Pregnant Women Perceived Community Acceptance on Continuum of maternal and newborn care its Correlates in Ethiopia: Community based 2 year Cohort follow up Study

Pregnant Women Perceived Community Acceptance on Continuum of maternal and newborn care its Correlates in Ethiopia: Community based 2 year Cohort follow up Study | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Pregnant Women Perceived Community Acceptance on Continuum of maternal and newborn care its Correlates in Ethiopia: Community based 2 year Cohort follow up Study Solomon Abrha Damtew, Fitsum Tariku Fentaye, Bezawork Ayele Kassa, and 1 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-4230469/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Background: Among the critical determinants of the success of the new maternal, new born and child health care continuum (MCH) paradigm shift is acceptance and support of the community for women and new born to get the three recommend cares and their retention in the care. This is less explored, leading dearth of evidence, hence, this study determined the level of pregnant women perceived community acceptance on that women and new born should get the recommend continuum of care package and be retained in it and associated factors with the aim to provide actionable evidence. Methods: This study used PMA cohort 1 baseline data which enrolled and collected data from currently pregnant women. Frequency was computed to describe the study participant’s characteristics. Multinomial logistics regression was employed to identify correlates that pregnant women perceived that most/some/few people in their community encourage women to get the three recommended domains of maternal and new born continuum of care. Results were presented in the form percentages and odds ratio with 95% Confidence Intervals. Candidate variables were selected using p-value of 0.25. Statistical significance was declared at p-value of 0.05. Results: The proportion of pregnant women who perceived no people encourage that women obtain the three domains of continuum of care is 7.03% (5.89%, 8.38%) while 33.66.83% (31.42, 35.96) and 31.93 (29.60%, 34.36%) perceived that most and few people respectively encourage women to get the three domains (4+ antenatal care and skilled delivery and postnatal care) of maternal and new born health care continuum. Women age, secondary educational status, ever used contraceptive method, health facility as desired place of delivery and residing in Oromiya Regions were found to increase the likelihood of pregnant women to perceive that most/some people in their community encourage women to obtain the three recommended domains of the continuum of care. On the contrary, this likelihood was lowered by factors: higher birth order, rural residence, higher wealth index and family member/TBA as desired birth attendant. Conclusions: Then finding that only one third pregnant women perceive that most people in their community encourage pregnant women to obtain the three recommended maternal and new born care domains is an alarm that the global community have a long way to go to achieve nearly almost women get the three recommended cares by averting such bottlenecks which hider women to use the service. Given pregnancy delivery and child bearing is a social event, activities and intervention need to focus in averting the influence of the people in the community on service use. Activities and targets who focusing on women education and, which encourage contraceptive use for spacing, women economic empowerment and advocating health facility delivery and skilled attendant are likely to nurture women perceived acceptance for most people in the community encourage women to use the three domains of CoC thereby improving the positive impact on women of significant others on maternal health service use (halting the negative effect of other and women be able to decide their health service needs). Such activities and efforts need to be age sensitive and target rural residents. Increasing awareness creation and advocating birth preparedness and complication readiness is like to improve women perception that people in their community encourages women to get the three recommended cares along the continuum of care. Women Health Continuum of care Community care use Encouragement Ethiopia Background Recently a paradigm shift is in being observation in maternal and child new born health service provision, research conduct focus and policy articulation at national and international community and stand held by relevant actors (1-3). This change is integration of service provision that the expectant month should be enrolled in MCH care, get the recommended cares and retained in the maternal and new born care continuum (MCH). The research focus need to be providing evidence on the status of this continuum of care and the policy framework need prioritize achievement of this new paradigm (2, 4). Studies have revealed that proportion of women who continue to receive full continuum of maternal, newborn and child health (MNCH) care services varies from country to country and ranges from 7% to 60%, and the full continuum of care utilization is influenced by different factors, like, mother’s educational attainment, occupation, distance from health facility and husband or family encouragement, maternal age, urban residence, household wealth, health insurance coverage, community norms, and regular access to mass media (5-11). In addition the PNC domains is measured it the extended period which failed to address the most critical period of care the first 48 hours of life (12). Such studies examined factors; individual and a few husband related factors, not pay adequate attention for community level factors which affect health service use to a greater extent. According ding to evidences one of the reasons for this low rate of MCH care use and retention in it is community acceptance and support that women and new born need to get CoC and retained in it. Since the pregnancy and child bearing is a social and communal event the influence of people in the community where women residing and significant others women in seeking health care in general and maternal, newborn and child health (MCH) care in particular has a significant influence on the achievement the new paradigm and the improvement of MCH care. Among the critical determinants of the success of the new MCH paradigm is acceptance and support of the community for women and new born to get the recommend cares and their retention in the care (13). This is less explored and not study, hence, this study determined the level of pregnant women perceived community acceptance on that women and new born should get the recommend continuum of care package and be retained in it and associated factors with the aim to provide actionable evidence. Methods and Data Sources Study Design and Population and Sample Size Cohort 1 panel baseline data was used for this study. All pregnant women with gestational age of 1 to 9 months by the time of data collection for whom female baseline and household forms were completed included in this analysis, hence, a total of 2,219 pregnant women were included in this analysis. The overall sample size and cell sample size adequacy was checked and found adequate to generating unbiased estimates on the outcome variable. Data collection and Field Work. Cohort 1 baseline data was collected from November to December 2019. The details in field work implementation is reported elsewhere while the follow up extended up to Jul 2020 (14). The first field work of the pane baseline survey was screening pregnant women and women who were less than 6 weeks post-partum. A two stage stratified cluster sampling method was used to select enumeration areas. Complete census was conducted in the selected enumeration areas followed by selection of 35 households per enumeration area using simple random sampling. It was executed by Addis Ababa University’s School of Public Health in collaborative efforts with the Ethiopian Public Health Association with assistance from the Federal Ministry of Health, Central Statistical Agency, Bill & Melinda Gates Institute for Population and Reproductive Health (Johns Hopkins Bloomberg School of Public Health), and the source of funding is from Bill & Melinda Gates Foundation. The main sample units or enumeration areas (EAs) were chosen using the frame to Ethiopia Population and Housing Census (PHC), which was performed in 2019 by the Ethiopia Central Statistical Agency. A total of 162 EAs were chosen in the first stage, with Independent selection in each sample stratum and a probability proportional to EA size. All pregnant women between the ages of 15 and 49 who were either long-term residents of the chosen households or who come to deliver there they were screened using enrollment criteria and those found eligible were consented to participate in the baseline line interview. The protocol Of PMA Ethiopia contains all the details on sample design and selection methods. More detail in the details on sampling design and selection procedures and field work implementation was described well elsewhere (14). Variables: Outcome variable The main outcome variable was pregnant women perception that people in their community encourage women to get the three recommend maternal and new born health care ( Table 1 ). A nominal composite variable on no, some, few and most in women community encourage women to get the three recommended maternal and new born care continuum was generated from the three independent questions on each domain of the care as follows after recoding each. Table 1: Items used to create the pregnant women Community acceptance that few, some or most people in their community acceptable/encourage to on the three domains Continuum of maternal and new born health care (CoC), PMA Cohort 1 Baseline survey data, and 2019 to 21 Do X people in your community thinks it’s encourage women to go to clinic for ANC/deliver in health facility and go for PNC Variable Question & Responses Categories Item Response CoC NORM Do not know =-88 Excluded: 34 from encourage going to ANC 43 encourage from going to delivery at facility 50 from encourage women to seek PNC Most people thinks =0 Most people thinks =0 Most people thinks =1 Some people thinks = 2 Few People Think = 3 Most people thinks =1 Some people thinks = 2 Few People Think = 3 Details of recode and multinomial composite variable creation for pregnant women to perceive no, most, some and few people in their community encouraging women to obtain the three recommended cares of the maternal and newborn continuum of care, which is the main outcome variable A. ta preg_nm3_anc recode preg_nm3_anc (-88=.) (0=0 "No_People")(1=1 "Most_People") (2=2 "Some_People") (3=3 "Few_People"), gen( preg_nm3_anc_44) B. ta preg_nm1_delivfac recode preg_nm1_delivfac (-88=.) (0=0 "No_People")(1=1 "Most_People") (2=2 "Some_People") (3=3 "Few_People"), gen( preg_nm1_delivfac_44) C. ta preg_nm4_pnc recode preg_nm4_pnc (-88=.) (0=0 "No people")(1=1 "Most_People") (2=2 "Some_People") (3=3 "Few_People"), gen( preg_nm4_pnc_44) generating Composite variable for the outcome gen Community_encourage44=. replace Community_encourage44=0 if preg_nm3_anc_44==0|preg_nm1_delivfac_44==0|preg_nm4_pnc_44==0 replace Community_encourage44=1 if preg_nm3_anc_44==1|preg_nm1_delivfac_44==1|preg_nm4_pnc_44==1 replace Community_encourage44=2 if preg_nm3_anc_44==2|preg_nm1_delivfac_44==2|preg_nm4_pnc_44==2 replace Community_encourage44=3 if preg_nm3_anc_44==3|preg_nm1_delivfac_44==3|preg_nm4_pnc_44==3 ta Community_encourage44 Community_encourage44 is treated as multinomial outcome with four categories Independent Variables Independent variables were classified into individual-level variables and enumeration area-level variables. Individual-level independent variables further categorized into socio-demographic/economic characteristics variables, parity and other RH characteristics, couples reaction when they learned that they were pregnant and contraception ever use were considered in the study. Group or enumeration area (EA) level variables included two integral variables namely, region and place of residence were considered. “Region” was grouped into four categories 3= Amhara, 4=Oromia, 7= SNNPRs and 10= Addis Ababa city administration. Place of residence follows the default urban/rural classification. Analysis and Measurement The panel baseline women data set was used for this analysis. Stata v17 was used for this analysis. Frequencies and percentages were computed to characterize the study population. Chi-square test statistics was computed to check cell sample size adequacy and the sample size was found to be adequate to provide unbiased estimates. Exploratory data analysis was run for data cleaning thereby checking item nonresponse rate for every variable and don’t know response which were later excluded from the analysis. Following this variable were recoded to create biological plausible categories along with checking distribution of the recoded variables using mean and proportion. No sign of multicollinearity detected among variables in the final model. Multinomial logistics regression was used to identify important predictors for pregnant women perceived community acceptance on deliveries to be attended by Traditional Birth Attendants. At bivariate analysis a p value cut of 0.25 was used to select candidate variable for multilevel multivariable logistics regression analysis. Results were presented in the form of percentage, and odds ratio with 95% CI. Significance was declared at a significance level of 0.05. Results were reported based on weighted count. Model fitness test was checked using the command «mlogitgof» and the result shown that the model is fit meaning that variables included in the final multilevel multinomial logistics regression model explains for the variation in pregnant women perception that people in the community encourage women to obtain the three domains of maternal and newborn care. This supported by the model fitness test result depicted below: Mlogitgof Goodness-of-fit test for a multinomial logistic regression model Dependent variable: Community_encourage44 number of observations = 2147 number of outcome values = 4 base outcome value = 0 (no people encourage ) chi-squared statistic = 31.290 degrees of freedom = 24 Prob > chi-squared = 0.146 This model fitness result indicated that the independent variables included in the model as systematic components of the modeling process, running a multinomial logistics model in this case, have contributed the variation in the outcome variable, The proportion of pregnant women who perceived no people encourage that women obtain the three domains of continuum of care is 7.03% (5.89%, 8.38%) while 33.66.83% (31.42, 35.96) and 31.93 (29.60%, 34.36%) perceived that most and few people respectively encourage women to get the three domains (4+ antenatal care and skilled delivery and postnatal care) of maternal and new born health care continuum is attributed the correlates includes in the models keep other sources of variation constant. Data Quality Management and Control Data completeness for variables and items for creating composite variables was checked by exploratory data analysis following which any item nonresponse was excluded from the analysis. Frequency run to exclude responses with do not know (DNK) and no response (NR). PMA Ethiopia used of standard and pretested tool, intensive training with mock interviews for resident enumerators was provided, close supervisor during filed work, timely progress report and correction, 10% random check were some of the modalities used to maintain the quality of the collected data, the detail is reported somewhere else (14). Results Participants Characteristics Magnitude of Pregnant women Perceived Community Acceptance/encouragement on Continuum of maternal and child health care The proportion of pregnant women who perceived no people encourage that women obtain the three domains of continuum of care is 7.03% (5.89%, 8.38%) while 33.66.83% (31.42, 35.96) and 31.93 (29.60%, 34.36%) perceived that most and few people respectively encourage women to get the three domains (4+ antenatal care and skilled delivery and postnatal care) of maternal and new born health care continuum. (Table 2). Table 2: Magnitude of Pregnant women Perceived Community Acceptance/encouragement on the three Domains of Continuum of maternal and newborn (CoC) health care Category % 95% CI No People encourage the three CoC domains 7.03 5.89 8.38 Most People encourage the three CoC domains 33.66 31.42 35.96 Some People encourage the three CoC domains 27.37 25.17 29.69 Few People encourage the three CoC domains 31.93 29.60 34.36 At least Few People encourage the three CoC domains 93.30 91.61 94.41 Distribution of Magnitude of Pregnant women Perceived Community Acceptance/encouragement on the three domains of Continuum of maternal and new born (CoC) health care Pregnant women perception on how many people (no, some, few and most) in their community accept or encourage for women to get the three domains (ANC4+, Skilled Delivery and Post natal care) of the continuum maternal and newborn health care showed variation by the categories of selected independent variables. Accordingly, among pregnant women aged 20 to 25 and 35 to 49 yearsone thirdpregnant women among those aged 20 to 24 years (35.58%) and 35 to 39 years (34.83%) perceived that most people in their community while 33.13% among pregnant women aged 40 to 49 perceived that some people in their community accept or encourage women to get the three domains of the continuum maternal and newborn health care. Among Pregnant women who attended secondary or above education, the percentage of pregnant women who perceived most, some and few people in their community accept or encourage for women to get the three domains of the maternal and newborn continuum maternal and newborn health care was 52.26%, 29.81% and 16.82 % respectively. Similarly, there is variation by religion and wealth index in the proportion pregnant women who perceived most, some and few people in their community accept or encourage for women to get the three domains of the maternal and newborn continuum maternal and newborn health care. For instance this respective proportion for Orthodox religion followers is 41.79%, 29.59% and 30.25% respectively. This same figure for most, some and few people acceptance or encouragement is 21.58%, 20.85 and 48.66% among pregnant women residing in households in the lowest wealth quintile ( Table 3) . Concerning party and birth, among those who have higher birth orders (3 to 12 children), 27.41%, 24.36% and 37.87 % of the pregnant women considers that most, some and few people in their community accept or encourage for women to get the three domains of the maternal and newborn continuum maternal and newborn health care respectively. Likewise among pregnant women who no more or prefer no child 30.85%, 24.37% and 36.43% of them reported that most, some and few people in their community encourage women to get the three domains of the continuum of care. Similarly the variation that pregnant women