Background
Methods
Study outcome
Study predictors
Statistical methods
Ethical approval
Results
Demographic characteristics of the participants
Characteristics | 2000 | 2005 | 2011 | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Weighted | Unweighted | Weighted | Unweighted | Weighted | Unweighted | |||||||
Number | % | Number | % | Number | % | Number | % | Number | % | Number | % | |
Residence
| ||||||||||||
Urban | 908 | 11.4 | 1286 | 17.8 | 634 | 8.7 | 1054 | 16.0 | 1188 | 15.0 | 1513 | 19.5 |
Rural | 7070 | 88.6 | 5959 | 82.2 | 6674 | 91.3 | 5535 | 84.0 | 6720 | 85.0 | 6251 | 80.5 |
Region
| ||||||||||||
Tigray | 536 | 6.7 | 751 | 10.4 | 480 | 6.6 | 671 | 10.2 | 530 | 6.7 | 847 | 10.9 |
Amhara | 2224 | 27.9 | 1128 | 15.6 | 1856 | 25.4 | 1032 | 15.7 | 1991 | 25.2 | 965 | 12.4 |
Oromiya | 3059 | 38.3 | 1343 | 18.5 | 2723 | 37.3 | 1211 | 18.4 | 3116 | 39.4 | 1100 | 14.2 |
SNNPR | 1695 | 21.2 | 1037 | 14.3 | 1632 | 22.3 | 1129 | 17.1 | 1634 | 20.7 | 1053 | 13.6 |
Afar,Harari,Somali | 186 | 2.3 | 1210 | 16.7 | 372 | 5.1 | 1112 | 16.9 | 295 | 3.7 | 1713 | 22.1 |
Ben-Gumuz,Gambela | 103 | 1.3 | 991 | 13.7 | 92 | 1.3 | 845 | 12.8 | 123 | 1.6 | 1282 | 16.5 |
Addis Ababa,Dire Dawa | 175 | 2.2 | 785 | 10.8 | 153 | 2.1 | 589 | 8.9 | 219 | 2.8 | 804 | 10.4 |
Education
| ||||||||||||
No education | 6550 | 82.1 | 5732 | 79.1 | 5734 | 78.5 | 4956 | 75.2 | 5270 | 66.6 | 5184 | 66.8 |
Primary education | 1003 | 12.6 | 933 | 12.9 | 1205 | 16.5 | 1060 | 16.1 | 2270 | 28.7 | 2095 | 27.0 |
Secondary and higher | 425 | 5.3 | 580 | 8.0 | 368 | 5.0 | 573 | 8.7 | 368 | 4.7 | 485 | 6.2 |
Age
| ||||||||||||
15-19 | 472 | 5.9 | 434 | 6.0 | 440 | 6.0 | 437 | 6.6 | 402 | 5.1 | 416 | 5.4 |
20-24 | 1727 | 21.6 | 1516 | 20.9 | 1473 | 20.2 | 1384 | 21.0 | 1608 | 20.3 | 1596 | 20.6 |
25-29 | 2028 | 25.4 | 1936 | 26.7 | 1961 | 26.8 | 1810 | 27.5 | 2383 | 30.1 | 2292 | 29.5 |
30-34 | 1496 | 18.7 | 1413 | 19.5 | 1428 | 19.5 | 1258 | 19.1 | 1489 | 18.8 | 1507 | 19.4 |
35-39 | 1219 | 15.3 | 1125 | 15.5 | 1138 | 15.6 | 1000 | 15.2 | 1239 | 15.7 | 1203 | 15.5 |
40-44 | 706 | 8.9 | 576 | 8.0 | 578 | 7.9 | 478 | 7.3 | 571 | 7.2 | 550 | 7.1 |
45-49 | 330 | 4.1 | 245 | 3.4 | 290 | 4.0 | 222 | 3.4 | 216 | 2.7 | 200 | 2.6 |
Religion
| ||||||||||||
Orthodox | 4057 | 50.9 | 3234 | 44.6 | 3262 | 44.6 | 2774 | 42.1 | 3327 | 42.1 | 2694 | 34.7 |
Protestant | 1232 | 15.4 | 997 | 13.8 | 1404 | 19.2 | 1159 | 17.6 | 1763 | 22.3 | 1479 | 19.0 |
Moslem | 2337 | 29.3 | 2719 | 37.5 | 2382 | 32.6 | 2425 | 36.8 | 2563 | 32.4 | 3359 | 43.3 |
Others* | 352 | 4.4 | 295 | 4.1 | 259 | 3.5 | 231 | 3.5 | 250 | 3.2 | 228 | 2.9 |
Missing | - | - | - | - | - | - | - | - | 5 | 0.1 | 4 | 0.1 |
