Does Combining Antenatal Care Visits at Health Posts and Health Centers Improve Antenatal Care Quality in Rural Ethiopia?

Kasaye, HK; Dadi, TL; Yilma, MT; Jebena, MG; Medhin, G; Kassie, GM; Bekele, F; Nigatu, F; Teklu, AM

Does Combining Antenatal Care Visits at Health Posts and Health Centers Improve Antenatal Care Quality in Rural Ethiopia?

Kasaye, HK Dadi, TL Yilma, MT Jebena, MG Medhin, G Kassie, GM Bekele, F Nigatu, F Teklu, AM

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Publisher:: Jimma University
Publication Type:: Journal Article
Citation:: Ethiopian journal of health sciences, 2023, 33, (Spec Iss 1), pp. 37-48
Issue Date:: 2023-04

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Field	Value	Language
dc.contributor.author	Kasaye, HK
dc.contributor.author	Dadi, TL
dc.contributor.author	Yilma, MT
dc.contributor.author	Jebena, MG
dc.contributor.author	Medhin, G
dc.contributor.author	Kassie, GM
dc.contributor.author	Bekele, F
dc.contributor.author	Nigatu, F
dc.contributor.author	Teklu, AM
dc.date.accessioned	2024-09-05T13:17:59Z
dc.date.available	2023-01-24
dc.date.available	2024-09-05T13:17:59Z
dc.date.issued	2023-04
dc.identifier.citation	Ethiopian journal of health sciences, 2023, 33, (Spec Iss 1), pp. 37-48
dc.identifier.issn	1029-1857
dc.identifier.issn	2413-7170
dc.identifier.uri	http://hdl.handle.net/10453/180725
dc.description.abstract	BACKGROUND: Even though quality maternal care is crucial for the well-being of women and their newborns, the inferior quality of antenatal care in rural Ethiopia is a timely concern. This study aimed to investigate the effects of combining antenatal care visits at health posts and health centers on improving antenatal care quality in rural Ethiopia. METHODS: Using the 2019 Ethiopia Health Extension Program assessment done by MERQ, we extracted and analyzed the survey responses of 2,660 women who had received at least one antenatal visit from a primary health care unit. We measured the cumulative count of quality of antenatal care using the Donabedian model. To model the differences in the quality of antenatal care at health posts and health centers, we used zero-truncated Poisson regression and reported incidence risk ratios with their 95% confidence intervals. RESULTS: The quality of antenatal care increased by 20% (adjusted IRR= 1.20 [1.12-1.28]) when antenatal care reception was mixed at health posts and health centers, compared to those who received all antenatal care only from health posts. Quality differences based on socioeconomic status and setting variations were observed as predictors of quality of care, even if women received antenatal care at both health posts and health centers. CONCLUSIONS: Combining antenatal care provision from health posts and health centers should be sustained as one of the antenatal care quality improvement strategies in rural parts of Ethiopia while ensuring the equitable provision of quality care across socioeconomic groups and between agrarian and pastoral settings.
dc.format	Print
dc.language	eng
dc.publisher	Jimma University
dc.relation.ispartof	Ethiopian journal of health sciences
dc.relation.isbasedon	10.4314/ejhs.v33i1.5S
dc.rights	info:eu-repo/semantics/openAccess
dc.subject.classification	3202 Clinical sciences
dc.subject.classification	4206 Public health
dc.subject.mesh	Ethiopia
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Infant, Newborn
dc.subject.mesh	Maternal Health Services
dc.subject.mesh	Patient Acceptance of Health Care
dc.subject.mesh	Pregnancy
dc.subject.mesh	Prenatal Care
dc.subject.mesh	Quality of Health Care
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Female
dc.subject.mesh	Pregnancy
dc.subject.mesh	Infant, Newborn
dc.subject.mesh	Humans
dc.subject.mesh	Prenatal Care
dc.subject.mesh	Ethiopia
dc.subject.mesh	Maternal Health Services
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Quality of Health Care
dc.subject.mesh	Patient Acceptance of Health Care
dc.subject.mesh	Humans
dc.subject.mesh	Prenatal Care
dc.subject.mesh	Pregnancy
dc.subject.mesh	Infant, Newborn
dc.subject.mesh	Maternal Health Services
dc.subject.mesh	Quality of Health Care
dc.subject.mesh	Patient Acceptance of Health Care
dc.subject.mesh	Ethiopia
dc.subject.mesh	Female
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Female
dc.subject.mesh	Pregnancy
dc.subject.mesh	Infant, Newborn
dc.subject.mesh	Humans
dc.subject.mesh	Prenatal Care
dc.subject.mesh	Ethiopia
dc.subject.mesh	Maternal Health Services
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Quality of Health Care
dc.subject.mesh	Patient Acceptance of Health Care
dc.title	Does Combining Antenatal Care Visits at Health Posts and Health Centers Improve Antenatal Care Quality in Rural Ethiopia?
dc.type	Journal Article
utslib.citation.volume	33
utslib.location.activity	Ethiopia
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
pubs.organisational-group	University of Technology Sydney/Faculty of Health/Midwifery
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2024-09-05T13:17:53Z
pubs.issue	Spec Iss 1
pubs.publication-status	Published
pubs.volume	33
utslib.citation.issue	Spec Iss 1

Abstract:

BACKGROUND: Even though quality maternal care is crucial for the well-being of women and their newborns, the inferior quality of antenatal care in rural Ethiopia is a timely concern. This study aimed to investigate the effects of combining antenatal care visits at health posts and health centers on improving antenatal care quality in rural Ethiopia. METHODS: Using the 2019 Ethiopia Health Extension Program assessment done by MERQ, we extracted and analyzed the survey responses of 2,660 women who had received at least one antenatal visit from a primary health care unit. We measured the cumulative count of quality of antenatal care using the Donabedian model. To model the differences in the quality of antenatal care at health posts and health centers, we used zero-truncated Poisson regression and reported incidence risk ratios with their 95% confidence intervals. RESULTS: The quality of antenatal care increased by 20% (adjusted IRR= 1.20 [1.12-1.28]) when antenatal care reception was mixed at health posts and health centers, compared to those who received all antenatal care only from health posts. Quality differences based on socioeconomic status and setting variations were observed as predictors of quality of care, even if women received antenatal care at both health posts and health centers. CONCLUSIONS: Combining antenatal care provision from health posts and health centers should be sustained as one of the antenatal care quality improvement strategies in rural parts of Ethiopia while ensuring the equitable provision of quality care across socioeconomic groups and between agrarian and pastoral settings.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/180725