perceived acceptance people in their community encourage women to obtain this cares among contraceptive ever users is 38.82 for most people, 28.95% and 28.19 % for some and few people in their community respectively ( Table 3) . In similar fashion, the variation in pregnant women perceive that people in their community encourage women to get provided the three domains of continuum of care is observed by residence. Accordingly pregnant women who reside in rural areas perceived that 26.48.06%, 28.75 % and 36.35% of the pregnant women perceived that most, some and few people in their community encourage women to obtain the three domains of the continuum of care TBA ( Table 3) . Among pregnant women who reside in Tigray, 1 in 4 women (47.31%), 24.92% and 27.46% reported most, some and few people in their community encourage that women to obtain the three domains of the continuum of care. To our surprise, no pregnant women in Tigray perceived that no people encourage women to get there three domains of care. This same figure among pregnant women residing in Oromya region stands 28.34%, 30.55% and 34.00% for most, some and few people in their community respectively ( Table 3) . In terms of desired attendant, of those women whose desired attendant is health professional 45.67%, 27.98% and 23.79% of pregnant women perceived that most, some and few people encourage women to get there three domains of care respectively. This same figure for among This same figure for pregnant women who desired to delivered at health facilities stands 45.90%, 27.88% and 23.87% for most, some and few people in their community respectively ( Table 3) . Finally, across most the independent variables the proportion of pregnant women who perceive that no people in their community encourage women to get the three domains of the continuum of care is less one in 10% even 5%, except residents of Tigray, where none of perceived that no people encourage women to get the three domains in the continuum of care since the overall figure for no encouragement is 7.4% ( Table 3) . Table 3: D istribution of Magnitude of Pregnant women Perceived Community Acceptance/encouragement on Continuum of maternal and new born health care (CoC), Evidence from PMA Cohort One, 2019 to 21 ( n=2219) Variables Pregnant women Perceived Community Acceptance/encouragement on Continuum of maternal and child health care No People % Most People % Some People % Few People % Total Age Category 15-19 years 19 7.97 76 31.82 68 28.62 75 31.59 238 20-24 years 32 6.13 177 33.58 161 30.58 156 29.70 526 25-29 years 48 7.41 234 36.20 167 25.86 197 30.53 645 30-34 years 27 6.45 128 30.24 122 28.75 147 34.57 425 35-39 years 22 7.46 102 34.83 68 23.23 101 34.48 292 40-49 years 8 8.55 31 33.13 22 23.16 33 35.16 93 Total 156 7.04 747 33.66 607 27.37 709 31.93 2219 No_Formal_Education 93 9.97 247 26.52 252 27.07 339 36.44 931 Educational Status Primary_Education 59 6.67 288 32.62 234 26.57 301 34.14 882 SecondaryHigher_Education 5 1.11 212 52.26 121 29.81 68 16.82 406 Total 156 7.04 747 33.66 607 27.37 709 31.93 2219 Other 0 0.00 12 28.38 22 51.71 8 19.91 43 Religion Orthodox 20 2.34 315 37.82 246 29.59 252 30.25 833 Protestant 70 11.71 162 26.92 149 24.83 219 36.54 601 Muslim 66 8.92 258 34.74 190 25.55 229 30.79 743 Total 156 7.04 747 33.66 607 27.37 709 31.93 2219 Lowest quintile 39 8.91 95 21.58 91 20.85 213 48.66 438 Wealth Index Lower quintile 41 9.39 94 21.45 140 31.94 164 37.22 440 Middle quintile 24 5.19 138 29.79 164 35.28 138 29.74 464 Higher quintile 33 7.47 157 35.46 123 27.69 130 29.38 443 Highest quintile 19 4.31 263 60.47 89 20.55 64 14.67 434 Total 156 7.04 747 33.66 607 27.37 709 31.93 2219 No Child 26 4.92 201 38.07 166 31.60 134 25.41 527 Birth Order 1_2 Children 31 4.22 286 38.50 210 28.23 216 29.04 744 3_12 Children 98 10.36 259 27.41 230 24.36 358 37.87 945 Total 155 7.01 746 33.67 607 27.38 708 31.95 2216 Only Once 136 7.10 638 33.34 528 27.61 611 31.95 1912 Marriage History Morethan_Once 20 6.86 103 35.92 72 25.16 92 32.06 287 Total 156 7.07 741 33.68 600 27.29 703 31.96 2199 Monogamy 126 6.43 685 35.07 542 27.75 601 30.75 1954 Marriage type Polygamy 28 14.06 43 21.21 44 21.70 87 43.04 203 Total 154 7.14 728 33.77 586 27.19 688 31.90 2157 Undecided/DKN 8 3.72 77 37.34 68 33.14 53 25.80 205 Fertility Intention Have a/another child 111 7.10 530 33.99 429 27.48 490 31.43 1560 No more or prefer no child 38 8.34 140 30.85 111 24.37 165 36.43 454 Total 156 7.04 747 33.66 607 27.37 709 31.93 2219 Married 147 6.96 703 33.27 583 27.57 680 32.20 2113 Mariatal Status Living With A parner 8 13.00 32 50.67 9 13.89 14 22.44 63 Wid/Sep/Nev 1 2.43 13 30.32 15 36.67 13 30.58 41 Total 156 7.05 747 33.71 606 27.36 707 31.89 2217 No 101 11.71 220 25.54 214 24.90 326 37.85 861 Contraceptive Ever Use Yes 55 4.05 527 38.82 393 28.95 382 28.19 1357 Total 156 7.03 747 33.66 607 27.37 708 31.94 2218 Urban 9 1.92 284 60.16 105 22.28 74 15.63 473 Residence Rural 147 8.42 462 26.48 502 28.75 635 36.35 1746 Total 156 7.04 747 33.66 607 27.37 709 31.93 2219 Tigray -- -- 75 47.31 39 24.92 43 27.46 158 Region Afar 16 36.16 3 6.00 6 13.05 20 44.79 45 Amhara 15 3.41 163 36.92 129 29.23 135 30.44 442 Oromiya 68 7.11 273 28.34 294 30.55 327 34.00 963 SNNP*/* 54 10.14 183 34.44 120 22.61 175 32.81 532 Addis 2 2.69 50 62.88 19 23.30 9 11.13 80 Total 156 7.04 747 33.66 607 27.37 709 31.93 2219 Very happy 52 5.59 349 37.69 258 27.84 268 28.87 927 Got Pregnant Feeling Sort happy 54 9.38 174 30.24 168 29.23 179 31.15 575 Mixed unhappy 22 6.16 123 35.18 82 23.35 124 35.31 351 Sort unhappy 17 9.10 50 26.53 56 30.09 64 34.28 187 Very unhappy 12 6.74 47 26.94 42 24.00 74 42.32 176 Total 156 7.05 744 33.56 607 27.38 709 32.00 2216 No One/ND 10 8.18 19 14.77 35 27.13 64 49.93 127 Desired Birth Attendant HP 37 2.56 659 45.67 404 27.98 343 23.79 1443 Family Member/TBA 109 16.86 68 10.53 167 25.85 302 46.76 645 Total 156 7.05 746 33.66 605 27.31 709 31.98 2216 Home/ND 123 15.11 103 12.59 216 26.49 374 45.81 816 Desired Place of Delivery Government_Privare HF 33 2.35 644 45.90 391 27.88 335 23.87 1403 Total 156 7.04 747 33.66 607 27.37 709 31.93 2219 */* former SNNPR region Correlates Perceived Community Acceptance on Maternal continuum of care (CoC) among Pregnant Women, Evidence from PMA Cohort One Survey, 2019 to 21 After controlling for confounder with p value < 0.25 the following factors were found to be factors for pregnant women who perceive that most people encourage in their community encourage women to obtain the three domains of m maternal and new born continuum of care (CoC). The likely hood of pregnant women to perceive that most people in their would encourage to women to get the three domains of CoC is 3.01 (1.13, 8.00) among those aged 30 to 34 older compared to those 15 to 19 years while pregnant women aged 35 to 39 had 4.61 (1.55, 13.72) higher likelihood of perceiving most people in to get the three domains of the continuum of care. Similarly, pregnant women residents Oromiya region 2.10 (1.17, 3.77) higher likelihood of perceiving that most people in their community encourage women to get the three domains of maternal and newborn care continuum of care. Moreover, pregnant women who attended secondary education or above had 3.33 (1.23, 9.07) higher likelihood to perceive that most people in their would encourage to women to get the three domains of maternal CoC compared to those pregnant with no formal education Furthermore, pregnant women who ever used contraceptive and those whose desired delivery place health facility had 2.56 (1.57,4.16) and 4.28 (1.57,11.62) increased likelihood of perceiving that most people in their community to encourage women to obtain the three domains of CoC. (Table 4). On the other hand Wealth, pregnant women residing in the households with the highest wealth quintile 0.19 (0.06, 0.58) lower odds, those who desired birth attendant TBA/Family member 0.36 (0.13, 0.96) and those residing in rural areas 0.18 (0.07, 0.51) lower likelihood of perceiving that most people in their community encourages women to get the three domains of maternal and new born CoC. Similarity, women reported that whose husband has other wife’s had 55% 0.45 (0.26, 0.81) lower likelihood of perceiving that most people in their community to encourage women to obtain the three domains of maternal and new born continuum of care. Similarly women with higher birth order had 60% lower likelihood 0.40 (0.18, 0.90) perceived community encouragement ( Table 4). After controlling for confounder with p value < 0.25 the following factors were found to be factors for pregnant women who perceive that some people encourage in their community encourage women to obtain the three domains of m maternal and new born continuum of care: Increase likelihood have like some people encourage in their community encourage women to obtain the three domains of m maternal and new born continuum of care. The likely hood of pregnant women to perceive that some people in their would encourage to women to get the three domains of CoC is 3.84 3.47 (1.45, 10.21) among those aged 30 to 34 older compared to those 15 to 19 years while pregnant women aged 35 to 39 had 4.40 (1.47, 13.14) higher likelihood of perceiving some people in to get the three domains of the continuum of care. Moreover, pregnant women who attended secondary education or above 3.63 (1.32, 9.96) higher likelihood to perceive that some people in their would encourage to women to get the three domains of maternal CoC compared to those pregnant with no formal education Furthermore, pregnant women who ever used contraceptive had 2.50 (1.54,4.07) had increased likelihood of perceiving that some people in their community to encourage women to obtain the three domains of CoC (Table 4). On the other hand Wealth, pregnant women residing in the households with the highest wealth quintile 0.12 (0.04,0.37) lower odds, those and those residing in rural areas 76% 0.24 (0.08,0.68) lower likelihood of perceiving that some people in their community encourages women to get the three domains of maternal and new born CoC. Similarity, women reported that whose husband has other wife’s had 56% 0.44(0.25, 0.77)** lower likelihood of perceiving that some people in their community to encourage women to obtain the three domains of maternal and new born continuum of care. Similarly women with higher birth order had 65% lower likelihood 0.35 (0.16, 0.79) perceived community encouragement. Pregnant women whose desire birth attendant is Family member/TBA had 62% 0.38 (0.15,0.94) lower likelihood to perceive that few people in their community encourage women to get the three domains of maternal and newborn continuum of care as compared with their counter parts (Table 4). After controlling for confounder with p value < 0.25 the following factors were found to be factors for pregnant women who perceive that few people encourage in their community encourage women to obtain the three domains of maternal and new born continuum of care. The likelihood of pregnant women to perceive most people encourage women to get the three domains of maternal and new born continuum is 2.90 (1.02, 8.23) higher among pregnant women belonging to age group 35 to 39. Similarly, attending secondary education or above increases pregnant women perceived encouragement by few people by 30.3 (1.10, 8.34) (Table 4). On the contrary pregnant women residing rural areas had 75% 0.25 (0.09, 0.71) lower likelihood to perceive that few people in their community encourage women to obtain the three domains of continuum of care while pregnant women whose desire birth attendant is Family member/TBA had 12% 0.88 (0.17,0.72) lower likelihood to perceive that few people in their community encourage women to get the three domains of maternal and newborn continuum of care as compared with their counter parts. This same figure is Pregnant women residing in the poor households 0.51 (0.30, 0.86) as well in the well to do households 0.07 (0.03, 0.22) when compared with pregnant women residing in the poorest households( Table 4). Table 4: Multinomial Logistic Regression Pregnant Women Perceived Community Acceptance/encouragement Maternal and newborn Continuum of Care (CoC) from PMA Cohort 1, 2019 to 2021 Women Age Category Variables Most People A RRR Some People A RRR Few People, A RRR 15-19 years 1 1 1 20-24 years 1.24 (0.56,2.76) 1.52 (0.70,3.33) 1.28 (0.60,2.72) 25-29 years 1.31 (0.55, 3.09) 1.44 (0.61,3.41) 1.33 (0.58,3.03) 30-34 years 3.01 (1.13, 8.00)* 3.84 (1.45, 10.21)** 2.56 (1.01,6.51)* 35-39 years 4..61 (1.55, 13.72)** 4.40 (1.47,13.14)** 2.90 (1.02,8.23)* 40-49 years 3.85 (0.99, 15.01) 3.30 (0.83,13.08) 1.92 (0.52,7.09) Educational Status No formal education 1 1 1 Primary Education 1.02 (0.62,1.69) 1.09 (0.66, 1.80) 1.23 (0.77,1.99) Secondary+ _Education 3.33 (1.23, 9.07)** 3.63 (1.32,9.96)* 3.03 (1.10,8.34) Wealth Index Poorest quintile 1 1 1 Lower quintile 0.65 (0.36,1.19) 1.15 (0.65,2.05) 0.51 (030.,0.86)* Middle quintile 1.29 (0.68, 2.45) 1.84 (0.98, 3.44) 0.68 (0.38,1.22) Higher quintile 1.42 (0.74,2.70) 1.32 (0.70,2.50) 0.65 (0.36,1.16) Highest quintile 0.19(0.06,0.58)** 0.12 (0.04,0.37)*** 0.07 (0.03,0.22)*** Parity No Child 1 1 1 1_2 Children 0.9 (0.46,1.79) 0.85 (0.43,1.69) 0.99 (0.51,1.94) 3_12 Children 0.40 (0.18, 0.90)* 0.35 (0.16,0.79)* 0.62 (0.29,1.35) Husb_Has other Wife’s No 1 1 1 Yes 0.45 (0.26,0.81)** 0.44(0.25,0.77)** 0.64 (0.40,1.03) Fertility Desire Undecided 1 1 1 Wanted to have another child 0.64 (0.30,1.37) 0.64 (0.30,1.36) 0.91 (0.44,1.90) No more to have another child 0.53 (0.22,1.27) 0.42 (0.17,0.99)* 0.66 (0.29,1.53) Contraceptive Ever Use No 1 1 1 Yes 2.56 (1.57,4.16)*** 2.5 (1.54,4.07)*** 1.84 (1.15,2.94)* Residence Urban 1 1 1 Rural 0.18 (0.07,0.51)** 0.24 (0.08,0.68)*** 0.25 (0.09,0.71)** Region Tigray&Afar 1 1 1 Amhara 2.08 (0.95, 4.57) 2.09 (0.95,4.60) 1.79 (0.84,3.84) Oromiya 2.10 (1.17,3.77)* 2.35 (1.32,4.21)** 1.58 (0.91,2.73) SNNP 1.09 (0.62,1.89) 0.95 (0.55,1.65) 0.73 (0.44,1.23) Addis 0.75 (0.24,2.28) 0.68 (0.21,2.15) 0.41 (0.13,1.34) Women reaction if got pregnant after this index Very unhappy 1 1 1 Sort_happy 0.69 (043,1.10) 1.02 (0.65,1.62) 1.01 (0.65,1.55) Mixed_unhappy 1.52 (0.76,3.02) 1.25 (0.62,2.50) 1.61 (0.83,3.13) Sort_unhappy 0.62 (0.28,1.37) 0.75 (0.34,1.66) 0.75 (0.35,1.31) Very_unhappy 0.75 (0.30, 1.88) 0.81 (0.32,2.04) 1.34 (0.56,3.17) Desired Delivery Place Home 1 1 1 Health Facility 4.28 (1.57,11.62)** 2.19 (0.80,5.96) 2.67 (0.98,7.27) Desired Attendant No one 1 1 1 HP 2.47 (0.71,8.61) 1.64 (0.48,5.58) 0.71 (0.22,2.35) TBA/Family Member 0.36 (0.13,0.96)* 0.38 (0.15,0.94)* 0.88 (0.17,0.72* *** p<.001, ** p< 0.01, * p<0.05 Discussion Maternal and new born health outcome can be greatly improved with cost effective intervention among others skilled birth attendant plays pivotal role. Unfortunately, in midst of the SDG era there is a paradigm shift in terms of policy articulation, service provision and research focus on maternal and new born health service; which calls service provision called as continuum of maternal and new born health which call all women enrolled to ANC care should get there recommended cares namely, ANC4 + and skilled immediate post natal care. Evidences showed that one of the bottlenecks for such the persistent high maternal and fetal outcome despite the visible efforts in maternal and child health (MCH) service provision is women perception that people in their community encourages pregnant women to obtain the three domains of care. Therefore, in the midst of the SDG era and at this time when modern health service is being available and accessible to a larger extents; and the government of Ethiopia is very committed to provide delivery service with exemption from payment; documenting the proportion pregnant women who perception that for people in their community encourage pregnant women to get the three domains of the continuum of maternal and newborn care and identifying its correlates for the variation for such an acceptance is very critical in availing actionable evidence to improve maternal and new born outcome by increasing skilled delivery care at health facilities. The variation in pregnant women perception from no people encourage women obtain the three domains of continuum of care (7.03%) to 33.66.83% and 31.93% of them perceived that most and few people respectively encourage women to get the three domains (4 + antenatal care and skilled delivery and postnatal care) of maternal and new born health care calls the Ethiopian government, the global a community and relevant actors focus their effort to improve community encouragement to use the three recommended services as well as women acceptance of this thereby improving the actual service uptake. This is clearly stated in continuum as indicated continuum of care for maternal, newborn, and child health from slogan to service delivery and provision of those service for better postnatal new born and maternal outcome (3, 12). The finding that middle aged and educated (15) pregnant women have positive impression that most/some people in their community encourage women to contain the three domains of maternal and new bore care might be related with their experience in child bearing, previous pregnancy and childbirth (16) and awareness on the benefits of health service use. Such attributes might make empower them to use reproductive and maternal health services (17–20) since getting reproductive service including contraception women right (21). The finding that desired place of delivery is health facility increase the likelihood pregnant women perception that people in their community encourage women to get the three recommended services might related with proximity of health facilities (22), the success of the health extension program, risk assessment and referring to maternity waiting homes particularly in remote areas to mention one reason (23) and the government’s commitment to avail service near to the community (24) as well as to improve quality of care and respectful maternity care. The finding that pregnant women who ever used contractive is associated with increment on their likelihood to perceive women in their community encourage women to obtain the three recommended maternal new born care domains might be related that women ability to decide their reproductive health service include contraceptive use by themselves (18, 19). The finding that pregnant women whose desire birth attendants is Family Member/TBA lowers the likelihood of perceiving people in their community encourage women to get the three recommended services might be related the government commitment to health services avail health service in general and maternal and newborn health service in particular, most free of charge (24) the health promotion and prevention efforts of the health extension programs and health extension workers as well as their effort to link pregnant women after first antenatal care visit and post-partum to women to higher level facilities through their home visits apart from providing initial care (23). The finding that being the well to do houses holds lowered the likelihood pregnant women to perceive people in their community encourage women to get the three recommended