Perceived Community Acceptance of Maternal - Newborns Care Continuum and its Correlates in Ethiopia

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Evidences has shown that one of the bottlenecks hindering the completion of the maternal and newborns care continuum is community acceptance and/or encouragement for the care continuum. Besides, among the critical determinants for the success of the new maternal, new born and child health care continuum (MCH) paradigm shift is the acceptance and support of the community for women and newborns to obtain the three recommend cares and their retention in the care. This is less explored, leading a dearth of evidence. Hence, this study aimed at documenting the level of pregnant women maternal and newborns care continuum perceived community acceptance and identify associated factors among pregnant women. The findings could provide actionable evidence for the Health Ministry and relevant developmental partners to improve maternal and newborns health outcomes. Methods: This study used the baseline cross sectional data form the Ethiopian Performance Monitoring for Action (EPMA) cohort one survey. The study screened, enrolled and collected data from pregnant and six week postpartum women. The analytic sample were 2,219 pregnant women. Frequencies were computed to describe the pregnant women. Multinomial logistics regression statistical modeling was fitted to identify correlates of maternal and newborns care continuum perceived community acceptance. Results were presented in the form of percentages and odds ratio with 95% Confidence Intervals. Statistical significance was declared at p-value of 0.05. Results: The overall proportion of perceived maternal and newborns care continuum community acceptance was 93.30% (95%CI: 91.61%, 94.41%). However, this proportion of perceiving for most and few people in their community to accept and/or encourage women to obtain the three domains of maternal and newborns care continuum services was found to be only 33.66% (31.42%, 35.96%) and 31.93 (29.60%, 34.36%) respectively. Women age, secondary educational status, contraceptive ever use history, health facility as desired place of delivery and residing in Oromiya regional state were found to increase the likelihood of maternal and newborns care continuum perceived community acceptance. On the contrary, this likelihood was lowered by factors: higher birth order, rural residence, higher wealth index and family member and desired birth attendant. Conclusions: This suboptimal level of maternal and newborns care continuum perceived community acceptance by most people in the community signals that the global community have a long way to go to achieve nurturing a positive influence of the community for women to complete the care continuum. Context specific and age sensitive efforts and activities which targeted in diversifying contraceptive provision, postpartum contraceptive use counseling, which target less educated women, economically disadvantage women and those with polygamous marriage are imperative to improve perceived community acceptance on maternal and newborns care continuum. Installing the inter pregnancy preconception care packages is imperative in this regard. Working on mechanisms for incorporating community input is the core implication. These include strengthening the implementation of community score card and; scaling up the community maternal and newborns health family meetings. women health women psycho-social health perinatal period pregnant women community input maternal and newborns care continuum perceived community acceptance Ethiopian PMA Ethiopia Figures Figure 1 Background Perceived community acceptance of maternal and newborns care continuum was measured by asking pregnant women how many people in their community accept and/or encourage pregnant women to be enrolled to antenatal care and obtain the recommended antenatal care; encourage women to deliver at the health facility with skilled childbirth care; and encourage them to seek for immediate and extended postnatal care services ( 1 ). Maternal and newborns care continuum service use decision making process is influenced by seeking validation and the sole approval from significant others ( 2 ). In this era of SDG, when countries which are relatively achieving maternal and newborns care geographic coverage are moving to a new paradigm labeled as completion of maternal and new born care continuum ( 3 , 4 ) and equity of the care ( 5 ). Completion of the various maternal and new born care continuum is proved to improve maternal and new born health outcomes ( 6 ). Hence, measuring the influence of significant others: the community and partner/or husband is considered as pivotal and one of the pillar strategies towards the level of care continuum completion. This is very critical to address the sustained higher level of maternal and neonatal mortality in lower and middle income countries in general and Sub Saharan Africa in particular ( 7 ). Besides, recently, a paradigm shift has been observed in maternal and newborns health service provision, research undertaking focus, policy articulation; and program implementation, monitoring and evaluating at national and international level. This is being advocated by relevant actors and the maternal and newborns health advocators ( 8 – 10 ). This change is the integration of service provision that the expectant mothers should be enrolled and being retained in the maternal and newborns care continuum (MCH). This is under the general umbrella of getting and being treating for