Multivariate Multilevel Analysis of Maternal Health Care Services in Ethiopia: A Comparison of the 2011 and 2016 Ethiopian Demographic and Health Survey (EDHS)

Abstract

ackground: Maternal healthcare services are the health services provided to mothers: during pregnancy (ANC), during giving birth (PAD), and after giving birth (PNC). Maternal healthcare services are getting special attention worldwide because the lives of millions of women of reproductive age can be saved through the healthcare services provided.This study aimed to identify the determinant factors of maternal health care services utilization in Ethiopia. Method: This study consider women who gave at least one birth in the five years preceding the survey which extracted from the 2011 and 2016 EDHS data. Uni-variable and multi-variable multivariate multilevel logistic regression analysis were employed in this study to determine the factors associated with maternal health care services utilization in Ethiopia. Result: Among the total of 7908 and 7590 women who gave birth in five years preceding survey 3373(42.7%) and 4684(62.4%), 1002(12.6%) and 2827(33.3%), 737(9.3%) and 1387(18.3%) women have used ANC, PAD, and PNC from the 2011 and 2016 survey years, respectively. Women with higher level of education were more likely to use ANC, PAD, and PNC respectively than no educated women for both survey years. women living in richer families were more likely to use ANC, PAD, and PNC respectively than women living in poorer families for both survey years. Conclusion:The proportion of maternal health care services utilization had increased over the 10- year period. Utilization of maternal healthcare services among women varies across the clusters. The education level of women, wealth index of house hold, place of delivery were significantly associated with the utilization of maternal healthcare services for both the 2011 and 2016 survey years. Measures should be undertaken by the concerned body for women who do not use maternal health care services.