services might be related, their influence in household level decision making (25, 26) might be also related with good couples communication (27). The finding that rural women have lower perceived encouragement that people in their community encourage women to get there three recommended care of mater maternal and newborn health as may themselves and people around them prefer care by traditional birth attendants (28). The finding that higher birth order lowered women perceived likelihood that most, some and few people in their community encourage women obtain the three recommended domains of care might be related with women prior pregnancy experience (16) enabling them to rely on themselves for health service rather than seeking others approval to in seeking maternal and reproductive health service use (26, 29) Conclusion Then finding that only a bit higher than one third pregnant women perceive that most people in their community encourage pregnant women to obtain the three recommended maternal and new born cared domains is an alarm that the global community have a long way to go to achieve neatly almost women get the three recommended cares by averting such bottlenecks which hider women to use the service. Similarly, the observed regional variation call the ministry and relevant actors to design and implement regional sensitive activities. Given pregnancy delivery and child bearing is a social event, activities and intervention need to focus in averting the influence of the people in the community on service use. Given pregnancy delivery and child bearing is a social event Activities and targets who focusing on women education and, which encourage contraceptive use for spacing, women economic empowerment and advocating health facility delivery and skilled attendant are likely to nurture women perceived acceptance for most people in the community encourage women to use the three domains of CoC thereby improving the positive impact on women of significant others on maternal health service use (halting the negative effect of other and women be able to decide their health service needs The finding related desired birth attendant and place of delivery indicate that increasing awareness creation and advocating birth preparedness and complication readiness is like to improve women perception that people in their community encourages women to get the three recommended cares along the continuum of care). Such activities and efforts need to be age sensitive and target rural residents as well as consideration regional variation in women perception that people in their community and encourage for women to use the three recommended domains of maternal and new born continuum of care and its actual uptake. Abbreviations ARRR adjusted relative risk ration CRRR crude relative risk ration CoC continuum of care (Maternal and new born continuum of maternal and new born care) HH house holds SNNPR Southern nations, people’s nationalities Region TBA Traditional birth attendants Declarations Ethics approval and consent to participate: This study involved a secondary analysis of deidentified data from the PMA Ethiopia the PMA Ethiopia survey was conducted strictly under the ethical rules and regulations of world health organization and IIRB of Ethiopian Health and Nutrition Research Institute (EHNRI). Informed consent was obtained from respondents during the data collection process of PMA Ethiopia on the baseline data collection on Oct 2021. Minors less than 15 years as per the law were not included in this study. Informed verbal consent was take from study participants. PMA surrey has been also conducted after obtained ethical approval from Bloomberg School of Public Health at Johns Hopkins University in Baltimore, USA. Consent for publication: N/A not applicable Availability of data and materials: The datasets generated during the study are publicly available from the PMA website. https://www.pmadata.org/data/request-access-datasets. Competing interests: the authors declare that they have no competing interest. Funding: The authors did not obtained any funding. Authors contribution SA conceptualized the study, obtained and analyzed the data, draft and the manuscript wrote the final draft of the manuscript, interpreted the results and critically revised the manuscript. FT contributed to the conception of the idea, in writing the manuscript and interpretation of the results along with critically reviewing the final manuscript. FT and SA also participated in the field wok supervision, implementation and project facilitation. BA and KM critically review the final version manuscript including language checks. All authors reviewed and approved the final version of the manuscript. Acknowledgement: The authors would like to pass their acknowledgement for PMA Ethiopia Project for providing the data set through the data lab. Moreover, we appreciate the huge commitment of PMA Ethiopian data collection team, notably Enumerators and Supervisors and study participants for their kindest cooperation. Finally, all the staff form Ethiopian Red Cross training Center and Kereyu resort_Adama deserve huge recognition for their hospitality in facilitating and hosting all the PMA filed staff trainings. ORCID Solomon Abrha Damtew https://orcid.org/0000-0002-0758-7348 Fitsum Tariku Fentaye https://orcid.org/ 0000-0003-1790-7269 Preferred citation: Damtew SA et.al., (full journal title) References UNFPA, Hera. Research on what determines women’s ability to decide on their SRHR and the relationship between this and other aspects of their lives.; 2019. FMoH. RH Strategic Plan - Ethiopia 2021-2025. 2021. Kerber KJ, de Graft-Johnson JE, Bhutta ZA, Okong P, Starrs A, Lawn JE. Continuum of care for maternal, newborn, and child health: from slogan to service delivery. The Lancet. 2007;370(9595):1358-69. UN. Transforming Our World: The 2030 Agenda for Sustainable Development. New York; 2015. Jacobs C, Moshabela M, Maswenyeho S, Lambo N, C. M. Jacobs C, Moshabela M, Maswenyeho S, Lambo N, Michelo C. Predictors of antenatal care, skilled birth attendance, and postnatal care utilization among the remote and poorest rural communities of Zambia: a multilevel analysis. Frontiers in Public Health. 2017;Singh K, Story WT, Moran AC. Assessing the continuum of care pathway for maternal health in South Asia and sub-Saharan Africa. Maternal and child health journal. 2016;20(2):281-9. Yeji F, Shibanuma A, Oduro A, Debpuur C, Kikuchi K, Owusu-Agei S, et al. Continuum of care in a maternal, newborn and child health program in Ghana: low completion rate and multiple obstacle factors. PloS one. 2015;10(12):e0142849. Chaka EE, Parsaeian M, Majdzadeh R. Factors Associated with the Completion of the Continuum of Care for Maternal, Newborn, and Child Health Services in Ethiopia. Multilevel Model Analysis. Int J Prev Med. 2019;10:136-. Haile D, Kondale M, Andarge E, Tunje A, Fikadu T, Boti N. Level of completion along continuum of care for maternal and newborn health services and factors associated with it among women in Arba Minch Zuria woreda, Gamo zone, Southern Ethiopia: A community based cross-sectional study. Plos one. 2020;15(6):e0221670. Atnafu A, Kebede A, Misganaw B, Teshome DF, Biks GA, Demissie GD, et al. Determinants of the Continuum of Maternal Healthcare Services in Northwest Ethiopia: Findings from the Primary Health Care Project. Journal of Pregnancy. 2020;2020:. Wang, W., Hong, R. Levels and determinants of continuum of care for maternal and newborn health in Cambodia-evidence from a population-based survey. BMC Pregnancy Childbirth 15, 62 (2015). https://doi.org/10.1186/s12884-015-0497-0. WHO. WHO recommendations on maternal and newborn care for a positive postnatal experience. WHO maternal, newborn, child and adolescent health and ageing data portal: wwwwhoint/data/maternal-newborn-child-adolescent-ageing/maternal-and-newborn-data/maternal-and-newborn---coverage. 2018. Dynes M, Stephenson R, Rubardt M, Bartel D. The influence of perceptions of community norms on current contraceptive use among men and women in Ethiopia and Kenya. Health Place. 2012;18(4):766-73. Zimmerman L, Desta S, Yihdego M, Rogers A, Amogne A, Karp C, et al. Protocol for PMA-Ethiopia: a new data source for cross-sectional and longitudinal data of reproductive, maternal, and newborn health. 2020;4. Al Riyami A, Afifi M, Mabry RM. Women's autonomy, education and employment in Oman and their influence on contraceptive use. Reproductive health matters. 2004;12(23):144-54. JHPIEGO. monitoring birth preparedness and complication readiness tools and indicators for maternal and newborn health. 2004. Mihiretu Alemayehu MM. Health care decision making autonomy of women from rural districts of southern ethiopia: a community based cross-sectional study. Dovepress, International Journal of Women`s Health 2017. Damtew SA, Fantaye FT. Women alone modern contraceptive use decision making and its correlates, evidence from PMA CS 2021 survey. BMC Women's Health. 2024;24(1). Fantaye FT, Damtew SA. Women decision making on use of modern family planning methods and associated factors, evidence from PMA Ethiopia. . PLoS ONE 19(2): e0298516 https:// doiorg/101371/journalpone0298516. 2024. Do M, Kurimoto N. Women's empowerment and choice of contraceptive methods in selected African countries. Int Perspect Sex Reprod Health. 2012;38(1):23-33. Rimon JG II, Tsui AO. Regaining momentum in family planning. Global Health Science Practice. 2018; 6(4):626–628. https://doi.org/10.9745/GHSP-D-18-00483. 2018. Shiferaw S, Spigt M, Seme A, Amogne A, Skrovseth S, Desta S, et al. Does proximity of women to facilities with better choice of contraceptives affect their contraceptive utilization in rural Ethiopia? PLoS One. 2017;12(11):e0187311. Assefa Y, Gelaw YA, Hill PS, Taye BW, Van Damme W. Community health extension program of Ethiopia, 2003-2018: successes and challenges toward universal coverage for primary healthcare services. Global Health. 2019;15(1):24. FMoH. Health Sector Transformation Plan II (HSTP-II). 2021. Bitew DA, Getahun AB, Gedef GM, Andualem F, Getnet M. Determinants of household decision making autonomy among rural married women based on Ethiopian demography health survey: a multilevel analysis. BMC Womens Health. 2024;24(1):216. Erci B. Women's efficiency in decision making and their perception of their status in the family. Public health nursing (Boston, Mass). 2003;20(1):65-70. Zelalem D, Worku A, Alemayehu T, Dessie Y. Association of Effective Spousal Family Planning Communication with Couples’ Modern Contraceptive Use in Harar, Eastern Ethiopia. Open Access Journal of Contraception. 2021;12:45. Gurara M, Muyldermans K, Jacquemyn Y, Van Geertruyden JP, Draulans V. Traditional birth attendants' roles and homebirth choices in Ethiopia: A qualitative study. Women Birth. 2020;33(5):e464-e72. Osamor PE, Grady C. Women's autonomy in health care decision-making in developing countries: a synthesis of the literature. Int J Womens Health. 2016;8:191-202. Additional Declarations No competing interests reported. Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-4230469","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":289742924,"identity":"fb715d3f-58d2-47d0-b11f-91764bfb0dc8","order_by":0,"name":"Solomon Abrha Damtew","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAA8UlEQVRIiWNgGAWjYDACCRBRwCDHxsx88AGQycNHnBYDBmN+9rZkA5AWNmK1JM7sOaMGZhPUwj+79/GHDwY2jBtu5LBVfs2xk2FjYH746AY+S+4cN5OcYZDGbHAj99ht2W3JQIexGRvn4LPmRhobM4/BYTaDG3lptyW3MQO18LBJ49MifyON+TOPwX8egxs5ZsWS2+oJazG4kcYgzWNwQEKy54wZ48dthwlrMbxzjA3ol2QDUCBLM247zsPGTMAvcrfbmD98qLCrbwNG5cef26rt+dmbHz7G631kwMwDJolVDgKMP0hRPQpGwSgYBSMGAABhXUQgM4QPwQAAAABJRU5ErkJggg==","orcid":"","institution":"Wolaita Sodo University","correspondingAuthor":true,"submittingAuthor":false,"prefix":"","firstName":"Solomon","middleName":"Abrha","lastName":"Damtew","suffix":""},{"id":289742928,"identity":"3c65beaa-14f3-4008-b6dc-1939e87a08c6","order_by":1,"name":"Fitsum Tariku Fentaye","email":"","orcid":"","institution":"FTF Health Research Consult","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Fitsum","middleName":"Tariku","lastName":"Fentaye","suffix":""},{"id":289742930,"identity":"6a078d3a-5ff4-4965-8689-2941488bbabb","order_by":2,"name":"Bezawork Ayele Kassa","email":"","orcid":"","institution":"University of Cape Town","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Bezawork","middleName":"Ayele","lastName":"Kassa","suffix":""},{"id":289742931,"identity":"1e97e80a-bb8a-4253-95f3-5df0dceafa03","order_by":3,"name":"Kelemua Menegesha Sene","email":"","orcid":"","institution":"Kotebe Metropoliatan University","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Kelemua","middleName":"Menegesha","lastName":"Sene","suffix":""}],"badges":[],"createdAt":"2024-04-07 08:44:24","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-4230469/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-4230469/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":57401982,"identity":"3cd7d0d1-48b8-4d55-970d-cca11fa1a194","added_by":"auto","created_at":"2024-05-30 08:24:26","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":2152656,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-4230469/v1/8eb2b0a0-0d70-4480-9bcd-f57d82c08740.pdf"}],"financialInterests":"No competing interests reported.","formattedTitle":"Pregnant Women Perceived Community Acceptance on Continuum of maternal and newborn care its Correlates in Ethiopia: Community based 2 year Cohort follow up Study","fulltext":[{"header":"Background","content":"\u003cp\u003eRecently a paradigm shift is in being observation in maternal and child new born health service provision, research conduct focus and policy articulation at national and international community and stand held by relevant actors\u0026nbsp;(1-3). This change is integration of service provision that the expectant month should be enrolled in MCH care, get the recommended cares and retained in the maternal and new born care continuum (MCH). The research focus need to be providing evidence on the status of this continuum of care and the policy framework need prioritize achievement of this new paradigm\u0026nbsp;(2, 4).\u003c/p\u003e\n\u003cp\u003eStudies have revealed that proportion of women who continue to receive full continuum of maternal, newborn and child health (MNCH) care services varies from country to country and ranges from 7% to 60%, and the full continuum of care utilization is influenced by different factors, like, mother’s educational attainment, occupation, distance from health facility and husband or family encouragement, maternal age, urban residence, household wealth, health insurance coverage, community norms, and regular access to mass media\u0026nbsp;(5-11).\u0026nbsp;In addition the PNC domains is measured it the extended period which failed to address the most critical period of care the first 48 hours of life\u0026nbsp;(12). Such studies examined factors; individual and a few husband related factors, not pay adequate attention for community level factors which affect health service use to a greater extent. According ding to evidences one of the reasons for this low rate of MCH care use and retention in it is community acceptance and support that women and new born need to get CoC and retained in it.\u003c/p\u003e\n\u003cp\u003eSince the pregnancy and child bearing is a social and communal event the influence of people in the community where women residing and significant others women in seeking health care in general and maternal, newborn and child health (MCH) care in particular has a significant influence on the achievement the new paradigm and the improvement of MCH care. Among the critical determinants of the success of the new MCH paradigm is acceptance and support of the community for women and new born to get the recommend cares and their retention in the care (13). This is less explored and not study, hence, this study determined the level of pregnant women perceived community acceptance on that women and new born should get the recommend continuum of care package and be retained in it and associated factors with the aim to provide actionable evidence.\u0026nbsp;\u003c/p\u003e"},{"header":"Methods and Data Sources","content":"\u003cp\u003eStudy Design and Population and Sample Size\u003c/p\u003e\n\u003cp\u003eCohort 1 panel baseline data was used for this study. All pregnant women with gestational age of 1 to 9 months by the time of data collection for whom female baseline and household forms were completed included in this analysis, hence, a total of 2,219 pregnant women were included in this analysis. The overall sample size and cell sample size adequacy was checked and found adequate to generating unbiased estimates on the outcome variable.\u003c/p\u003e\n\u003cp\u003eData collection and Field Work.\u003c/p\u003e\n\u003cp\u003eCohort 1 baseline data was collected from November to December 2019. The details in field work implementation is reported elsewhere while the follow up extended up to Jul 2020\u0026nbsp;(14). The first field work of the pane baseline survey was screening pregnant women and women who were less than 6 weeks post-partum. \u0026nbsp;A two stage stratified cluster sampling method was used to select enumeration areas. Complete census was conducted in the selected enumeration areas followed\u0026nbsp;by selection of 35 households per enumeration area using simple random sampling. It was executed by Addis Ababa University\u0026rsquo;s School of Public Health in collaborative efforts with the Ethiopian Public Health Association with assistance from the Federal Ministry of Health, Central Statistical Agency, Bill \u0026amp; Melinda Gates Institute for Population and Reproductive Health (Johns Hopkins Bloomberg School of Public Health), and the source of funding is from Bill \u0026amp; Melinda Gates Foundation. The main sample units or enumeration areas (EAs) were chosen using the frame to Ethiopia Population and Housing Census (PHC), which was performed in 2019 by the Ethiopia Central Statistical Agency. \u0026nbsp;A total of 162 EAs were chosen in the first stage, with Independent selection in each sample stratum and a probability proportional to EA size. All pregnant women \u0026nbsp; between the ages of 15 and 49 who were either long-term residents of the chosen households \u0026nbsp;or who come to deliver there they were screened using enrollment criteria and those found eligible were consented to participate in the baseline line interview. The protocol Of PMA Ethiopia contains all the details on sample design and selection methods. More detail \u0026nbsp; in \u0026nbsp;the details on sampling design and selection procedures and field work implementation was described well elsewhere \u0026nbsp;(14).\u003c/p\u003e\n\u003cp\u003eVariables:\u003c/p\u003e\n\u003cp\u003eOutcome variable\u003c/p\u003e\n\u003cp\u003eThe main outcome variable was pregnant women perception that people in their community encourage women to get the three recommend maternal and new born health care (\u003cstrong\u003eTable 1\u003c/strong\u003e). \u0026nbsp;A nominal composite variable on no, some, few and most in women community encourage women to get the three recommended maternal and new born care continuum \u0026nbsp;was generated from the three independent questions on each domain of the care as follows after recoding each.