the reproductive, maternal, newborns and child health care services (RMNCH) as part of the life course and human right approach for service provision for women and girls. This is embedded under target 7 of the sustainable development goal 3 which claimed ensuring the universal access to sexual and reproductive health-care services, including for family planning, information and integration of reproductive health service in to national strategies and programs by 2030 ( 11 ). Hence, research undertakings should focus to provide evidence on the status of this continuum of care and factors hindering the care completion. In addition, the policy framework need to prioritize and assess the achievement of this new paradigm shift in terms of implementation, monitoring and evaluation. This includes addressing the maternal and newborns care continuum community acceptance and encouragement which has been identified as one of the bottlenecks in hindering the completion of continuum of the care continuum and the retention in the care ( 9 , 11 ). Moreover, evidence has shown that one of the bottlenecks for the suboptimal completion and retention in care of the maternal and newborns care continuum is the community´s acceptance and support that women and newborns need to obtain maternal and newborns care continuum and retained in it. The influence of community acceptance was reported as one of the bottlenecks for this sub optimal completion of care ( 1 , 2 , 12 – 17 ). In Ethiopian only one in four women completed this continuum of care ( 17 ). The proportion of women who continue to receive full continuum of maternal, newborns and child health (MNCH) care services was suboptimal and varies from country to country, ranging from 6–47% ( 12 , 18 – 24 ). This percentage gets lowered when the immediate postpartum care received is restricted within 2 days postpartum instead of considering the care received during the extended postnatal period. Furthermore, the full continuum of care utilization is influenced by a set of individual and community level factors: such as, 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 ( 17 , 25 – 32 ). In addition, the postnatal care (PNC) domain is measured in the extended period which failed to address the most critical period of care the first 48 hours of life ( 33 ) when the influence of the community is higher. Such studies examined factors; individual and a few husband related factors ( 32 , 34 – 37 ) though varying in scope of care measured in husband and/or male involvement. However, not paying adequate attention for community level factors which affect health service use to a greater extent exacerbates the persisting poor maternal and newborn outcomes. More specifically, the influence of people in the community where women are residing in seeking health care by women in general and being enrolled and retained in to complete the maternal, newborns and child health (MNCH) care continuum among pregnant women in particular was reported considerably important in shaping the maternal and newborns outcomes. This is owing to the fact that pregnancy and childbirth is a social and communal event ( 7 , 38 , 39 ). Moreover, acceptance and support of the community for women and newborns to be enrolled in and being retained in to complete the three recommended maternal and new born care continuum domains and their retention in the care was reported among the critical determinants of the success of the new MNCH paradigm shift ( 2 , 7 , 15 , 40 – 42 ). Unfortunately, community influence and perceived acceptance of the community on being enrolled and complete the maternal and newborns care continuum among pregnant women is less explored and consequently there is a dearth of evidence in Ethiopia. Therefore, this study determined the level of perceived community acceptance on maternal and newborns care continuum: to obtain and be retained in the care among pregnant women and identified associated factors for the variation. The aim of this study was to document and provide actionable evidence for the Federal Democratic Republic of Ethiopia Health Minister and relevant developmental partners. The finding could also provide evidence to track sustainable development goal 3 and target 7, SDG 3.7 ( 11 ). Methods and Data Sources Study Design and Population, Eligibility and Sample Size Performance monitoring for action collected both cross-sectional and longitudinal data on selected maternal, newborns health and contraceptive use and women and girls empowerment nationwide priority indicators. This study used community based baseline cross-sectional data from prospective cohort study with 6 weeks, 6 months and one year postpartum follow up interviews. The data were collected from six regions: namely: Addis Ababa, Afar, Amhara, Oromia, SNNPR and Tigray by well-trained resident enumerators. The female screening from was used in this study to recruit and enroll pregnant and puerperal women less than six weeks postpartum. These are the two enrollment criteria used to screen and enroll eligible women. This was then followed by administering the female baseline questionnaire. Then, these panel of women were interviewed at 6 weeks, 6 months and one year postpartum as follow up interviews. However, this study further analyzed and present data from the baseline cross-sectional survey among the pregnant women during the enrollment. Cohort one panel baseline cross-sectional data were used for this study. All pregnant women with gestational age of 1 to 9 months by the time of data collection and who completed the female