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April 7, 2026Health Science ReportsOpen Access

Quality of Antenatal Care Service in Public Health Facilities in Southern Ethiopia: Retrospective Study

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Authors

MEMisganu EndriyasBTBiruk TinsouAGAgegnehu Gebru

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Overview

Cross-sectional study assesses antenatal care quality in public facilities, suggesting urgent improvements are needed.

Key Points

  • This study aims to evaluate the quality of antenatal care services and facility readiness in southern Ethiopia.
  • Conducted a health facility-based cross-sectional and retrospective study in 2018.
  • Used multi-stage sampling to select 131 public health facilities and 2237 records.
  • Assessed ANC quality by examining the number of visits, early initiation, and services provided.
  • Analyzed factors associated with ANC components using multi-level mixed effects linear regression.
  • Only 47.3% of facilities had at least one HIV test kit available.
  • Among assessed records, only 15.5% of women started ANC by 16 weeks and 2.7% by 12 weeks.
  • Women in rural areas received 2.5% fewer ANC components than those in urban areas (p = 0.04).
  • Women at health centers received 5% fewer and those at health posts 20% fewer ANC components compared to hospitals (p < 0.001).

Cite This Study

Endriyas et al. (2026) studied this question.

synapsesocial.com/papers/69d49fe5b33cc4c35a228582https://doi.org/10.1002/hsr2.72293
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Also Consider

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

  1. 1Antenatal care quality and detection of risk among pregnant women: An observational study in Ethiopia, India, Kenya, and South Africa2024 · 30 citations
  2. 2Assessment of Antenatal Care Service Client Satisfaction and Related Factors for Expectant Women at the Health Center in Lideta Sub City, Adis Ababa, Ethiopia2025
  3. 3Quality of antenatal care in 13 sub-Saharan African countries in the SDG era: evidence from Demographic and Health Surveys2024 · 16 citations
  4. 4Receipt of core antenatal care components and associated factors in Ethiopia: a multilevel analysis2024 · 5 citations
  5. 5Factors associated with antenatal care service content utilization in selected rural areas of Southern Ethiopia: Assessing the extent of compliance with World Health Organization recommendations—A mixed-methods study2025 · 1 citations