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Individual- and community-level determinants of maternal health service utilization in southern Ethiopia: a multilevel analysis
dc.creator | Yoseph, Amanuel | es_ES |
dc.creator | Teklesilasie, Wondwosen | es_ES |
dc.creator | Guillén Grima, Francisco | es_ES |
dc.creator | Astatkie, Ayalew | es_ES |
dc.date.accessioned | 2024-05-10T18:49:37Z | |
dc.date.available | 2024-05-10T18:49:37Z | |
dc.date.issued | 2023 | |
dc.identifier.citation | Yoseph, A., Teklesilasie, W., Guillen-Grima, F., Astatkie, A. (2023) Individual- and community-level determinants of maternal health service utilization in southern Ethiopia: A multilevel analysis. Women's Health, 19, 1-16. https://doi.org/10.1177/17455057231218195. | en |
dc.identifier.issn | 1745-5057 | |
dc.identifier.uri | https://hdl.handle.net/2454/48104 | |
dc.description.abstract | Background: Maternal health service utilization decreases maternal morbidity and mortality. However, the existing evidence is inadequate to design effective intervention strategies in Ethiopia. Objectives: This study aimed to examine the utilization of maternal health service and identify its determinants among women of reproductive age in southern Ethiopia. Design: A community-based cross-sectional study was conducted from October 21 to November 11, 2022 on a sample of 1140 women selected randomly from the Northern Zone of the Sidama region. Methods: Data were collected using the Open Data Kit mobile application and exported to Stata version 15 for analysis. We used a multilevel mixed-effects modified Poisson regression with robust standard error to identify determinants of maternal health service utilization. Results: Utilization of antenatal care, health facility delivery, and postnatal care was 52.0% (95% confidence interval: 49.0%, 55.0%), 48.5% (95% confidence interval: 45.6%, 51.4%), and 26.0% (95% confidence interval: 23.0%, 29.0%), respectively. Antenatal care use was associated with receiving model family training (adjusted prevalence ratio: 1.19; 95% confidence interval: 1.06, 1.35), knowledge of antenatal care (adjusted prevalence ratio: 1.54; 95% confidence interval: 1.31, 1.81), perceived quality of antenatal care (adjusted prevalence ratio: 1.02; 95% confidence interval: 1.01, 1.03), and having birth preparedness plan (adjusted prevalence ratio: 1.13; 95% confidence interval: 1.02, 1.25). The identified determinants of health facility delivery use were middle wealth rank (adjusted prevalence ratio: 1.35; 95% confidence interval: 1.03, 1.77), perceived quality of health facility delivery (adjusted prevalence ratio: 1.02; 95% confidence interval: 1.01, 1.03), antenatal care (adjusted prevalence ratio: 1.76; 95% confidence interval: 1.36, 2.26), and high community-level women literacy (adjusted prevalence ratio: 1.55; 95% confidence interval: 1.10, 2.19). Postnatal care use was associated with facing health problems during postpartum period (adjusted prevalence ratio: 1.79; 95% confidence interval: 1.18, 2.72), urban residence (adjusted prevalence ratio: 3.52; 95% confidence interval: 2.15, 5.78), knowledge of postnatal care (adjusted prevalence ratio: 1.11; 95% confidence interval: 1.04, 1.19), and low community-level poverty (adjusted prevalence ratio: 0.43; 95% confidence interval: 0.25, 0.73). Conclusion: Maternal health service use was low in the study area and was influenced by individual- and community-level determinants. Any intervention strategies must consider multi-sectorial collaboration to address determinants at different levels. The programs should focus on the provision of model family training, the needs of women who have a poor perception, and knowledge of maternal health service at the individual level. | en |
dc.description.sponsorship | This work was supported by the Hawassa University and Sidama Region President’s Office. | en |
dc.format.mimetype | application/pdf | en |
dc.format.mimetype | application/zip | en |
dc.language.iso | eng | en |
dc.publisher | SAGE | en |
dc.relation.ispartof | Women's Health 19, 2023 | en |
dc.rights | © The Author(s) 2023. Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). | en |
dc.rights.uri | http://creativecommons.org/licenses/by-nc/4.0/ | |
dc.subject | Antenatal care | en |
dc.subject | Determinants | en |
dc.subject | Ethiopia | en |
dc.subject | Health facility delivery | en |
dc.subject | Interclass correlation | en |
dc.subject | Multilevel analysis | en |
dc.subject | Postnatal care | en |
dc.subject | Utilization | en |
dc.subject | Wealth index | en |
dc.subject | Women of reproductive age | en |
dc.title | Individual- and community-level determinants of maternal health service utilization in southern Ethiopia: a multilevel analysis | en |
dc.type | Artículo / Artikulua | es |
dc.type | info:eu-repo/semantics/article | en |
dc.date.updated | 2024-05-10T18:34:59Z | |
dc.contributor.department | Ciencias de la Salud | es_ES |
dc.contributor.department | Osasun Zientziak | eu |
dc.rights.accessRights | Acceso abierto / Sarbide irekia | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | en |
dc.identifier.doi | 10.1177/17455057231218195 | |
dc.relation.publisherversion | https://doi.org/10.1177/17455057231218195 | |
dc.type.version | Versión publicada / Argitaratu den bertsioa | es |
dc.type.version | info:eu-repo/semantics/publishedVersion | en |
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reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and
Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).