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October 12, 2025PLoS ONEOpen Access

Individual and facility level factors influencing timely antenatal care initiation in Ethiopia: A multilevel analysis of the 2021/2022 ESPA data

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Authors

AAAddisu Alehegn AlemuAWAlec WelshTZTheodros Getachew Zemedu

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Overview

Analysis shows that education and partner involvement improve timely ANC initiation in Ethiopia, highlighting significant facility-level factors.

Key Points

  • Timely antenatal care initiation was only 14.9% in Ethiopia, indicating a strong need for improvement.
  • Partner involvement increased the odds of timely ANC initiation (AOR = 1.42), suggesting the role of support in maternal health.
  • Primary education was positively associated with timely ANC initiation, whereas bypassing nearby facilities reduced the odds significantly.
  • Facilities type and location were crucial, as attending non-public facilities improved odds while central and peripheral locations diminished them.

Cite This Study

Alemu et al. (2025) studied this question.

synapsesocial.com/papers/68ebe3d6becc64ad52fdae79https://doi.org/10.1371/journal.pone.0334320
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Timely Initiation of Antenatal Care and its Determinants Among Pregnant Women in Ethiopia: A Cross-Sectional Study2026
  2. 2Individual and community level determinants of delayed antenatal care initiation in Ethiopia: A multilevel analysis of the 2019 Ethiopian Mini Demographic Health Survey2024 · 9 citations
  3. 3Timely initiation of new antenatal care contact model and its associated factors among pregnant women at Munessa health facilities, Ethiopia: a facility-based cross-sectional study2025
  4. 4Late antenatal care initiation and its associated factors among pregnant women attending antenatal care at public hospitals of Kellem Wollega zone, Western Ethiopia: a facility-based cross-sectional study2026
  5. 5Determinants of Early Antenatal Care Utilization among Pregnant Women at Bule Hora University Teaching Hospital, West Guji Zone, Oromia, Ethiopia: An Unmatched Case-Control Study2026