Predictors of antenatal care service utilization among women of reproductive age in Ethiopia: a systematic review and meta-analysis

Yoseph, Amanuel; Mutwiri, G.; Guillén Grima, Francisco

Predictors of antenatal care service utilization among women of reproductive age in Ethiopia: a systematic review and meta-analysis

dc.contributor.author	Yoseph, Amanuel
dc.contributor.author	Mutwiri, G.
dc.contributor.author	Guillén Grima, Francisco
dc.contributor.department	Ciencias de la Salud	es_ES
dc.contributor.department	Osasun Zientziak	eu
dc.date.accessioned	2025-06-18T18:24:40Z
dc.date.available	2025-06-18T18:24:40Z
dc.date.issued	2025-04-07
dc.date.updated	2025-06-18T18:11:53Z
dc.description.abstract	Objective: This study aimed to provide pooled predictors of ANC (antenatal care) service use among women of reproductive age in Ethiopia. Methods: Studies were systematically searched using PubMed, Medline, CINAHL, EMBASE, and Google Scholar. The Newcastle–Ottawa scale (NOS) tool was utilized for quality assessment (risk of bias). All data analyses were conducted by utilizing Stata version 17. A random-effects model was used to obtain the pooled predictors of ANC use. The publication bias was checked using a funnel plot and Egger’s regression test. Results: Twenty-two studies with a sample size of 25,671 were included in this review. The identified predictors of ANC service use were highest wealth rank (AOR 1.92 [95% CI: 1.53–2.31]), formal women education (AOR 2.40 [95% CI: 1.75–3.06]), formal husband education (AOR 1.49 [95% CI: 1.36–1.66]), women age ≥ 20 (AOR 1.75 [95% CI: 1.47–2.17]), mass media exposure (AOR 1.44 [95% CI: 1.21–1.66]), good maternal knowledge about the pregnancy complication (AOR 1.49 [95% CI: 1.11–1.88]), planned pregnancy (AOR 1.59 [95% CI: 1.28–1.91]), women autonomy (AOR 1.42 [95% CI: 1.23–1.62]), and positive husband attitude about the ANC service use (AOR 2.63 [95% CI: 1.47–3.79]). Conclusions: Several predictors have increased the ANC service utilization, like wealth status, women’s and their husbands’ education, older/increasing women’s age, media exposure, maternal knowledge about pregnancy complications, planned pregnancy, women’s autonomy to decide on household health care, and positive husband attitude about the ANC service utilization.	en
dc.format.mimetype	application/pdf
dc.format.mimetype	application/zip
dc.identifier.citation	Yoseph, A., Mutwiri, G., Guillen-Grima, F. (2025) Predictors of antenatal care service utilization among women of reproductive age in Ethiopia: a systematic review and meta-analysis. Journal of Clinical Medicine, 14(7), 1-15. https://doi.org/10.3390/jcm14072517.
dc.identifier.doi	10.3390/jcm14072517
dc.identifier.issn	2077-0383
dc.identifier.uri	https://academica-e.unavarra.es/handle/2454/54255
dc.language.iso	eng
dc.publisher	MDPI
dc.relation.ispartof	Journal of Clinical Medicine 2025, 14(7), 2517
dc.relation.publisherversion	https://doi.org/10.3390/jcm14072517
dc.rights	© 2025 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license.
dc.rights.accessRights	info:eu-repo/semantics/openAccess
dc.rights.uri	http://creativecommons.org/licenses/by/4.0/
dc.subject	Antenatal care	en
dc.subject	Utilization	en
dc.subject	Predictors	en
dc.subject	Socioeconomic status	en
dc.subject	Women	en
dc.subject	Reproductive age groups	en
dc.subject	Planned pregnancy	en
dc.subject	Education status	en
dc.subject	Mass media exposure	en
dc.subject	Ethiopia	en
dc.title	Predictors of antenatal care service utilization among women of reproductive age in Ethiopia: a systematic review and meta-analysis	en
dc.type	info:eu-repo/semantics/article
dc.type.version	info:eu-repo/semantics/publishedVersion
dspace.entity.type	Publication
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