baseline and household forms were included in this analysis. Hence, a total of 2,219 pregnant women were included in this further analysis. The overall sample size and cell sample size adequacy was checked and found adequate to generating unbiased estimates on maternal and newborns care continuum perceived community acceptance among a panel of pregnant women in Ethiopia . The Ethiopian Performance Monitoring for Action (PMA) employed a two stage cluster sampling. In the first stage enumeration areas (EA) were selected. In each of the selected EAs census was conducted to screen and enroll pregnant women and women less than 6 weeks postpartum women by then. This study was restricted to only 2,219 pregnant women enrolled from 217 enumerations areas who completed the baseline female questionnaire. Following enrollment the female baseline questionnaire was administered. In the female baseline questionnaire women were asked about their antenatal care sought thus far during their index pregnancy, partner support and perceived community encouragement on the use the three main domains of the maternal and newborns care continuum components, their reproductive and sexual history, their birth preparedness and complication readiness; about their agreement and disagreement on girls and women empowerment towards contraceptive use and women sexual and reproductive issues; about their contraceptive use history and their current and future fertility intention. Women were asked how they themselves did felt when learned the index pregnancy. Most important to this study, they were also asked about their perceived community acceptance and/or encouragement on the use the three main domains of the maternal and newborns care continuum components as follows: For each of the following questions, would you say that most people, some people, or few people in your community believe these things: people in my community encourage going to antenatal care; people in my community encourage women to deliver at a health facility? And people in my community encourage women to seek postnatal care. These items were used to construct the outcome variable of this study: perceived community acceptance on maternal and newborns care continuum among pregnant women. In order to maximize the sample of pregnant women; a census of all the panel enumeration areas (EAs) was conducted. All women aged 15–49 who were usual members of the household were screened by using self-reported current pregnancy status and being less than six weeks postpartum. If pregnant, they were approached for enrollment in the panel and voluntarily consented women were recruited to participate in the study. For the census, a 95% response rate was assumed; that the average number of women aged 15–49 per household is 0.98, and of these, 10% have reported of being pregnant or 42 days postpartum from the previous PMA survey rounds ( 43 ). The calculated sample size was found sufficient to examine selected key maternal and newborns health (MNH) indicators at the national level with 5% margin of error. The survey was not anticipated to provide representatives estimates of all maternal and newborns care indicators at the regional level. In order not to miss all pregnant and six week postpartum women by then in the selected enumerations areas (EAs), complete census was conducted. The main sample units or enumeration areas (EAs) were chosen using the frame from the Ethiopia Population and Housing Census (PHC), which was performed in 2019 by the Ethiopia Central Statistical Services. Of the total 265 EAs which were chosen in the first stage with independent selection in each sampling stratum and a probability proportional to EA size; pregnant women from 217 EAs which were selected from the six panel regions were included in this further analysis. In second stage, a census of all households was conducted in all the selected EAs to obtain adequate sample size of pregnant women and to improve the study´s power. The protocol of Ethiopian PMA contains all the details on sample design and selection probabilities, design effects and sampling methods ( 44 ). Data collection and Field Work. Cohort one baseline cross sectional data were collected from Nov 2019 to Jan 2020 by well-trained resident enumerators on various reproductive, maternal, newborns and child health national priority indicators. The details in field work implementation is reported in the performance monitoring for action longitudinal and cross sectional survey protocol ( 44 ). The first field work of the panel baseline survey was screening and enrolling pregnant women and women who were less than 6 weeks post-partum by the time of the enrollment. A two stage stratified cluster sampling method was used to select enumeration areas. Complete census was conducted in the selected enumeration areas. Following the census the cross sectional female baseline line questionnaire was administered where consent for the follow up studies was sought. 