Marital status
| ||||||||||||
Married | 7193 | 90.2 | 6492 | 89.6 | 6772 | 92.7 | 6058 | 91.9 | 6765 | 85.5 | 6624 | 85.3 |
Others | 785 | 9.8 | 753 | 10.4 | 535 | 7.3 | 531 | 8.1 | 1143 | 14.5 | 1140 | 14.7 |
Birth Order
| ||||||||||||
1 | 1362 | 17.1 | 1391 | 19.2 | 1190 | 16.3 | 1232 | 18.7 | 1399 | 17.7 | 1477 | 19.0 |
2-4 | 3264 | 40.9 | 3002 | 41.4 | 3026 | 41.4 | 2830 | 43.0 | 3464 | 43.8 | 3392 | 43.7 |
5+ | 3352 | 42.0 | 2852 | 39.4 | 3092 | 42.3 | 2527 | 38.4 | 3045 | 38.5 | 2895 | 37.3 |
Total
|
7978
|
100.0
|
7245
|
100.0
|
7307
|
100.0
|
6589
|
100.0
|
7908
|
100.0
|
7764
|
100.0
|
ANC visits in Ethiopia
Characteristics | 2000 | 2005 | 2011 | ||||||
---|---|---|---|---|---|---|---|---|---|
Number | % | Crude OR (95% CI) | Number | % | Crude OR (95% CI) | Number | % | Crude OR (95% CI) | |
Residence
|
7928
|
7277
|
7880
| ||||||
Urban | 890 | 67.2 | 7.3(6.3,8.5)c
| 630 | 69.7 | 7.2(6.0,8.6)c
| 1167 | 76.5 | 5.6(4.8,6.5)c
|
Rural | 7038 | 21.9 | 1 | 6647 | 24.3 | 1 | 6713 | 36.8 | 1 |
Region
|
7928
|
7276
|
7883
| ||||||
Tigray | 536 | 36.9 | 2.2(1.8,2.7)c
| 479 | 37.4 | 1.5(1.2,1.9)c
| 529 | 64.5 | 2.7(2.2,3.3) c
|
Amhara | 2219 | 18.8 | 1 | 1851 | 26.7 | 1 | 1972 | 40.3 | 1 |
Oromiya | 3044 | 27.7 | 1.6(1.3,2.0) c
| 2713 | 25.2 | 0.9(0.8,1.1) | 3116 | 39.5 | 1.0(0.9,1.1) |
SNNPR | 1674 | 28.3 | 1.8(1.5,2.2) c
| 1624 | 31.2 | 1.3(1.1,1.6)b
| 1631 | 40.5 | 1.0(0.9,1.2) |
Afar, Harari, Somali | 183 | 23.5 | 1.7(1.4,2.0) c
| 369 | 10.3 | 0.7(0.5,0.8)c
| 295 | 30.2 | 0.6(0.5,0.8)b
|
Ben-Gumuz, Gambela | 103 | 31.1 | 2.2(1.8,2.7) c
| 90 | 27.8 | 1.3(1.1,1.6)b
| 123 | 44.7 | 1.2(0.8,1.7) |
Addis Ababa, Dire Dawa | 169 | 78.7 | 10.1(8.1,12.5) c
| 150 | 82.7 | 7.3(5.8,9.1)c
| 217 | 90.3 | 13.7(8.7,21.7)c
|
Economic status
|
7502
|
7276
|
7881
| ||||||
Poorest | 1577 | 17.7 | 1 | 1518 | 13.5 | 1 | 1737 | 25.1 | 1 |
Poorer | 1932 | 19.8 | 1.2(1.0,1.4) | 1547 | 19.3 | 1.5(1.3,1.9)c
| 1694 | 35.0 | 1.6(1.4,1.9)c
|
Middle | 1107 | 16.4 | 0.9(0.7,1.1) | 1581 | 25.7 | 2.2(1.8,2.7)c
| 1626 | 37.9 | 1.8(1.6,2.1) c
|
Richer | 1450 | 26.8 | 1.7(1.4,2.0)c
| 1441 | 30.7 | 2.8(2.4,3.4)c
| 1494 | 47.1 | 2.7(2.3,3.1) c
|
Richest | 1436 | 55.8 | 5.9(5.0,7.0)c
| 1189 | 58.8 | 9.1(7.6,11.0)c
| 1330 | 76.4 | 9.7(8.2,11.4) c
|
Education
|
7927
|
7277
|
7881
| ||||||
No education | 6517 | 21.3 | 1 | 5712 | 22.4 | 1 | 5249 | 33.9 | 1 |
Primary | 994 | 45.5 | 3.1(2.7,3.5)c
| 1200 | 39.8 | 2.3(2.0,2.6)c
| 2266 | 55.3 | 2.4(2.2,2.7) c
|
Secondary and higher | 416 | 71.6 | 9.3(7.5,11.7)c
| 365 | 81.4 | 15.2(11.6,19.9)c
| 366 | 91.3 | 20.0(13.9,28.9) c
|
Age
|
7928
|
7275
|
7882
| ||||||
15-24 | 2192 | 27.1 | 1.2(1.1,1.4)b
