Zemenu Tadesse Tessema|Achamyeleh Birhanu Teshale|Getayeneh Antehunegn Tesema|Koku Sisay Tamirat
Determinants of completing recommended antenatal care utilization in sub-Saharan from 2006 to 2018: evidence from 36 countries using Demographic and Health Surveys
University of Gondar|University of Gondar|University of Gondar|University of Gondar
abstract background every day 2017 approximately 810 women died preventable causes related pregnancy childbirth 99 maternal deaths occurring low lowermiddleincome countries subsaharan africa ssa alone accounts roughly 66 pregnant women gained recommended anc antenatal care maternal deaths could prevented still many women lack recommended anc subsaharan africa study aimed determining pooled prevalence determinants recommended anc utilization ssa methods used recent standard demographic health survey data period 2006 2018 36 ssa countries total 260572 women least one live birth 5 years preceding survey included study metaanalysis dhs data subsaharan countries conducted generate pooled prevalence forest plot used present multilevel multivariable logistic regression model fitted identify determinants recommended anc utilization aor adjusted odds ratio 95 ci p value 005 used declare recommended anc utilization determinates results pooled prevalence recommended antenatal care utilization subsaharan africa countries 5853 95 ci 5835 5871 highest recommended anc utilization southern region africa 7886 low recommended anc utilization eastern regions africa 5339 multilevel multivariable logistic regression model region residence literacy level maternal education husband education maternal occupation women health care decision autonomy wealth index media exposure accessing health care wanted pregnancy contraceptive use birth order determinants recommended anc utilization subsaharan africa conclusion coverage recommended anc service utilization high disparities among region rural residence illiterate low education level occupation low women autonomy low socioeconomic status exposed media big problem access health care unplanned pregnancy use contraceptive determinants women recommended anc utilization ssa study evidenced existence wide gap ssa regions countries special attention required improve health accessibility utilization quality maternal health services