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, Ethiopian Statistical Services, Bill & Melinda Gates Institute for Population and Reproductive Health (Johns Hopkins Bloomberg School of Public Health), ( 44 ). Variables: Outcome variable The main outcome variable was perceived community acceptance on maternal and newborns care continuum among a panel of pregnant women in Ethiopia, i.e. their perception that people in their community encourage women to get the three recommend maternal and newborns care continuum (Table 1 ). A nominal composite variable on no, some, few and most people in their community encourage pregnant 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. Table 1 Items used to create the Continuum Maternal and Newborns Care Continuum Perceived Community Acceptance variable among a panel of Pregnant Women, Evidence from Baseline survey from Performance Monitoring for Action Ethiopia, Nov 2019 to Jan 2020 Do X people in your community 1. thinks it’s encourage women to go to clinic for for antenatal (ANC) 2. encourage women deliver in health facility and 3. Encourage women to seek post natal care (PNC)? Variable Question & Responses Categories Item Response Maternal and new born care continuum (MN-CoC) Norm Do not know =-88 Excluded cases: 34 from encourage going to ANC 43 from encourage going to delivery at facility 50 from encourage women to seek PNC No people thinks No people thinks Most people thinks Some people thinks Few People Think Most people thinks Some people thinks Few People Think 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 six categories, 1 = Tigray 2 = Afar, 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 were further analyzed for this study. Stata v16 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 on the level maternal and newborns care continuum perceived community acceptance and factors contributing for the variation among a panel of pregnant women in Ethiopia. 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 biologically 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 statistical model was fitted to identify important predictors of perceived community acceptance on maternal and newborns care continuum among pregnant women. At bivariate analysis a p value cut of 0.25 was used to select candidate variable for multinomial multivariate 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 was fit meaning that variables included in the final multinomial logistics regression model explains for the variation in pregnant women perceived community acceptance on maternal newborns care continuum. This supported by the model fitness test result with chi-squared statistic = 31.290 and 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 observed variation in the perceived community acceptance on maternal and newborns care continuum. . 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). Performance Monitoring for Action (PMA) Ethiopia data were collected using standard and pretested tool which was translated in to three local languages (Tigrigna, Afan Oromo and Amharic) after the provision of ToT for regional coordinators and supervisors along with hands-on intensive RE training with mock interviews. Close supervision during filed work, timely progress report and hierarchal errors correction, 10% random check with dedicated re interview form were some of the modalities used to maintain the quality of the collected data, the detail is reported somewhere else ( 44 ). Ethical Considerations This study involved a secondary analysis of deidentified data from the PMA surrey has been also conducted after obtained ethical approval from Bloomberg School of Public Health at Johns Hopkins University in Baltimore, USA and Addis Ababa University, Ethiopia. Informed consent was obtained from respondents during the data collection process of PMA Ethiopia on the baseline data collection on Nov 2019 to Jan 2020. Participation to the baseline study and follow up interviews was obtained in the various stages of the survey in addition to the consent take at the enrollment. To ensure confidentiality and safety of the respondents a unique identifier with concatenated information within the qr code was given for each respondent where basic information was updated at each round of interview and collected by the research team at the end of the project. Minors less than 15 years as per the law were not included in this study. Informed verbal consent was take from study participants. Result Participants Characteristics Perceived Community Acceptance Magnitude on Maternal and Newborns Care Continuum among a panel of Pregnant Women , Evidence from Baseline data from the Ethiopian Performance Monitoring for Action Ethiopia, Nov 2019 to Jan 2020 The proportion maternal and newborns care continuum perceived community acceptance for most, some and few people in their community was found to be 33.66% (95%CI: 31.42%, 35.96%), 27.37% (95%CI: 25.12%, 29.69%) and 31.93% (95%CI: 29.60%, 34.36%) respectively. The overall proportion of perceived community acceptance for maternal and newborns care continuum by people in their community was found to be 93.30% (95%CI: 91.61%, 94.41%). The proportion of pregnant women who perceived no people encourage for pregnant women to obtain the three domains of continuum of care was 7.03% (95%CI: 5.89%, 8.38%) ( Fig. 1 ) . Perceived Community Acceptance on Maternal and Newborns Care Continuum among a panel of Pregnant Women, Evidence from Baseline data form the Ethiopia Performance Monitoring for Action Ethiopia, Nov 2019 to Jan 2020 Perceived community acceptance on maternal and newborns care continuum on how many people (no, some, few and most) in their community accept and/or encourage for pregnant women to obtain the three domains (ANC4+, skilled childbirth care and post natal care) among a panel of pregnant showed variation by the categories of selected independent variables. The proportion of maternal and newborns care continuum perceived community acceptance and/or encouragement among pregnant women for most people in their community was 33.58% among those aged 20 to 24 years and 34.83% among those aged 35 to 39 years. Among pregnant women