\u003c/p\u003e\n\u003cp\u003eTable 1: Items used to create the pregnant women Community acceptance that few, some or most people in their community acceptable/encourage to on the three domains Continuum of maternal and new born health care (CoC), PMA Cohort 1 Baseline survey data, and 2019 to 21\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"735\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd width=\"24.489795918367346%\" rowspan=\"8\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003eDo X people in your community thinks it\u0026rsquo;s encourage women to go to clinic for ANC/deliver in health facility and go for PNC\u003c/p\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.877551020408163%\" rowspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eVariable\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"35.10204081632653%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eQuestion \u0026amp; Responses\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.53061224489796%\" rowspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eCategories\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.356589147286822%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eItem\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"73.64341085271317%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eResponse\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"18.37837837837838%\" rowspan=\"6\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003eCoC NORM\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.252252252252251%\" rowspan=\"6\" valign=\"top\"\u003e\u003cbr\u003e\u003c/td\u003e\n \u003ctd width=\"34.234234234234236%\" valign=\"top\"\u003e\n \u003cp\u003eDo not know =-88\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"35.13513513513514%\" valign=\"top\"\u003e\n \u003cp\u003eExcluded:\u003c/p\u003e\n \u003cp\u003e34 from \u0026nbsp; \u0026nbsp; encourage going to ANC\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e43 encourage from \u0026nbsp; \u0026nbsp; going to delivery at facility\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e50 from encourage women to seek PNC\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"49.35064935064935%\" valign=\"top\"\u003e\n \u003cp\u003eMost people \u0026nbsp;thinks =0\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"50.64935064935065%\" rowspan=\"5\" valign=\"top\"\u003e\n \u003cp\u003eMost people \u0026nbsp; thinks =0\u003c/p\u003e\n \u003cp\u003eMost people \u0026nbsp;thinks \u0026nbsp; \u0026nbsp; =1\u003c/p\u003e\n \u003cp\u003eSome people thinks = 2\u003c/p\u003e\n \u003cp\u003eFew People Think = 3\u003c/p\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"100%\" valign=\"top\"\u003e\n \u003cp\u003eMost people \u0026nbsp;thinks \u0026nbsp;=1\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"100%\" valign=\"top\"\u003e\n \u003cp\u003eSome people thinks = 2\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"100%\" valign=\"top\"\u003e\n \u003cp\u003eFew People Think = 3\u003c/p\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"100%\" valign=\"top\"\u003e\u003cbr\u003e\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"100%\" colspan=\"5\"\u003e\n \u003cp\u003e\u0026nbsp;\u003cstrong\u003eDetails of recode and multinomial composite variable creation for pregnant women to perceive \u0026nbsp;no, most, some and few people in their community encouraging women to obtain the three recommended cares of the maternal and newborn continuum of care, which is the main outcome variable\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003eA. ta preg_nm3_anc\u003c/p\u003e\n \u003cp\u003erecode preg_nm3_anc (-88=.) (0=0 \u0026quot;No_People\u0026quot;)(1=1 \u0026quot;Most_People\u0026quot;) (2=2 \u0026quot;Some_People\u0026quot;) (3=3 \u0026quot;Few_People\u0026quot;), gen( preg_nm3_anc_44)\u003c/p\u003e\n \u003cp\u003eB. ta preg_nm1_delivfac\u003c/p\u003e\n \u003cp\u003erecode preg_nm1_delivfac (-88=.) (0=0 \u0026quot;No_People\u0026quot;)(1=1 \u0026quot;Most_People\u0026quot;) (2=2 \u0026quot;Some_People\u0026quot;) (3=3 \u0026quot;Few_People\u0026quot;), gen( preg_nm1_delivfac_44)\u003c/p\u003e\n \u003cp\u003eC. ta preg_nm4_pnc\u003c/p\u003e\n \u003cp\u003erecode preg_nm4_pnc (-88=.) (0=0 \u0026quot;No people\u0026quot;)(1=1 \u0026quot;Most_People\u0026quot;) (2=2 \u0026quot;Some_People\u0026quot;) (3=3 \u0026quot;Few_People\u0026quot;), gen( preg_nm4_pnc_44)\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003egenerating Composite variable for the outcome\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003egen Community_encourage44=.\u003c/p\u003e\n \u003cp\u003ereplace Community_encourage44=0 if preg_nm3_anc_44==0|preg_nm1_delivfac_44==0|preg_nm4_pnc_44==0\u003c/p\u003e\n \u003cp\u003ereplace Community_encourage44=1 if preg_nm3_anc_44==1|preg_nm1_delivfac_44==1|preg_nm4_pnc_44==1\u003c/p\u003e\n \u003cp\u003ereplace Community_encourage44=2 if preg_nm3_anc_44==2|preg_nm1_delivfac_44==2|preg_nm4_pnc_44==2\u003c/p\u003e\n \u003cp\u003ereplace Community_encourage44=3 if preg_nm3_anc_44==3|preg_nm1_delivfac_44==3|preg_nm4_pnc_44==3\u003c/p\u003e\n \u003cp\u003eta \u0026nbsp;Community_encourage44\u003c/p\u003e\n \u003cp\u003eCommunity_encourage44 is treated as multinomial outcome with four categories\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003eIndependent Variables\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eIndependent variables were classified into individual-level variables and enumeration area-level variables. Individual-level independent variables further categorized into socio-demographic/economic characteristics variables, parity and other RH characteristics, couples reaction when they learned that they were pregnant and contraception ever use were considered in the study.\u003c/p\u003e\n\u003cp\u003eGroup or enumeration area (EA) level variables included two integral variables namely, region and place of residence were considered.\u0026nbsp;\u0026ldquo;Region\u0026rdquo; was grouped into four categories 3= Amhara, 4=Oromia, 7= SNNPRs and 10= Addis Ababa city administration. \u0026nbsp;Place of residence follows the default urban/rural classification.\u003c/p\u003e\n\u003cp\u003eAnalysis and Measurement\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eThe panel baseline women data set was used for this analysis. Stata v17 was used for this analysis. Frequencies and percentages were computed to characterize the study population. Chi-square test statistics was computed to check cell sample size adequacy and the sample size was found to be adequate to provide unbiased estimates.\u003c/p\u003e\n\u003cp\u003eExploratory data analysis was run for data cleaning thereby checking item nonresponse rate for every variable and don\u0026rsquo;t know response which were later excluded from the analysis. Following this variable were recoded to create biological plausible categories along with checking distribution of the recoded variables using mean and proportion.\u0026nbsp;No sign of multicollinearity detected among variables in the final model. \u0026nbsp;\u003c/p\u003e\n\u003cp\u003eMultinomial logistics regression was used to identify important predictors for pregnant women perceived community acceptance on deliveries to be attended by Traditional Birth Attendants. At bivariate analysis a p value cut of 0.25 was used to select candidate variable for multilevel multivariable logistics regression analysis. Results were presented in the form of percentage, and odds ratio with 95% CI. Significance was declared at a significance level of 0.05. \u0026nbsp; Results were reported based on weighted count. \u0026nbsp;Model fitness test was checked using the command \u0026nbsp;\u0026laquo;mlogitgof\u0026raquo; and the result shown that the model is fit meaning that variables included in \u0026nbsp;the final multilevel multinomial logistics regression \u0026nbsp;model explains for the variation in pregnant women perception that people in the community encourage women to obtain the three domains of maternal and newborn care. This supported by the model fitness test result depicted below:\u003c/p\u003e\n\u003cp\u003eMlogitgof\u003c/p\u003e\n\u003cp\u003eGoodness-of-fit test for a multinomial logistic regression model\u003c/p\u003e\n\u003cp\u003eDependent variable: Community_encourage44\u003c/p\u003e\n\u003cp\u003e\u0026nbsp; number of observations = \u0026nbsp; 2147\u003c/p\u003e\n\u003cp\u003enumber of outcome values = \u0026nbsp; \u0026nbsp; \u0026nbsp;4\u003c/p\u003e\n\u003cp\u003ebase outcome value = \u0026nbsp; \u0026nbsp; \u0026nbsp; 0 (no people encourage )\u003c/p\u003e\n\u003cp\u003e\u0026nbsp;chi-squared statistic = \u0026nbsp; \u0026nbsp; 31.290\u003c/p\u003e\n\u003cp\u003e\u0026nbsp;degrees of freedom = \u0026nbsp; \u0026nbsp; 24\u003c/p\u003e\n\u003cp\u003e\u0026nbsp; Prob \u0026gt; chi-squared = \u0026nbsp; \u0026nbsp; \u0026nbsp;0.146\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eThis model fitness result indicated that the independent variables included in the model as systematic components of the modeling process, running a multinomial logistics model in this case, have contributed the variation in the outcome variable,\u0026nbsp;The proportion of pregnant women who perceived no people encourage that women obtain the three domains of continuum of care is 7.03% (5.89%, 8.38%) while 33.66.83% (31.42, 35.96) and 31.93 (29.60%, 34.36%) perceived that most and few people respectively encourage women to get the three domains (4+ antenatal care and skilled delivery and postnatal care) of maternal and new born health care continuum\u0026nbsp;is attributed the correlates includes in the models keep other sources of variation constant.\u003c/p\u003e\n\u003cp\u003eData Quality Management and Control\u003c/p\u003e\n\u003cp\u003eData completeness for variables and items for creating composite variables was checked by exploratory data analysis following which any item nonresponse was excluded from the analysis. Frequency run to exclude responses with do not know (DNK) and no response (NR).\u0026nbsp;\u003c/p\u003e\n\u003cp\u003ePMA Ethiopia used of standard and pretested tool, intensive training with mock interviews for resident enumerators was provided, close supervisor during filed work, timely progress report and correction, 10% random check were some of the modalities used to maintain the quality of the collected data, the detail is reported somewhere else (14).\u003c/p\u003e"},{"header":"Results","content":"\u003cp\u003eParticipants Characteristics\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eMagnitude of Pregnant women Perceived Community Acceptance/encouragement on Continuum of maternal and child health care\u003c/p\u003e\n\u003cp\u003eThe proportion of pregnant women who perceived no people encourage that women obtain the three domains of continuum of care is 7.03% (5.89%, 8.38%) while 33.66.83% (31.42, 35.96) and 31.93 (29.60%, 34.36%) perceived that most and few people respectively encourage women to get the three domains (4+ antenatal care and skilled delivery and postnatal care) of maternal and new born health care continuum.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e(Table 2). \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp;\u003c/p\u003e\n\u003ctable border=\"0\" cellspacing=\"0\" cellpadding=\"0\" width=\"665\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd width=\"100%\" colspan=\"4\"\u003e\n \u003cp\u003e\u003cstrong\u003eTable 2: Magnitude of Pregnant women Perceived Community Acceptance/encouragement on the three Domains of Continuum of maternal and newborn (CoC) health care\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"54.21686746987952%\"\u003e\n \u003cp\u003e\u003cstrong\u003eCategory\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.16867469879518%\"\u003e\n \u003cp\u003e\u003cstrong\u003e%\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"28.6144578313253%\" colspan=\"2\"\u003e\n \u003cp\u003e\u003cstrong\u003e95% CI\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"54.21686746987952%\" valign=\"bottom\"\u003e\n \u003cp\u003e\u003cstrong\u003eNo People encourage the three CoC domains\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.16867469879518%\" valign=\"bottom\"\u003e\n \u003cp\u003e7.03\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.74698795180723%\" valign=\"bottom\"\u003e\n \u003cp\u003e5.89\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.867469879518072%\" valign=\"bottom\"\u003e\n \u003cp\u003e8.38\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"54.21686746987952%\" valign=\"bottom\"\u003e\n \u003cp\u003e\u003cstrong\u003eMost People encourage the three CoC domains\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.16867469879518%\" valign=\"bottom\"\u003e\n \u003cp\u003e33.66\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.74698795180723%\" valign=\"bottom\"\u003e\n \u003cp\u003e31.42\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.867469879518072%\" valign=\"bottom\"\u003e\n \u003cp\u003e35.96\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"54.21686746987952%\" valign=\"bottom\"\u003e\n \u003cp\u003e\u003cstrong\u003eSome People encourage the three CoC domains\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.16867469879518%\" valign=\"bottom\"\u003e\n \u003cp\u003e27.37\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.74698795180723%\" valign=\"bottom\"\u003e\n \u003cp\u003e25.17\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.867469879518072%\" valign=\"bottom\"\u003e\n \u003cp\u003e29.69\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"54.21686746987952%\" valign=\"bottom\"\u003e\n \u003cp\u003e\u003cstrong\u003eFew People encourage the three CoC domains\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.16867469879518%\" valign=\"bottom\"\u003e\n \u003cp\u003e31.93\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.74698795180723%\" valign=\"bottom\"\u003e\n \u003cp\u003e29.60\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.867469879518072%\" valign=\"bottom\"\u003e\n \u003cp\u003e34.36\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"666\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd width=\"54.054054054054056%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eAt least Few People encourage the three CoC domains\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"18.01801801801802%\" valign=\"top\"\u003e\n \u003cp\u003e93.30\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.81081081081081%\" valign=\"top\"\u003e\n \u003cp\u003e91.61\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.117117117117118%\" valign=\"top\"\u003e\n \u003cp\u003e94.41\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003eDistribution of Magnitude of Pregnant women Perceived Community Acceptance/encouragement on the three domains of Continuum of maternal and new born (CoC) health care\u003c/p\u003e\n\u003cp\u003ePregnant women\u0026nbsp;perception on how many people (no, some, few and most) in their community accept or encourage for women to get the three domains (ANC4+, Skilled Delivery and Post natal care) of the continuum maternal and newborn health care showed variation by the categories of selected independent variables.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eAccordingly,\u0026nbsp;among pregnant women aged 20 to 25 and 35 to 49 yearsone thirdpregnant women among those aged 20 to 24 years (35.58%) and 35 to 39 years (34.83%) perceived that most people in their community while 33.13% among pregnant women aged 40 to 49 perceived that some people in their community accept or encourage women to get the three domains of the continuum maternal and newborn health care.\u0026nbsp;Among Pregnant women who attended secondary or above education, the percentage of pregnant women who perceived most, some and few people in their community accept or encourage for women to get the three domains of the maternal and newborn continuum maternal and newborn health care was 52.26%, 29.81% and 16.82 % respectively. Similarly, there is variation by religion and wealth index in the proportion pregnant women who perceived most, some and few people in their community accept or encourage for women to get the three domains of the maternal and newborn continuum maternal and newborn health care. For instance this respective proportion for Orthodox religion followers is 41.79%, 29.59% and 30.25% respectively. This same figure for most, some and few people acceptance or encouragement is 21.58%, 20.85 and 48.66% among pregnant women residing in households in the lowest wealth quintile (\u003cstrong\u003e\u003cem\u003eTable 3)\u003c/em\u003e\u003c/strong\u003e\u003cstrong\u003e. \u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eConcerning party and birth, among those who have higher birth orders (3 to 12 children), 27.41%, 24.36% and 37.87 % of the pregnant women considers that \u0026nbsp;most, some and few people in their community accept or encourage for women to get the three domains of the maternal and newborn continuum maternal and newborn health care respectively. Likewise among pregnant women who no more or prefer no child 30.85%, 24.37% and 36.43% of them reported that most, some and few people in their community encourage women to get the three domains of the continuum of care.\u0026nbsp;Similarly the variation that pregnant women perceived acceptance people in their community encourage women to obtain this cares among contraceptive ever users is 38.82 for most people, 28.95% and 28.19 % for some and few people in their community respectively (\u003cstrong\u003e\u003cem\u003eTable 3)\u003c/em\u003e\u003c/strong\u003e\u003cstrong\u003e.\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eIn similar fashion, the variation in pregnant women perceive that people in their community encourage women to get provided the three domains of continuum of care is observed by residence. Accordingly pregnant women who reside in rural areas perceived that 26.48.06%, 28.75 % and 36.35% of the pregnant women perceived that most, some and few people in their community encourage women to obtain the three domains of the continuum of care TBA (\u003cstrong\u003e\u003cem\u003eTable 3)\u003c/em\u003e\u003c/strong\u003e\u003cstrong\u003e.\u003c/strong\u003e\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eAmong pregnant women who reside in Tigray, 1 in 4 women (47.31%), 24.92% and 27.46% reported most, some and few people in their community encourage that women to obtain the three domains of the continuum of care. To our surprise, no pregnant women in Tigray perceived that no people encourage women to get there three domains of care. This same figure among \u0026nbsp;pregnant women residing in Oromya region stands 28.34%, 30.55% and 34.00% for most, some and few people in their community respectively\u0026nbsp;(\u003cstrong\u003e\u003cem\u003eTable 3)\u003c/em\u003e\u003c/strong\u003e\u003cstrong\u003e.