| 1902 | 30.8 | 1.5(1.3,1.7)c
| 2009 | 47.1 | 1.4(1.2,1.6) c
|
25-34 | 3493 | 29.3 | 1.4(1.2,1.5)c
| 3378 | 29.6 | 1.4(1.2,1.6)c
| 3852 | 42.5 | 1.2(1.04,1.3)b
|
35+ | 2243 | 23.3 | 1 | 1995 | 23.4 | 1 | 2021 | 38.7 | 1 |
Religion
|
7578
|
7018
|
7628
| ||||||
Protestant | 1227 | 25.3 | 1 | 1402 | 29.4 | 1 | 1761 | 40.4 | 1 |
Orthodox | 4035 | 27.7 | 1.1(1.0,1.3) | 3247 | 31.9 | 1.1(0.9,1.3) | 3305 | 47.8 | 1.3(1.2,1.5)c
|
Moslem | 2316 | 28.5 | 1.2(1.0,1.4)a
| 2369 | 22.8 | 0.7(0.6,0.8)c
| 2562 | 38.4 | 0.9(0.8,1.0) |
Marital status
|
7928
|
7277
|
7880
| ||||||
Married | 7151 | 26.8 | 0.9(0.8,1.0) | 6743 | 27.9 | 0.8(0.7,1.0)a
| 6738 | 42.4 | 0.9(0.8,1.1) |
others | 777 | 29.1 | 1 | 534 | 32.0 | 1 | 1142 | 44.3 | 1 |
Birth order
|
7929
|
7276
|
7881
| ||||||
1 | 1354 | 32.1 | 1.6(1.4,1.9)c
| 1180 | 34.9 | 1.8(1.5,2.1)c
| 1393 | 54.1 | 2.0(1.8,2.3) c
|
2-4 | 3240 | 29.4 | 1.4(1.3,1.6)c
| 3016 | 30.6 | 1.5(1.3,1.6)c
| 3451 | 43.3 | 1.3(1.2,1.5) c
|
5+ | 3335 | 22.5 | 1 | 3080 | 23.2 | 1 | 3037 | 36.8 | 1 |
Autonomy
|
7867
|
7234
|
7800
| ||||||
No | 2751 | 26.3 | 1 | 5015 | 26.2 | 1 | 3495 | 39.5 | 1 |
Low | 3088 | 24.0 | 0.9(0.8,1.0)a
| 1512 | 25.3 | 1.0(0.8,1.1) | 2005 | 39.8 | 1.0(0.9,1.1) |
High | 2028 | 32.1 | 1.3(1.2,1.5)c
| 707 | 49.1 | 2.7(2.3,3.2)c
| 2300 | 50.2 | 1.5(1.4,1.7)c
|
Wife beating
|
7913
|
7269
|
7839
| ||||||
Yes | 6815 | 25.6 | 1 | 6156 | 26.4 | 1 | 6014 | 37.9 | 1 |
No | 1098 | 36.2 | 1.6(1.4,1.9)c
| 1113 | 38.4 | 1.7(1.5,2.0)c
| 1825 | 58.3 | 2.3(2.1,2.6) c
|
Characteristics | 2000 (n = 6744) | 2005 (n = 6486) | 2011 (n = 7611) | |||
---|---|---|---|---|---|---|
AOR (95% CI) | p-value | AOR (95% CI) | p-values | AOR (95% CI) | p-values | |
Region*
| ||||||
Amhara | 1 | - | 1 | - | 1 | - |
Tigray | 2.5(2.0,3.2) | <0.0001 | 1.9(1.5,2.4) | <0.0001 | 2.5(2.0,3.1) | <0.0001 |
Oromiya | 1.4(1.1,1.7) | 0.003 | 0.9(0.7,1.1) | 0.252 | 0.8(0.7,0.9) | <0.0001 |
SNNPR | 1.4(1.1,1.7) | 0.004 | 1.1(0.9,1.3) | 0.553 | 0.9(0.8,1.0) | 0.169 |
Afar, Harari, Somali | 1.1(0.9,1.4) | 0.390 | 0.5(0.4, 0.7) | <0.0001 | 0.6(0.4,0.8) | 0.001 |
Ben-Gumuz, Gambela | 1.7(1.3,2.1) | <0.0001 | 1.2(1.0,1.5) | 0.096 | 1.1(0.7,1.6) | 0.684 |
Addis Ababa, Dire Dawa | 2.6(2.0,3.3) | <0.0001 | 2.1(1.6,2.8) | <0.0001 | 3.1(1.9,5.1) | <0.0001 |
Economic status**
| ||||||
Poorest | 1 | - | 1 | - | 1 | - |
Poorer | 1.1(0.9,1.4) | 0.305 | 1.5(1.1,1.9) | 0.003 | 1.6(1.3,1.9) | <0.0001 |
Middle | 0.9(0.7,1.1) | 0.315 | 2.1(1.6,2.7) | <0.0001 | 1.7(1.3,2.1) | <0.0001 |
Richer | 1.5(1.2,1.9) | 0.001 | 2.5(1.9,3.2) | <0.0001 | 2.2(1.7,2.7) | <0.0001 |
Richest | 2.7(2.1,3.6) | <0.0001 | 4.4(3.3,6.0) | <0.0001 | 3.9(2.8,5.5) | <0.0001 |