Antenatal Care Service Utilization Among Women Of Recent Delivery Under Covid Environment Analysis Of The Determinants Of Access And Quality Of Services In Selected Health Facilities In Burayu Town Oromia Ethiopia

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In Ethiopia, although the use of maternal health services, including antenatal care has improved, mostrnof the mothers do not attend and use a minimum number of four visits and the six-core set of itemsrnof ANC services recommended by the World Health Organization (WHO). Therefore, the objectivernof the study was to investigate determinants and quality of ANC in the Burayu Healthcare center,rnEthiopia. A cross-sectional study was conducted on 420 mothers who gave birth within the past sixrnmonths as of March to June 2021 at Burayu Healthcare center, Ethiopia. Data were entered into Epirndata version 3.1 and exported to STATA version 14 software. Multivariable logistic and NegativernBinomial regression models were used to determine the determinants of the two outcome variables.rnAmong the 420 mothers included in this study, the majority of the mothers (68.6%) attended 4+ ANCrnvisits and a very small proportion (1.9%) of mothers received all the six selected elements of ANCrnservices. In multivariable logistic regression analysis of the determinants of frequency of ANC visits,rnwomen who were from urban, early starters of ANC visit, those with inter-pregnancy of less than orrnequal to 24 months and who had pregnancy-related acute illness had higher odds of receiving at leastrn4rn+visits compared to their respective reference categories. Similarly in multivariate negativernbinomial regression analysis, married mothers, mothers with morbidity history, pregnancy-relatedrnacute illness, and who spent less than 30 minutes to reach health facilities were more likely to receivernthe WHO recommended items/contents of ANC services than their counter parts. Their respectivernodds ratios were marital statuses (AOR =1.05; 95%CI: 1.01-1.09), mothers with no morbidity historyrn(AOR = 1.03, 95% CI: 1.02–1.06), and the mothers who lives at a distant greater than one hour fromrnhealth facilities (AOR = 1.88; 95% CI: 1.85–1.91). Moderate and extremely low levels of compliancernwith the WHO minimum recommended ANC visit (4+ visit) and core contents or items of the ANCrnrespectively have been observed in Burayu town. Health promotion programs targeting mothers arernvital to increase their awareness about the importance of antenatal services and to improve therncoverage and contents of ANC services in Burayu.

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Antenatal Care Service Utilization Among Women Of Recent Delivery Under Covid Environment Analysis Of The Determinants Of Access And Quality Of Services In Selected Health Facilities In Burayu Town Oromia Ethiopia

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