Antenatal care service utilization among women of recent delivery: Analysis of the determinants of quality of care in selected health facilities in Burayu Town, Oromia

In Ethiopia, although the use of maternal health services, including antenatal care has improved, most of the mothers do not attend and use a minimum number of four visits and the six-core set of items of ANC services respectively recommended by the World Health Organization (WHO). Therefore, the objective of the study was to investigate determinants and quality of ANC in the Burayu Healthcare center, Ethiopia. A cross-sectional study was conducted on 420 mothers who gave birth within the past six months as of March to June 2021 at Burayu Healthcare center, Ethiopia. Data were entered into Epi data version 3.1 and exported to STATA version 14 software. Multivariable logistic and Negative Binomial regression models were used to determine the determinants of the two outcome variables. Among the 420 mothers included in this study, the majority of the mothers (68.6%) attended 4+ ANC visits and a very small proportion (1.9%) of mothers received all the six selected elements of ANC services. In multivariable logistic regression analysis of the determinants of frequency of ANC visits, women who were from urban, early starters of ANC visit, those with inter-pregnancy of less than or equal to 24 months and who had pregnancy-related acute illness had higher odds of receiving at least 4+ visits compared to their respective reference categories. Similarly in multivariate negative binomial regression analysis, married mothers, mothers with morbidity history, pregnancy-related acute illness, and who spent less than 30 minutes to reach health facilities were more likely to receive the WHO recommended items/contents of ANC services than their counterparts. Their respective odds ratios were marital statuses (AOR =1.05; 95%CI: 1.01-1.09), mothers with no morbidity history (AOR = 1.03, 95% CI: 1.02–1.06), and the mothers who live at a distance greater than one hour from health facilities (AOR = 1.88; 95% CI: 1.85–1.91). Moderate and extremely low levels of compliance with the WHO minimum recommended ANC visit (4+ visits) and core contents or items of the ANC respectively have been observed in Burayu town. Health promotion programs targeting mothers are vital to increase their awareness about the importance of antenatal services and to improve the coverage and contents of ANC services in Burayu.