\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e\u0026nbsp;In terms of desired attendant, of those women whose desired attendant is health professional 45.67%, 27.98% and 23.79% of pregnant women perceived that most, some and few people\u0026nbsp;encourage women to get there three domains of care\u0026nbsp;respectively. \u0026nbsp;This same figure for among This same figure for pregnant women who desired to delivered at health facilities stands 45.90%, 27.88% and 23.87% for most, some and few people in their community respectively\u0026nbsp;(\u003cstrong\u003e\u003cem\u003eTable 3)\u003c/em\u003e\u003c/strong\u003e\u003cstrong\u003e.\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eFinally, across most the independent variables the proportion of pregnant women who perceive that no people in their community encourage women to get the three domains of the continuum of care is less one in 10% even 5%, except residents of Tigray, where none of perceived that no people encourage women to get the three domains in the continuum of care since the overall figure for no encouragement is 7.4%\u0026nbsp;(\u003cstrong\u003e\u003cem\u003eTable 3)\u003c/em\u003e\u003c/strong\u003e\u003cstrong\u003e.\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eTable 3: D\u003c/em\u003e\u003cem\u003eistribution of\u0026nbsp;\u003c/em\u003eMagnitude of Pregnant women Perceived Community Acceptance/encouragement on \u003cstrong\u003eContinuum of maternal and new born health care\u0026nbsp;\u003c/strong\u003e\u003cem\u003e(CoC), Evidence from PMA Cohort One, 2019 to 21 (\u003c/em\u003e\u003cem\u003en=2219)\u003c/em\u003e\u003c/p\u003e\n\u003ctable border=\"0\" cellspacing=\"0\" cellpadding=\"0\" width=\"732\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd width=\"34.42622950819672%\" colspan=\"2\" rowspan=\"2\" valign=\"bottom\"\u003e\n \u003cp\u003e\u003cstrong\u003eVariables\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"65.57377049180327%\" colspan=\"9\"\u003e\n \u003cp\u003e\u003cstrong\u003ePregnant women Perceived Community Acceptance/encouragement on Continuum of maternal and child health care\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"12.5%\"\u003e\n \u003cp\u003e\u003cstrong\u003eNo People\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10%\"\u003e\n \u003cp\u003e\u003cstrong\u003e%\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\"\u003e\n \u003cp\u003e\u003cstrong\u003eMost People\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10%\"\u003e\n \u003cp\u003e\u003cstrong\u003e%\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\"\u003e\n \u003cp\u003e\u003cstrong\u003eSome People\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.25%\"\u003e\n \u003cp\u003e\u003cstrong\u003e%\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.875%\"\u003e\n \u003cp\u003e\u003cstrong\u003eFew People\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.791666666666666%\"\u003e\n \u003cp\u003e\u003cstrong\u003e%\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.583333333333334%\"\u003e\n \u003cp\u003e\u003cstrong\u003eTotal\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"11.748633879781421%\" rowspan=\"7\" valign=\"bottom\"\u003e\n \u003cp\u003e\u003cstrong\u003eAge Category\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.6775956284153%\"\u003e\n \u003cp\u003e\u003cstrong\u003e15-19 years\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.19672131147541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e19\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"6.557377049180328%\"\u003e\n \u003cp\u003e\u003cstrong\u003e7.97\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.19672131147541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e76\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"6.557377049180328%\"\u003e\n \u003cp\u003e\u003cstrong\u003e31.82\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.19672131147541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e68\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.377049180327869%\"\u003e\n \u003cp\u003e\u003cstrong\u003e28.62\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.786885245901639%\"\u003e\n \u003cp\u003e\u003cstrong\u003e75\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"6.420765027322404%\"\u003e\n \u003cp\u003e\u003cstrong\u003e31.59\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"6.284153005464481%\"\u003e\n \u003cp\u003e\u003cstrong\u003e238\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.69659442724458%\"\u003e\n \u003cp\u003e\u003cstrong\u003e20-24 years\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e32\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.430340557275541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e6.13\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e177\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.430340557275541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e33.58\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e161\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.359133126934985%\"\u003e\n \u003cp\u003e\u003cstrong\u003e30.58\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.823529411764707%\"\u003e\n \u003cp\u003e\u003cstrong\u003e156\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.275541795665634%\"\u003e\n \u003cp\u003e\u003cstrong\u003e29.70\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.120743034055727%\"\u003e\n \u003cp\u003e\u003cstrong\u003e526\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.69659442724458%\"\u003e\n \u003cp\u003e\u003cstrong\u003e25-29 years\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e48\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.430340557275541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e7.41\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e234\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.430340557275541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e36.20\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e167\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.359133126934985%\"\u003e\n \u003cp\u003e\u003cstrong\u003e25.86\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.823529411764707%\"\u003e\n \u003cp\u003e\u003cstrong\u003e197\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.275541795665634%\"\u003e\n \u003cp\u003e\u003cstrong\u003e30.53\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.120743034055727%\"\u003e\n \u003cp\u003e\u003cstrong\u003e645\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.69659442724458%\"\u003e\n \u003cp\u003e\u003cstrong\u003e30-34 years\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e27\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.430340557275541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e6.45\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e128\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.430340557275541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e30.24\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e122\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.359133126934985%\"\u003e\n \u003cp\u003e\u003cstrong\u003e28.75\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.823529411764707%\"\u003e\n \u003cp\u003e\u003cstrong\u003e147\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.275541795665634%\"\u003e\n \u003cp\u003e\u003cstrong\u003e34.57\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.120743034055727%\"\u003e\n \u003cp\u003e\u003cstrong\u003e425\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.69659442724458%\"\u003e\n \u003cp\u003e\u003cstrong\u003e35-39 years\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e22\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.430340557275541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e7.46\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e102\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.430340557275541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e34.83\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e68\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.359133126934985%\"\u003e\n \u003cp\u003e\u003cstrong\u003e23.23\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.823529411764707%\"\u003e\n \u003cp\u003e\u003cstrong\u003e101\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.275541795665634%\"\u003e\n \u003cp\u003e\u003cstrong\u003e34.48\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.120743034055727%\"\u003e\n \u003cp\u003e\u003cstrong\u003e292\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.69659442724458%\"\u003e\n \u003cp\u003e\u003cstrong\u003e40-49 years\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e8\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.430340557275541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e8.55\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e31\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.430340557275541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e33.13\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e22\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.359133126934985%\"\u003e\n \u003cp\u003e\u003cstrong\u003e23.16\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.823529411764707%\"\u003e\n \u003cp\u003e\u003cstrong\u003e33\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.275541795665634%\"\u003e\n \u003cp\u003e\u003cstrong\u003e35.16\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.120743034055727%\"\u003e\n \u003cp\u003e\u003cstrong\u003e93\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.69659442724458%\"\u003e\n \u003cp\u003e\u003cstrong\u003eTotal\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e156\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.430340557275541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e7.04\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e747\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.430340557275541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e33.66\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e607\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.359133126934985%\"\u003e\n \u003cp\u003e\u003cstrong\u003e27.37\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.823529411764707%\"\u003e\n \u003cp\u003e\u003cstrong\u003e709\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.275541795665634%\"\u003e\n \u003cp\u003e\u003cstrong\u003e31.93\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.120743034055727%\"\u003e\n \u003cp\u003e\u003cstrong\u003e2219\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"11.748633879781421%\"\u003e\u003c/td\u003e\n \u003ctd width=\"22.6775956284153%\"\u003e\n \u003cp\u003e\u003cstrong\u003eNo_Formal_Education\u003c/strong\u003e\u003c/p\u003e\n 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\u003c/td\u003e\n \u003ctd width=\"7.377049180327869%\"\u003e\n \u003cp\u003e\u003cstrong\u003e20.85\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.786885245901639%\"\u003e\n \u003cp\u003e\u003cstrong\u003e213\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"6.420765027322404%\"\u003e\n \u003cp\u003e\u003cstrong\u003e48.66\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"6.284153005464481%\"\u003e\n \u003cp\u003e\u003cstrong\u003e438\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"11.748633879781421%\" rowspan=\"5\"\u003e\n \u003cp\u003e\u003cstrong\u003eWealth Index\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.6775956284153%\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;Lower quintile\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.19672131147541%\"\u003e\n 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\u003cp\u003e\u003cstrong\u003e205\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"11.748633879781421%\" rowspan=\"3\"\u003e\n \u003cp\u003e\u003cstrong\u003eFertility Intention\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.6775956284153%\"\u003e\n \u003cp\u003e\u003cstrong\u003eHave a/another child\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.19672131147541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e111\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"6.557377049180328%\"\u003e\n \u003cp\u003e\u003cstrong\u003e7.10\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.19672131147541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e530\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"6.557377049180328%\"\u003e\n \u003cp\u003e\u003cstrong\u003e33.99\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.19672131147541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e429\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.377049180327869%\"\u003e\n \u003cp\u003e\u003cstrong\u003e27.48\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.786885245901639%\"\u003e\n \u003cp\u003e\u003cstrong\u003e490\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"6.420765027322404%\"\u003e\n \u003cp\u003e\u003cstrong\u003e31.43\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"6.284153005464481%\"\u003e\n \u003cp\u003e\u003cstrong\u003e1560\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.69659442724458%\"\u003e\n \u003cp\u003e\u003cstrong\u003eNo more or prefer no child\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e38\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.430340557275541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e8.34\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e140\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.430340557275541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e30.85\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e111\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.359133126934985%\"\u003e\n \u003cp\u003e\u003cstrong\u003e24.37\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.823529411764707%\"\u003e\n \u003cp\u003e\u003cstrong\u003e165\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.275541795665634%\"\u003e\n \u003cp\u003e\u003cstrong\u003e36.43\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.120743034055727%\"\u003e\n 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width=\"11.748633879781421%\" rowspan=\"3\"\u003e\n \u003cp\u003e\u003cstrong\u003eMariatal Status\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.6775956284153%\"\u003e\n \u003cp\u003e\u003cstrong\u003eLiving With A parner\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.19672131147541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e8\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"6.557377049180328%\"\u003e\n \u003cp\u003e\u003cstrong\u003e13.00\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.19672131147541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e32\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"6.557377049180328%\"\u003e\n \u003cp\u003e\u003cstrong\u003e50.67\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.19672131147541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e9\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.377049180327869%\"\u003e\n \u003cp\u003e\u003cstrong\u003e13.89\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.786885245901639%\"\u003e\n \u003cp\u003e\u003cstrong\u003e14\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"6.420765027322404%\"\u003e\n \u003cp\u003e\u003cstrong\u003e22.44\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"6.284153005464481%\"\u003e\n \u003cp\u003e\u003cstrong\u003e63\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.69659442724458%\"\u003e\n \u003cp\u003e\u003cstrong\u003eWid/Sep/Nev\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e1\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.430340557275541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e2.43\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e13\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.430340557275541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e30.32\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e15\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.359133126934985%\"\u003e\n \u003cp\u003e\u003cstrong\u003e36.67\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.823529411764707%\"\u003e\n \u003cp\u003e\u003cstrong\u003e13\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.275541795665634%\"\u003e\n \u003cp\u003e\u003cstrong\u003e30.58\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.120743034055727%\"\u003e\n \u003cp\u003e\u003cstrong\u003e41\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.69659442724458%\"\u003e\n \u003cp\u003e\u003cstrong\u003eTotal\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e156\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.430340557275541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e7.05\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e747\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.430340557275541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e33.71\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e606\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.359133126934985%\"\u003e\n \u003cp\u003e\u003cstrong\u003e27.36\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.823529411764707%\"\u003e\n 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width=\"6.557377049180328%\"\u003e\n \u003cp\u003e\u003cstrong\u003e25.54\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.19672131147541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e214\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.377049180327869%\"\u003e\n \u003cp\u003e\u003cstrong\u003e24.90\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.786885245901639%\"\u003e\n \u003cp\u003e\u003cstrong\u003e326\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"6.420765027322404%\"\u003e\n \u003cp\u003e\u003cstrong\u003e37.85\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"6.284153005464481%\"\u003e\n \u003cp\u003e\u003cstrong\u003e861\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"11.748633879781421%\" rowspan=\"2\"\u003e\n \u003cp\u003e\u003cstrong\u003eContraceptive Ever Use\u003c/strong\u003e\u003c/p\u003e\n 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width=\"7.786885245901639%\"\u003e\n \u003cp\u003e\u003cstrong\u003e382\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"6.420765027322404%\"\u003e\n \u003cp\u003e\u003cstrong\u003e28.19\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"6.284153005464481%\"\u003e\n \u003cp\u003e\u003cstrong\u003e1357\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.69659442724458%\"\u003e\n \u003cp\u003e\u003cstrong\u003eTotal\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e156\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.430340557275541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e7.03\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e747\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.430340557275541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e33.66\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e607\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.359133126934985%\"\u003e\n \u003cp\u003e\u003cstrong\u003e27.37\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.823529411764707%\"\u003e\n \u003cp\u003e\u003cstrong\u003e708\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.275541795665634%\"\u003e\n \u003cp\u003e\u003cstrong\u003e31.94\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.120743034055727%\"\u003e\n \u003cp\u003e\u003cstrong\u003e2218\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"11.748633879781421%\"\u003e\u003c/td\u003e\n \u003ctd width=\"22.6775956284153%\"\u003e\n 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width=\"11.748633879781421%\" rowspan=\"5\"\u003e\n \u003cp\u003e\u003cstrong\u003eGot Pregnant Feeling\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.6775956284153%\"\u003e\n \u003cp\u003e\u003cstrong\u003eSort happy\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.19672131147541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e54\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"6.557377049180328%\"\u003e\n \u003cp\u003e\u003cstrong\u003e9.38\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.19672131147541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e174\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"6.557377049180328%\"\u003e\n \u003cp\u003e\u003cstrong\u003e30.24\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.19672131147541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e168\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd 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width=\"25.69659442724458%\"\u003e\n \u003cp\u003e\u003cstrong\u003eSort unhappy\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e17\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.430340557275541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e9.10\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e50\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.430340557275541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e26.53\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e56\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.359133126934985%\"\u003e\n \u003cp\u003e\u003cstrong\u003e30.09\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.823529411764707%\"\u003e\n 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width=\"6.420765027322404%\"\u003e\n \u003cp\u003e\u003cstrong\u003e23.79\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"6.284153005464481%\"\u003e\n \u003cp\u003e\u003cstrong\u003e1443\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.69659442724458%\"\u003e\n \u003cp\u003e\u003cstrong\u003eFamily Member/TBA\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e109\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.430340557275541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e16.86\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e68\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.430340557275541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e10.53\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e167\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.359133126934985%\"\u003e\n \u003cp\u003e\u003cstrong\u003e25.85\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.823529411764707%\"\u003e\n \u003cp\u003e\u003cstrong\u003e302\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.275541795665634%\"\u003e\n \u003cp\u003e\u003cstrong\u003e46.76\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.120743034055727%\"\u003e\n \u003cp\u003e\u003cstrong\u003e645\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.69659442724458%\"\u003e\n \u003cp\u003e\u003cstrong\u003eTotal\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e156\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.430340557275541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e7.05\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e746\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.430340557275541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e33.66\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e605\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.359133126934985%\"\u003e\n \u003cp\u003e\u003cstrong\u003e27.31\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.823529411764707%\"\u003e\n \u003cp\u003e\u003cstrong\u003e709\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.275541795665634%\"\u003e\n \u003cp\u003e\u003cstrong\u003e31.98\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.120743034055727%\"\u003e\n \u003cp\u003e\u003cstrong\u003e2216\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"11.748633879781421%\"\u003e\u003c/td\u003e\n \u003ctd width=\"22.6775956284153%\"\u003e\n \u003cp\u003e\u003cstrong\u003eHome/ND\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.19672131147541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e123\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"6.557377049180328%\"\u003e\n \u003cp\u003e\u003cstrong\u003e15.11\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.19672131147541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e103\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"6.557377049180328%\"\u003e\n \u003cp\u003e\u003cstrong\u003e12.59\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.19672131147541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e216\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.377049180327869%\"\u003e\n \u003cp\u003e\u003cstrong\u003e26.49\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.786885245901639%\"\u003e\n \u003cp\u003e\u003cstrong\u003e374\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"6.420765027322404%\"\u003e\n \u003cp\u003e\u003cstrong\u003e45.81\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"6.284153005464481%\"\u003e\n \u003cp\u003e\u003cstrong\u003e816\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"11.748633879781421%\" rowspan=\"2\"\u003e\n \u003cp\u003e\u003cstrong\u003eDesired Place of Delivery\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.6775956284153%\"\u003e\n \u003cp\u003e\u003cstrong\u003eGovernment_Privare HF\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.19672131147541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e33\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"6.557377049180328%\"\u003e\n \u003cp\u003e\u003cstrong\u003e2.35\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.19672131147541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e644\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"6.557377049180328%\"\u003e\n \u003cp\u003e\u003cstrong\u003e45.90\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.19672131147541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e391\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.377049180327869%\"\u003e\n \u003cp\u003e\u003cstrong\u003e27.88\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.786885245901639%\"\u003e\n \u003cp\u003e\u003cstrong\u003e335\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"6.420765027322404%\"\u003e\n \u003cp\u003e\u003cstrong\u003e23.87\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"6.284153005464481%\"\u003e\n \u003cp\u003e\u003cstrong\u003e1403\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.69659442724458%\"\u003e\n \u003cp\u003e\u003cstrong\u003eTotal\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e156\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.430340557275541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e7.04\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e747\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.430340557275541%\"\u003e\n \u003cp\u003e\u003cstrong\u003e33.66\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.287925696594428%\"\u003e\n \u003cp\u003e\u003cstrong\u003e607\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.359133126934985%\"\u003e\n \u003cp\u003e\u003cstrong\u003e27.37\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.823529411764707%\"\u003e\n \u003cp\u003e\u003cstrong\u003e709\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.275541795665634%\"\u003e\n \u003cp\u003e\u003cstrong\u003e31.93\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"7.120743034055727%\"\u003e\n \u003cp\u003e\u003cstrong\u003e2219\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e*/*\u003cstrong\u003eformer SNNPR region\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eCorrelates Perceived Community Acceptance on Maternal continuum of care (CoC) among Pregnant Women, Evidence from PMA Cohort One Survey, 2019 to 21\u003c/p\u003e\n\u003cp\u003eAfter controlling for confounder with p value \u0026lt; 0.25 the following factors were found to be factors for pregnant women who perceive that most people encourage in their community encourage women to obtain the three domains of m maternal and new born continuum of care (CoC).\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eThe likely hood of pregnant women to perceive that most people in their would encourage to women to get the three domains of \u0026nbsp; CoC is\u0026nbsp;3.01 (1.13, 8.00) among those\u0026nbsp;aged 30 to 34 older compared to those 15 to 19 years while pregnant women aged 35\u0026nbsp;to\u0026nbsp;39 had 4.61\u0026nbsp;(1.55, 13.72) higher likelihood of perceiving most people in to get the three domains of the continuum of care.\u0026nbsp;Similarly, pregnant women residents \u0026nbsp;Oromiya region 2.10 (1.17, 3.77) higher likelihood of perceiving that most people in their community encourage women to get the three domains of maternal and newborn care continuum of care. Moreover, pregnant women who attended secondary education or above had 3.33 (1.23, 9.07) higher likelihood to perceive that most people in their would encourage to women to get the three domains of \u0026nbsp;maternal CoC compared to those pregnant with no formal education Furthermore, pregnant women who ever used contraceptive and those whose desired delivery place health facility \u0026nbsp;had 2.56 (1.57,4.16) and 4.28 \u0026nbsp;(1.57,11.62) increased likelihood of perceiving that most people in their community to \u0026nbsp;encourage women to obtain the three domains of CoC.\u0026nbsp;\u003cstrong\u003e(Table 4).\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eOn the other hand Wealth, pregnant women residing in the households with the highest wealth quintile 0.19 (0.06, 0.58) lower odds, those who desired birth attendant TBA/Family member 0.36 (0.13, 0.96) and those residing in rural areas 0.18 (0.07, 0.51) lower likelihood of perceiving that most people in their community encourages women to get the three domains of maternal and new born CoC. \u0026nbsp; \u0026nbsp;Similarity, women reported that whose husband has other wife\u0026rsquo;s had 55% 0.45 (0.26, 0.81) lower likelihood of perceiving that most people in their community to encourage women to obtain the three domains of maternal and new born continuum of care. Similarly women with higher birth order had 60% lower likelihood 0.40 (0.18, 0.90) perceived community encouragement\u0026nbsp;(\u003cstrong\u003eTable 4).\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eAfter controlling for confounder with p value \u0026lt; 0.25 the following factors were found to be factors for pregnant women who perceive that some people encourage in their community encourage women to obtain the three domains of m maternal and new born continuum of care: Increase likelihood have like some people encourage in their community encourage women to obtain the three domains of m maternal and new born continuum of care.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eThe likely hood of pregnant women to perceive that some people in their would encourage to women to get the three domains of \u0026nbsp; CoC is\u0026nbsp;3.84\u0026nbsp;3.47 (1.45, 10.21)\u0026nbsp;among those\u0026nbsp;aged 30 to 34 older compared to those 15 to 19 years while pregnant women aged 35\u0026nbsp;to\u0026nbsp;39 had 4.40 (1.47, 13.14)\u0026nbsp;higher likelihood of perceiving some people in to get the three domains of the continuum of care.\u0026nbsp;Moreover, pregnant women who attended secondary education or above 3.63 (1.32, 9.96) higher likelihood to perceive that some \u0026nbsp;people in their would encourage to women to get the three domains of \u0026nbsp;maternal CoC compared to those pregnant with no formal education Furthermore, pregnant women who ever used contraceptive had 2.50 (1.54,4.07) had increased likelihood of perceiving that some \u0026nbsp;people in their community to \u0026nbsp;encourage women to obtain the three domains of CoC\u0026nbsp;\u003cstrong\u003e(Table 4).\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eOn the other hand Wealth, pregnant women residing in the households with the highest wealth quintile 0.12 (0.04,0.37) lower odds, those and those residing in rural areas 76% 0.24 (0.08,0.68) lower likelihood of perceiving that some people in their community encourages women to get the three domains of maternal and new born CoC. \u0026nbsp; Similarity, women reported that whose husband has other wife\u0026rsquo;s had 56% 0.44(0.25, 0.77)** lower likelihood of perceiving that some \u0026nbsp;people in their \u0026nbsp;community to encourage women to obtain the three domains of maternal and new born continuum of care. Similarly women with higher birth order had 65% lower likelihood 0.35 (0.16, 0.79) perceived community encouragement.\u0026nbsp;Pregnant women whose desire birth attendant is Family member/TBA had 62% 0.38 (0.15,0.94) lower likelihood to perceive that few people in their community encourage women to get the three domains of maternal and newborn continuum of care as compared with their counter parts\u0026nbsp;\u003cstrong\u003e(Table 4).\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eAfter controlling for confounder with p value \u0026lt; 0.25 the following factors were found to be factors for pregnant women who perceive that few people encourage in their community encourage women to obtain the three domains of maternal and new born continuum of care.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eThe likelihood of pregnant women to perceive most people encourage women to get the three domains of maternal and new born continuum is 2.90 (1.02, 8.23) higher among pregnant women belonging to age group 35 to 39. Similarly, attending secondary education or above increases pregnant women perceived encouragement by few people by 30.3 (1.10, 8.34)\u0026nbsp;\u003cstrong\u003e(Table 4).\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eOn the contrary pregnant women residing rural areas had 75% 0.25 (0.09, 0.71) lower likelihood to perceive that few people in their community encourage women to obtain the three domains of continuum of care while pregnant women whose desire birth attendant is Family member/TBA had 12% 0.88 (0.17,0.72) lower likelihood to perceive that few people in their community encourage women to get the three domains of maternal and newborn continuum of care as compared with their counter parts. This same figure is Pregnant women residing in the poor households 0.51 (0.30, 0.86) as well in the well to do households 0.07 (0.03, 0.22) when compared with pregnant women residing in the poorest households(\u003cstrong\u003eTable 4).\u003c/strong\u003e\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"726\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd width=\"100%\" colspan=\"5\" valign=\"top\"\u003eTable 4: Multinomial Logistic Regression Pregnant Women Perceived Community Acceptance/encouragement Maternal and newborn Continuum of Care (CoC) from PMA Cohort 1, 2019 to 2021 \u003cbr\u003e\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"13.223140495867769%\" rowspan=\"7\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eWomen Age Category\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.446280991735538%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eVariables\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"18.181818181818183%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eMost People\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003eA RRR\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"19.00826446280992%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eSome \u0026nbsp;People\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003eA RRR\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"23.140495867768596%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eFew People,\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003eA RRR\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"30.476190476190474%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e15-19 years\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.952380952380953%\" valign=\"top\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.904761904761905%\" valign=\"top\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.666666666666668%\" valign=\"top\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"30.476190476190474%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e20-24 years\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.952380952380953%\" valign=\"top\"\u003e\n \u003cp\u003e1.24 (0.56,2.76)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.904761904761905%\" valign=\"top\"\u003e\n \u003cp\u003e1.52 (0.70,3.33)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.666666666666668%\" valign=\"top\"\u003e\n \u003cp\u003e1.28 (0.60,2.72)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"30.476190476190474%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e25-29 years\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.952380952380953%\" valign=\"top\"\u003e\n \u003cp\u003e1.31 (0.55, 3.09)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.904761904761905%\" valign=\"top\"\u003e\n \u003cp\u003e1.44 (0.61,3.41)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.666666666666668%\" valign=\"top\"\u003e\n \u003cp\u003e1.33 (0.58,3.03)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"30.476190476190474%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e30-34 years\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.952380952380953%\" valign=\"top\"\u003e\n \u003cp\u003e3.01 (1.13, 8.00)*\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.904761904761905%\" valign=\"top\"\u003e\n \u003cp\u003e3.84 (1.45, 10.21)**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.666666666666668%\" valign=\"top\"\u003e\n \u003cp\u003e2.56 (1.01,6.51)*\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"30.476190476190474%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e35-39 years\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.952380952380953%\" valign=\"top\"\u003e\n \u003cp\u003e4..61 (1.55, 13.72)**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.904761904761905%\" valign=\"top\"\u003e\n \u003cp\u003e4.40 (1.47,13.14)**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.666666666666668%\" valign=\"top\"\u003e\n \u003cp\u003e2.90 (1.02,8.23)*\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"30.476190476190474%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e40-49 years\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.952380952380953%\" valign=\"top\"\u003e\n \u003cp\u003e3.85 (0.99, 15.01)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.904761904761905%\" valign=\"top\"\u003e\n \u003cp\u003e3.30 (0.83,13.08)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.666666666666668%\" valign=\"top\"\u003e\n \u003cp\u003e1.92 (0.52,7.09)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"13.223140495867769%\" rowspan=\"3\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eEducational Status\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.446280991735538%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eNo formal education\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"18.181818181818183%\" valign=\"top\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"19.00826446280992%\" valign=\"top\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"23.140495867768596%\" valign=\"top\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"30.476190476190474%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003ePrimary Education\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.952380952380953%\" valign=\"top\"\u003e\n \u003cp\u003e1.02 (0.62,1.69)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.904761904761905%\" valign=\"top\"\u003e\n \u003cp\u003e1.09 (0.66, 1.80)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.666666666666668%\" valign=\"top\"\u003e\n \u003cp\u003e1.23 (0.77,1.99)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"30.476190476190474%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eSecondary+ _Education\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.952380952380953%\" valign=\"top\"\u003e\n \u003cp\u003e3.33 (1.23, 9.07)**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.904761904761905%\" valign=\"top\"\u003e\n \u003cp\u003e3.63 (1.32,9.96)*\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.666666666666668%\" valign=\"top\"\u003e\n \u003cp\u003e3.03 (1.10,8.34)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"13.223140495867769%\" rowspan=\"5\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003eWealth Index\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.446280991735538%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003ePoorest quintile\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"18.181818181818183%\" valign=\"top\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"19.00826446280992%\" valign=\"top\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"23.140495867768596%\" valign=\"top\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"30.476190476190474%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eLower quintile\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.952380952380953%\" valign=\"top\"\u003e\n \u003cp\u003e0.65 (0.36,1.19)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.904761904761905%\" valign=\"top\"\u003e\n \u003cp\u003e1.15 (0.65,2.05)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.666666666666668%\" valign=\"top\"\u003e\n \u003cp\u003e0.51 (030.,0.86)*\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"30.476190476190474%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eMiddle quintile\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.952380952380953%\" valign=\"top\"\u003e\n \u003cp\u003e1.29 (0.68, 2.45)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.904761904761905%\" valign=\"top\"\u003e\n \u003cp\u003e1.84 (0.98, 3.44)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.666666666666668%\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp;0.68 (0.38,1.22)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"30.476190476190474%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eHigher quintile\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.952380952380953%\" valign=\"top\"\u003e\n \u003cp\u003e1.42 (0.74,2.70)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.904761904761905%\" valign=\"top\"\u003e\n \u003cp\u003e1.32 (0.70,2.50)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.666666666666668%\" valign=\"top\"\u003e\n \u003cp\u003e0.65 (0.36,1.16)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"30.476190476190474%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eHighest quintile\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.952380952380953%\" valign=\"top\"\u003e\n \u003cp\u003e0.19(0.06,0.58)**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.904761904761905%\" valign=\"top\"\u003e\n \u003cp\u003e0.12 (0.04,0.37)***\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.666666666666668%\" valign=\"top\"\u003e\n \u003cp\u003e0.07 (0.03,0.22)***\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"13.223140495867769%\" rowspan=\"3\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eParity\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.446280991735538%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eNo Child\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"18.181818181818183%\" valign=\"top\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"19.00826446280992%\" valign=\"top\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"23.140495867768596%\" valign=\"top\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"30.476190476190474%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e1_2 Children\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.952380952380953%\" valign=\"top\"\u003e\n \u003cp\u003e0.9 (0.46,1.79)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.904761904761905%\" valign=\"top\"\u003e\n \u003cp\u003e0.85 (0.43,1.69)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.666666666666668%\" valign=\"top\"\u003e\n \u003cp\u003e0.99 (0.51,1.94)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"30.476190476190474%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e3_12 Children\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.952380952380953%\" valign=\"top\"\u003e\n \u003cp\u003e0.40 (0.18, 0.90)*\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.904761904761905%\" valign=\"top\"\u003e\n \u003cp\u003e0.35 (0.16,0.79)*\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.666666666666668%\" valign=\"top\"\u003e\n \u003cp\u003e0.62 (0.29,1.35)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"13.223140495867769%\" rowspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eHusb_Has other Wife\u0026rsquo;s\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.446280991735538%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eNo\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"18.181818181818183%\" valign=\"top\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"19.00826446280992%\" valign=\"top\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"23.140495867768596%\" valign=\"top\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"30.476190476190474%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eYes\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.952380952380953%\" valign=\"top\"\u003e\n \u003cp\u003e0.45 (0.26,0.81)**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.904761904761905%\" valign=\"top\"\u003e\n \u003cp\u003e0.44(0.25,0.77)**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.666666666666668%\" valign=\"top\"\u003e\n \u003cp\u003e0.64 (0.40,1.03)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"13.223140495867769%\" rowspan=\"3\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eFertility Desire\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.446280991735538%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eUndecided\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"18.181818181818183%\" valign=\"top\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"19.00826446280992%\" valign=\"top\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"23.140495867768596%\" valign=\"top\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"30.476190476190474%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eWanted to have another child\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.952380952380953%\" valign=\"top\"\u003e\n \u003cp\u003e0.64 (0.30,1.37)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.904761904761905%\" valign=\"top\"\u003e\n \u003cp\u003e0.64 (0.30,1.36)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.666666666666668%\" valign=\"top\"\u003e\n \u003cp\u003e0.91 (0.44,1.90)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"30.476190476190474%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eNo more to have another child\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.952380952380953%\" valign=\"top\"\u003e\n \u003cp\u003e0.53 (0.22,1.27)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.904761904761905%\" valign=\"top\"\u003e\n \u003cp\u003e0.42 (0.17,0.99)*\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.666666666666668%\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp; \u0026nbsp; \u0026nbsp;0.66 (0.29,1.53)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"13.223140495867769%\" rowspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eContraceptive Ever Use\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.446280991735538%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eNo\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"18.181818181818183%\" valign=\"top\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"19.00826446280992%\" valign=\"top\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"23.140495867768596%\" valign=\"top\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"30.476190476190474%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eYes\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.952380952380953%\" valign=\"top\"\u003e\n \u003cp\u003e2.56 (1.57,4.16)***\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.904761904761905%\" valign=\"top\"\u003e\n \u003cp\u003e2.5 (1.54,4.07)***\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.666666666666668%\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp; \u0026nbsp; \u0026nbsp; 1.84 (1.15,2.94)*\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"13.223140495867769%\" rowspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003eResidence\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.446280991735538%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eUrban\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"18.181818181818183%\" valign=\"top\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"19.00826446280992%\" valign=\"top\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"23.140495867768596%\" valign=\"top\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"30.476190476190474%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eRural\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.952380952380953%\" valign=\"top\"\u003e\n \u003cp\u003e0.18 (0.07,0.51)**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.904761904761905%\" valign=\"top\"\u003e\n \u003cp\u003e0.24 (0.08,0.68)***\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.666666666666668%\" valign=\"top\"\u003e\n \u003cp\u003e0.25 (0.09,0.71)**\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"13.223140495867769%\" rowspan=\"5\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eRegion\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.446280991735538%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eTigray\u0026amp;Afar\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"18.181818181818183%\" valign=\"top\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"19.00826446280992%\" valign=\"top\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"23.140495867768596%\" valign=\"top\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"30.476190476190474%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eAmhara\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.952380952380953%\" valign=\"top\"\u003e\n \u003cp\u003e2.08 (0.95, 4.57)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.904761904761905%\" valign=\"top\"\u003e\n \u003cp\u003e2.09 (0.95,4.60)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.666666666666668%\" valign=\"top\"\u003e\n \u003cp\u003e1.79 (0.84,3.84)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"30.476190476190474%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eOromiya\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.952380952380953%\" valign=\"top\"\u003e\n \u003cp\u003e2.10 (1.17,3.77)*\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.904761904761905%\" valign=\"top\"\u003e\n \u003cp\u003e2.35 (1.32,4.21)**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.666666666666668%\" valign=\"top\"\u003e\n \u003cp\u003e1.58 (0.91,2.73)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"30.476190476190474%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eSNNP\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.952380952380953%\" valign=\"top\"\u003e\n \u003cp\u003e1.09 (0.62,1.89)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.904761904761905%\" valign=\"top\"\u003e\n \u003cp\u003e0.95 (0.55,1.65)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.666666666666668%\" valign=\"top\"\u003e\n \u003cp\u003e0.73 (0.44,1.23)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"30.476190476190474%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eAddis\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.952380952380953%\" valign=\"top\"\u003e\n \u003cp\u003e0.75 (0.24,2.28)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.904761904761905%\" valign=\"top\"\u003e\n \u003cp\u003e0.68 (0.21,2.15)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.666666666666668%\" valign=\"top\"\u003e\n \u003cp\u003e0.41 (0.13,1.34)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"13.223140495867769%\" rowspan=\"5\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eWomen reaction if got pregnant after this index\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.446280991735538%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eVery unhappy\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"18.181818181818183%\" valign=\"top\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"19.00826446280992%\" valign=\"top\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"23.140495867768596%\" valign=\"top\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"30.476190476190474%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eSort_happy\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.952380952380953%\" valign=\"top\"\u003e\n \u003cp\u003e0.69 \u0026nbsp; (043,1.10)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.904761904761905%\" valign=\"top\"\u003e\n \u003cp\u003e1.02 (0.65,1.62)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.666666666666668%\" valign=\"top\"\u003e\n \u003cp\u003e1.01 (0.65,1.55)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"30.476190476190474%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eMixed_unhappy\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.952380952380953%\" valign=\"top\"\u003e\n \u003cp\u003e1.52 (0.76,3.02)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.904761904761905%\" valign=\"top\"\u003e\n \u003cp\u003e1.25 (0.62,2.50)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.666666666666668%\" valign=\"top\"\u003e\n \u003cp\u003e1.61 (0.83,3.13)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"30.476190476190474%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eSort_unhappy\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.952380952380953%\" valign=\"top\"\u003e\n \u003cp\u003e0.62 (0.28,1.37)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.904761904761905%\" valign=\"top\"\u003e\n \u003cp\u003e0.75 (0.34,1.66)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.666666666666668%\" valign=\"top\"\u003e\n \u003cp\u003e0.75 (0.35,1.31)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"30.476190476190474%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eVery_unhappy\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.952380952380953%\" valign=\"top\"\u003e\n \u003cp\u003e0.75 (0.30, 1.88)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.904761904761905%\" valign=\"top\"\u003e\n \u003cp\u003e0.81 (0.32,2.04)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.666666666666668%\" valign=\"top\"\u003e\n \u003cp\u003e1.34 (0.56,3.17)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"13.223140495867769%\" rowspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eDesired Delivery Place\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.446280991735538%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eHome\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"18.181818181818183%\" valign=\"top\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"19.00826446280992%\" valign=\"top\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"23.140495867768596%\" valign=\"top\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"30.476190476190474%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eHealth Facility\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.952380952380953%\" valign=\"top\"\u003e\n \u003cp\u003e4.28 \u0026nbsp;(1.57,11.62)**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.904761904761905%\" valign=\"top\"\u003e\n \u003cp\u003e2.19 (0.80,5.96)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.666666666666668%\" valign=\"top\"\u003e\n \u003cp\u003e2.67 (0.98,7.27)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"13.223140495867769%\" rowspan=\"3\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eDesired \u0026nbsp; \u0026nbsp; Attendant\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.446280991735538%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eNo one\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"18.181818181818183%\" valign=\"top\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"19.00826446280992%\" valign=\"top\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"23.140495867768596%\" valign=\"top\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"30.476190476190474%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eHP\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.952380952380953%\" valign=\"top\"\u003e\n \u003cp\u003e2.47 (0.71,8.61)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.904761904761905%\" valign=\"top\"\u003e\n \u003cp\u003e1.64 (0.48,5.58)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.666666666666668%\" valign=\"top\"\u003e\n \u003cp\u003e0.71 (0.22,2.35)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"30.476190476190474%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eTBA/Family Member\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.952380952380953%\" valign=\"top\"\u003e\n \u003cp\u003e0.36 (0.13,0.96)*\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.904761904761905%\" valign=\"top\"\u003e\n \u003cp\u003e0.38 (0.15,0.94)*\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.666666666666668%\" valign=\"top\"\u003e\n \u003cp\u003e0.88 (0.17,0.72*\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u003cem\u003e*** p\u0026lt;.001, ** p\u0026lt; 0.01, * p\u0026lt;0.05\u003c/em\u003e\u003c/p\u003e"},{"header":"Discussion","content":"\u003cp\u003eMaternal and new born health outcome can be greatly improved with cost effective intervention among others skilled birth attendant plays pivotal role. Unfortunately, in midst of the SDG era there is a paradigm shift in terms of policy articulation, service provision and research focus on maternal and new born health service; which calls service provision called as continuum of maternal and new born health which call all women enrolled to ANC care should get there recommended cares namely, ANC4\u0026thinsp;+\u0026thinsp;and skilled immediate post natal care. Evidences showed that one of the bottlenecks for such the persistent high maternal and fetal outcome despite the visible efforts in maternal and child health (MCH) service provision is women perception that people in their community encourages pregnant women to obtain the three domains of care. Therefore, in the midst of the SDG era and at this time when modern health service is being available and accessible to a larger extents; and the government of Ethiopia is very committed to provide delivery service with exemption from payment; documenting the proportion pregnant women who perception that for people in their community encourage pregnant women to get the three domains of the continuum of maternal and newborn care and identifying its correlates for the variation for such an acceptance is very critical in availing actionable evidence to improve maternal and new born outcome by increasing skilled delivery care at health facilities.