middleincome country increased individuallevel association anc sba 234 95 ci 124 444 less privileged women lower education level less likely receive maternal health services conclusions study reveals existence wide gaps anc sba coverage ssa urgent policy attention required improve access utilization quality maternal health services