aged 40 to 49, 23.16% of them perceived that some people in their community accept and/or encourage women to get the three domains of the continuum maternal and newborns care continuum. The percentage of pregnant women who perceived most, some and few people in their community to accept and/or encourage for women to get the three domains of the maternal and newborns care continuum was found to be 52.26%, 29.81% and 16.82% respectively among pregnant women who attended secondary or above education. Similarly, there is variation by religion and wealth index in the proportion maternal and newborns care continuum perceived community acceptance among pregnant women. For instance, this respective proportion for Orthodox religion followers was 37.82%, 29.59% and 30.25% respectively. This same proportion of maternal and newborns care continuum perceived community acceptance for most, some and few people to acceptance and/or encouragement was 21.58%, 20.85% and 48.66% among pregnant women residing in households with the lowest wealth quintile (Table 2 ) . Besides, the proportion maternal and newborns care continuum perceived community acceptance among pregnant women with higher birth order of 3 to 12 children was found to be 27.41%, 24.36% and 37.87% r most, some and few people to acceptance and/or encouragement respectively. Likewise, among pregnant women who reported they wanted that no more or prefer to have no child 30.85%, 24.37% and 36.43% of them perceived that most, some and few people in their community accept and/or encourage for women to get the three domains of the continuum of care. Similarly, maternal and newborns care continuum perceived community acceptance showed variation by service use particularly contraceptive use history. Hence, the variation that pregnant women perceived acceptance towards people in their community to accept and/or encourage to obtain these cares among contraceptive ever users was 38.82% for most people, 28.95% and 28.19% for some and few people in their community respectively (Table 2 ) . In similar fashion, perceived community acceptance for maternal and newborns care services use showed variation among pregnant women by residence. Accordingly, pregnant women who reside in rural areas perceived that 26.48%, 28.75% and 36.35% of them perceived that most, some and few people in their community accept and/or encourage women to obtain the three recommended domains of the maternal and newborns care continuum (Table 2 ) . Likewise, among pregnant women who were residents in Tigray regional state, the proportion of maternal and newborns care continuum perceived community acceptance by most, some and few people in their community was found to be 1 in 2 women (47.31%), 24.92% and 27.46%respectively. Notably, no pregnant women in Tigray regional state perceived that no people encourage. This same figure stood 28.34%, 30.55% and 34.00% for most, some and few people in their community respectively among residents of Oromya regional state (Table 2 ). Moreover, in terms of the desired childbirth attendant, of those women whose desired childbirth attendant was health professional, the proportion of perceived community acceptance and/or encouragement on maternal and newborns care continuum by most, some and few people in their community was found to be 45.67%, 27.98% and 23.79% respectively. This same proportion among pregnant women who desired to delivered at health facilities stood 45.90%, 27.88% and 23.87% for most, some and few people in their community respectively (Table 2 ) . Finally, across most the independent variables the proportion of pregnant women who perceived that no people in their community encourage women to obtain the three domains of the continuum of care was found to be less 10% even 5%, except residents of Tigray, where none of them perceived that no people encourage women to get the three domains in the continuum of care. The overall figure for no perceived community acceptance and/or encouragement was 7.4% (Table 2 ) . Table 2 Perceived Community Acceptance on Maternal and Newborns Care Continuum among a panel of Pregnant Women , Evidence from Baseline data form the Ethiopia Performance Monitoring for Action Ethiopia, Nov 2019 to Jan 2020 , (n = 2,219) Variables 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 Secondary 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 More than 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 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 Marital Status Living With A partner 8 13.00 32 50.67 9 13.89 14 22.44 63 Widowed 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 10 8.18 19 14.77 35 27.13 64 49.93 127 Desired Birth Attendant Health Professional 37 2.56 659 45.67 404 27.98 343 23.79 1443 Family Member 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 Health Facility 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 Southern Nations Nationalities and Peoples Region which consists of the current South Ethiopia, Central Ethiopia, South West Ethiopia, and Sidama Regions, *= Wakefeta and traditional religion Correlates of Perceived Community Acceptance on Maternal and Newborns Care Continuum among a panel of Pregnant Women, Evidence from Baseline data form the Ethiopian Performance Monitoring for Action Ethiopia, Nov 2019 to Jan 2020 After controlling for confounders with p value < 0.25 the following factors affecting perceived community acceptance on maternal and newborns care continuum among pregnant women for most people in their community were identified. The likelihood of maternal and newborns