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Spatial distribution of antenatal care utilization and associated factors in Ethiopia: evidence from Ethiopian demographic health surveys
Authors: Abraham Yeneneh, Kassahun Alemu, Abel Fekadu Dadi, and Atinkut Alamirrew
Source: BMC Pregnancy and Childbirth , 18: 242; DOI: 10.1186/s12884-018-1874-2
Topic(s): Antenatal care
Health care utilization
Maternal mortality
Spatial analysis
Country: Africa
Published: JUN 2018
Abstract: Background Antenatal care (ANC) is one of the components of care to be provided to pregnant women. In Ethiopia, characterizing the spatial distribution of antenatal care utilization is essential to prioritize risk areas where ANC is needed and facilitate interventions. Therefore, this spatial analysis was performed to assess the spatial distribution of ANC utilization between 2000 and 2011 and to identify factors associated with ANC utilization in Ethiopia. Methods A total of 23,179 women who had a live birth in the five years preceding the surveys were included in the study. The spatial data were created in ArcGIS10.1 for each study clusters. The Bernoulli model was used by applying Kulldorff methods using the SaTScan™ software to analyze the purely spatial clusters of ANC utilization. Multiple logistic regression analysis was used to identify predictors affecting ANC utilization. Results ANC utilization had spatial variations across the country. Spatial scan statistics identified 49 high performing clusters (LLR?=?111.92, P?