\u003c/p\u003e \u003cp\u003eThe variation in pregnant women perception from no people encourage women obtain the three domains of continuum of care (7.03%) to 33.66.83% and 31.93% of them perceived that most and few people respectively encourage women to get the three domains (4\u0026thinsp;+\u0026thinsp;antenatal care and skilled delivery and postnatal care) of maternal and new born health care calls the Ethiopian government, the global a community and relevant actors focus their effort to improve community encouragement to use the three recommended services as well as women acceptance of this thereby improving the actual service uptake. This is clearly stated in continuum as indicated continuum of care for maternal, newborn, and child health from slogan to service delivery and provision of those service for better postnatal new born and maternal outcome (3, 12).\u003c/p\u003e \u003cp\u003eThe finding that middle aged and educated (15) pregnant women have positive impression that most/some people in their community encourage women to contain the three domains of maternal and new bore care might be related with their experience in child bearing, previous pregnancy and childbirth (16) and awareness on the benefits of health service use. Such attributes might make empower them to use reproductive and maternal health services (17\u0026ndash;20) since getting reproductive service including contraception women right (21).\u003c/p\u003e \u003cp\u003eThe finding that desired place of delivery is health facility increase the likelihood pregnant women perception that people in their community encourage women to get the three recommended services might related with proximity of health facilities (22), the success of the health extension program, risk assessment and referring to maternity waiting homes particularly in remote areas to mention one reason (23) and the government\u0026rsquo;s commitment to avail service near to the community (24) as well as to improve quality of care and respectful maternity care.\u003c/p\u003e \u003cp\u003eThe finding that pregnant women who ever used contractive is associated with increment on their likelihood to perceive women in their community encourage women to obtain the three recommended maternal new born care domains might be related that women ability to decide their reproductive health service include contraceptive use by themselves (18, 19).\u003c/p\u003e \u003cp\u003eThe finding that pregnant women whose desire birth attendants is Family Member/TBA lowers the likelihood of perceiving people in their community encourage women to get the three recommended services might be related the government commitment to health services avail health service in general and maternal and newborn health service in particular, most free of charge (24) the health promotion and prevention efforts of the health extension programs and health extension workers as well as their effort to link pregnant women after first antenatal care visit and post-partum to women to higher level facilities through their home visits apart from providing initial care (23).\u003c/p\u003e \u003cp\u003eThe finding that being the well to do houses holds lowered the likelihood pregnant women to perceive people in their community encourage women to get the three recommended services might be related, their influence in household level decision making (25, 26) might be also related with good couples communication (27).\u003c/p\u003e \u003cp\u003eThe finding that rural women have lower perceived encouragement that people in their community encourage women to get there three recommended care of mater maternal and newborn health as may themselves and people around them prefer care by traditional birth attendants (28).\u003c/p\u003e \u003cp\u003eThe finding that higher birth order lowered women perceived likelihood that most, some and few people in their community encourage women obtain the three recommended domains of care might be related with women prior pregnancy experience (16) enabling them to rely on themselves for health service rather than seeking others approval to in seeking maternal and reproductive health service use (26, 29)\u003c/p\u003e"},{"header":"Conclusion","content":"\u003cp\u003eThen finding that only a bit higher than one third pregnant women perceive that most people in their community encourage pregnant women to obtain the three recommended maternal and new born cared domains is an alarm that the global community have a long way to go to achieve neatly almost women get the three recommended cares by averting such bottlenecks which hider women to use the service. Similarly, the observed regional variation call the ministry and relevant actors to design and implement regional sensitive activities. Given pregnancy delivery and child bearing is a social event, activities and intervention need to focus in averting the influence of the people in the community on service use.\u003c/p\u003e \u003cp\u003eGiven pregnancy delivery and child bearing is a social event Activities and targets who focusing on women education and, which encourage contraceptive use for spacing, women economic empowerment and advocating health facility delivery and skilled attendant are likely to nurture women perceived acceptance for most people in the community encourage women to use the three domains of CoC thereby improving the positive impact on women of significant others on maternal health service use (halting the negative effect of other and women be able to decide their health service needs The finding related desired birth attendant and place of delivery indicate that increasing awareness creation and advocating birth preparedness and complication readiness is like to improve women perception that people in their community encourages women to get the three recommended cares along the continuum of care). Such activities and efforts need to be age sensitive and target rural residents as well as consideration regional variation in women perception that people in their community and encourage for women to use the three recommended domains of maternal and new born continuum of care and its actual uptake.\u003c/p\u003e"},{"header":"Abbreviations","content":"\u003cdiv class=\"DefinitionList\"\u003e \u003cdiv class=\"DefinitionListEntry\"\u003e \u003cdiv class=\"Term\"\u003eARRR\u003c/div\u003e \u003cdiv class=\"Description\"\u003e \u003cp\u003eadjusted relative risk ration\u003c/p\u003e \u003c/div\u003e \u003c/div\u003e \u003cdiv class=\"DefinitionListEntry\"\u003e \u003cdiv class=\"Term\"\u003eCRRR\u003c/div\u003e \u003cdiv class=\"Description\"\u003e \u003cp\u003ecrude relative risk ration\u003c/p\u003e \u003c/div\u003e \u003c/div\u003e \u003cdiv class=\"DefinitionListEntry\"\u003e \u003cdiv class=\"Term\"\u003eCoC\u003c/div\u003e \u003cdiv class=\"Description\"\u003e \u003cp\u003econtinuum of care (Maternal and new born continuum of maternal and new born care)\u003c/p\u003e \u003c/div\u003e \u003c/div\u003e \u003cdiv class=\"DefinitionListEntry\"\u003e \u003cdiv class=\"Term\"\u003eHH\u003c/div\u003e \u003cdiv class=\"Description\"\u003e \u003cp\u003ehouse holds\u003c/p\u003e \u003c/div\u003e \u003c/div\u003e \u003cdiv class=\"DefinitionListEntry\"\u003e \u003cdiv class=\"Term\"\u003eSNNPR\u003c/div\u003e \u003cdiv class=\"Description\"\u003e \u003cp\u003eSouthern nations, people\u0026rsquo;s nationalities Region\u003c/p\u003e \u003c/div\u003e \u003c/div\u003e \u003cdiv class=\"DefinitionListEntry\"\u003e \u003cdiv class=\"Term\"\u003eTBA\u003c/div\u003e \u003cdiv class=\"Description\"\u003e \u003cp\u003eTraditional birth attendants\u003c/p\u003e \u003c/div\u003e \u003c/div\u003e \u003c/div\u003e"},{"header":"Declarations","content":"\u003cp\u003eEthics approval and consent to participate:\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eThis study involved a secondary analysis of deidentified data from the PMA Ethiopia the PMA Ethiopia survey was conducted strictly under the ethical rules and regulations of world health organization and IIRB of Ethiopian Health and Nutrition Research Institute (EHNRI). Informed consent was obtained from respondents during the data collection process of PMA Ethiopia on the baseline data collection on Oct 2021. Minors less than 15 years as per the law were not included in this study. Informed verbal consent was take from study participants. PMA surrey has been also conducted after obtained ethical approval from Bloomberg School of Public Health at Johns Hopkins University in Baltimore, USA.\u0026nbsp;\u003cbr\u003e\u0026nbsp; \u0026nbsp; \u0026nbsp;Consent for publication: N/A not applicable\u0026nbsp;\u003cbr\u003e\u0026nbsp; \u0026nbsp; \u0026nbsp;Availability of data and materials: \u0026nbsp; The datasets generated during the study are publicly available from the PMA website. https://www.pmadata.org/data/request-access-datasets. \u0026nbsp; \u0026nbsp; \u0026nbsp;\u003c/p\u003e\n\u003cp\u003eCompeting interests: the authors declare that they have no competing interest.\u003cbr\u003e\u0026nbsp; \u0026nbsp; \u0026nbsp; Funding: The authors did not obtained any funding.\u003c/p\u003e\n\u003cp\u003eAuthors contribution\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eSA conceptualized the study, obtained and analyzed the data, draft and the manuscript wrote the final draft of the manuscript, interpreted the results and critically revised the manuscript. FT contributed to the conception of the idea, in writing the manuscript and interpretation of the results along with critically reviewing the final manuscript. FT and SA also participated in the field wok supervision, implementation and project facilitation. BA and KM critically review the final version manuscript including language checks. All authors reviewed and approved the final version of the manuscript.\u003c/p\u003e\n\u003cp\u003eAcknowledgement:\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eThe authors would like to pass their acknowledgement for PMA Ethiopia Project for providing the data set through the data lab. Moreover, we appreciate the huge commitment of PMA Ethiopian data collection team, notably Enumerators and Supervisors and study participants for their kindest cooperation. Finally, all the staff form Ethiopian Red Cross training Center and Kereyu resort_Adama deserve huge recognition for their hospitality in facilitating and hosting all the PMA filed staff trainings.\u003c/p\u003e\n\u003cp\u003eORCID\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eSolomon Abrha Damtew\u0026nbsp;\u003c/strong\u003ehttps://orcid.org/0000-0002-0758-7348\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eFitsum Tariku Fentaye \u0026nbsp;https://orcid.org/ 0000-0003-1790-7269\u0026nbsp;\u003c/p\u003e\n\u003cp\u003ePreferred citation:\u003c/p\u003e\n\u003cp\u003eDamtew SA et.al., (full journal title)\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\n \u003cli\u003eUNFPA, Hera. Research on what determines women\u0026rsquo;s ability to decide on their SRHR and the relationship between this and other aspects of their lives.; 2019.\u003c/li\u003e\n \u003cli\u003eFMoH. 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The influence of perceptions of community norms on current contraceptive use among men and women in Ethiopia and Kenya. Health Place. 2012;18(4):766-73.\u003c/li\u003e\n \u003cli\u003eZimmerman L, Desta S, Yihdego M, Rogers A, Amogne A, Karp C, et al. Protocol for PMA-Ethiopia: a new data source for cross-sectional and longitudinal data of reproductive, maternal, and newborn health. 2020;4.\u003c/li\u003e\n \u003cli\u003eAl Riyami A, Afifi M, Mabry RM. Women\u0026apos;s autonomy, education and employment in Oman and their influence on contraceptive use. Reproductive health matters. 2004;12(23):144-54.\u003c/li\u003e\n \u003cli\u003eJHPIEGO. monitoring birth preparedness and complication readiness tools and indicators for maternal and newborn health. 2004.\u003c/li\u003e\n \u003cli\u003eMihiretu Alemayehu MM. Health care decision making autonomy of women from rural districts of southern ethiopia: a community based cross-sectional study. 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BMC Womens Health. 2024;24(1):216.\u003c/li\u003e\n \u003cli\u003eErci B. Women\u0026apos;s efficiency in decision making and their perception of their status in the family. Public health nursing (Boston, Mass). 2003;20(1):65-70.\u003c/li\u003e\n \u003cli\u003eZelalem D, Worku A, Alemayehu T, Dessie Y. Association of Effective Spousal Family Planning Communication with Couples\u0026rsquo; Modern Contraceptive Use in Harar, Eastern Ethiopia. Open Access Journal of Contraception. 2021;12:45.\u003c/li\u003e\n \u003cli\u003eGurara M, Muyldermans K, Jacquemyn Y, Van Geertruyden JP, Draulans V. Traditional birth attendants\u0026apos; roles and homebirth choices in Ethiopia: A qualitative study. Women Birth. 2020;33(5):e464-e72.\u003c/li\u003e\n \u003cli\u003eOsamor PE, Grady C. Women\u0026apos;s autonomy in health care decision-making in developing countries: a synthesis of the literature. Int J Womens Health. 2016;8:191-202.\u003c/li\u003e\n\u003c/ol\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":true,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"Women Health, Continuum of care, Community care use Encouragement Ethiopia,","lastPublishedDoi":"10.21203/rs.3.rs-4230469/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-4230469/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cstrong\u003eBackground: \u003c/strong\u003eAmong the critical determinants of the success of the new maternal, new born and child health care continuum (MCH) paradigm shift \u0026nbsp;is acceptance and support of the community for women and new born to get the three recommend cares and their retention in the care. This is less explored, leading dearth of evidence, hence, this study determined the level of pregnant women perceived community acceptance on that women and new born should get the recommend continuum of care package and be retained in it and associated factors with the aim to provide actionable evidence.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eMethods:\u003c/strong\u003e This study used PMA cohort 1 baseline data which enrolled and collected data from currently pregnant women. Frequency was computed to describe the study participant’s characteristics. Multinomial logistics regression was employed to identify correlates that pregnant women perceived that most/some/few people in their community encourage women to get the three recommended domains of maternal and new born continuum of care. Results were presented in the form percentages and odds ratio with 95% Confidence Intervals. Candidate variables were selected using p-value of 0.25. Statistical significance was declared at p-value of 0.05.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eResults:\u003c/strong\u003e The proportion of pregnant women who perceived no people encourage that women obtain the three domains of continuum of care is 7.03% (5.89%, 8.38%) while 33.66.83% (31.42, 35.96) and 31.93 (29.60%, 34.36%) perceived that most and few people respectively encourage women to get the three domains (4+ antenatal care and skilled delivery and postnatal care) of maternal and new born health care continuum. Women age, secondary educational status, ever used contraceptive method, health facility as desired place of delivery and residing in Oromiya Regions were found to increase the likelihood of pregnant women to perceive that most/some people in their community encourage women to obtain the three recommended domains of the continuum of care. On the contrary, this likelihood was lowered by factors: higher birth order, rural residence, higher wealth index and family member/TBA as desired birth attendant.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConclusions: \u003c/strong\u003eThen finding that only one third pregnant women perceive that most people in their community encourage pregnant women to obtain the three recommended maternal and new born care domains is an alarm that the global community have a long way to go to achieve nearly almost women get the three recommended cares by averting such bottlenecks which hider women to use the service. Given pregnancy delivery and child bearing is a social event, activities and intervention need to focus in averting the influence of the people in the community on service use. Activities and targets who focusing on women education and, which encourage contraceptive use for spacing, women economic empowerment and advocating health facility delivery and skilled attendant are likely to nurture women perceived acceptance for most people in the community encourage women to use the three domains of CoC thereby improving the positive impact on women of significant others on maternal health service use (halting the negative effect of other and women be able to decide their health service needs). Such activities and efforts need to be age sensitive and target rural residents. Increasing awareness creation and advocating birth preparedness and complication readiness is like to improve women perception that people in their community encourages women to get the three recommended cares along the continuum of care.\u003c/p\u003e","manuscriptTitle":"Pregnant Women Perceived Community Acceptance on Continuum of maternal and newborn care its Correlates in Ethiopia: Community based 2 year Cohort follow up Study","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2024-04-12 10:25:33","doi":"10.21203/rs.3.rs-4230469/v1","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"c8cf8251-710b-40da-b298-931d958514a3","owner":[],"postedDate":"April 12th, 2024","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[],"tags":[],"updatedAt":"2024-06-05T11:51:04+00:00","versionOfRecord":[],"versionCreatedAt":"2024-04-12 10:25:33","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-4230469","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-4230469","identity":"rs-4230469","version":["v1"]},"buildId":"7rjqhiLT3MXkJMwkYKINL","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}