care continuum perceived community acceptance for most people in their community was found to be 3.01 (AOR: 95%CI; 1.13, 8.00) times higher among those aged 30 to 34 older compared to those 15 to 19 years while pregnant women aged 35 to 39 had 4.61 times (AOR: 95%CI; 1.55, 13.72) higher likelihood of perceiving that most people in their community accept and/or encourage to get the three domains of the continuum of care. Similarly, pregnant women who were residents of Oromiya region had 2.10 times (AOR: 95%CI; 1.17, 3.77) higher likelihood of maternal and newborns care continuum perceived community acceptance for most people in their community. Moreover, pregnant women who attended secondary education or above had 3.33 times (AOR: 95%CI; 1.23, 9.07) higher likelihood to perceive that most people in their community to accept and/or encourage women to get the three domains of maternal and newborns care continuum compared to those with no formal education. Furthermore, the likelihood of maternal and newborns care continuum perceived community acceptance for most people in their community among pregnant women who ever used contraceptives and those whose desired delivery place was health facility was found to be 2.56 (AOR: 95%CI; 1.57,4.16) and 4.28 (AOR: 95%CI; 1.57,11.62) respectively ( Table 3 ). On the other hand, the likelihood of maternal and newborns care continuum perceived community acceptance and/or encouragement by most people was found to be only 0.19 (AOR: 95%CI; 0.06, 0.58) among pregnant women residing in the well to do households. This likelihood was lowered by 64% (AOR: 0.36 (95%CI; 0.13, 0.96)) and only 0.18 (AOR: 95%CI; 0.07, 0.51)) among those who desired birth attendant was family member and/or TBA and among those residents of rural areas respectively. Similarly, women those whose husbands had other wife’s reported and those who had a higher birth order a 55%, (AOR: 0.45 (95%CI; 0.26, 0.81) and a 60%, 0.40 (AOR: 95%CI: 0.18, 0.90) lower likelihood of maternal and newborns care continuum perceived community acceptance for most people in their community respectively (Table 3 ). After controlling for confounders with p value < 0.25 the following factors were found to be factors associated with for maternal and newborns care continuum perceived community acceptance among pregnant women for some people in their community. The likelihood of maternal and newborns care continuum perceived community acceptance among pregnant women for some people in their community to accept and/or encourage women to get the three domains of was 3.84 (AOR: 95%CI; 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 years had 4.40 (AOR: 95%CI; 1.47, 13.14) higher likelihood of perceiving some people in their community to get the three domains of the continuum of care. Moreover, pregnant women who attended secondary education or above 3.63 times (AOR: 95%CI; 1.32, 9.96) higher likelihood to perceive that some people in their community could accept and/or encourage women to get the three domains of maternal compared to those pregnant with no formal education. Furthermore, pregnant women who have contraceptive use history had 2.50 (AOR: 95%CI; 1.54, 4.07) higher likelihood of maternal and newborns care continuum community acceptance for some people in their community ( Table 3 ). On the other hand, pregnant women residing in the households with the highest wealth quintile had only 0.12 (95%CI: 0.04, 0.37) odds of maternal and newborns care continuum community acceptance for some people in their community, and those residing in rural areas had a 76% lower likelihood 0.24 (AOR: 95%CI; 0.08, 0.68)) of perceiving that some people in their community accept and/or encourages women to get the three domains of maternal and new born care continuum. Similarity, women whose husband has other wife’s had 56% lower likelihood 0.44 (AOR: 95%CI; 0.25, 0.77)) of perceiving that some people in their community to accept and/or encourage women to obtain the three domains of maternal and new born continuum of care. Similarly women with higher birth order had 65%, 0.35 (AOR: 95%CI; 0.16, 0.79) lower likelihood of perceived maternal and newborns care continuum community acceptance and/or encouragement by some people. Pregnant women whose desired birth attendant was Family member and/or TBA had 62% lower likelihood 0.38 (AOR: 95%CI; 0.15,0.94)) to perceive that some people in their community to accept and/or encourage women to get the three domains of maternal and newborns care continuum care as compared with their counter parts ( Table 3 ). After controlling for confounders with p value < 0.25 the following factors were found to be factors associated with maternal and newborns care continuum perceived community acceptance and/or encouragement among pregnant women for few people in their community. The likelihood of maternal and newborns care continuum perceived community acceptance among pregnant women by few people in their community to accept and/or encourage women to obtain the three domains of maternal and new born continuum was 2.90 (AOR: 95%CI; 1.02, 8.23) higher among pregnant women belonging to age group 35 to 39. Similarly, attending secondary education or above increased the likelihood of pregnant women perceived acceptance and/or encouragement by few people in their community by 3.03 (AOR: 95%CI; 1.10, 8.34). Furthermore, pregnant women who have contraceptive use history had 1.84 (AOR: 95%CI; 1.15, 2.94) higher likelihood of maternal and newborns care continuum community acceptance for few people in their community ( Table 3 ). On the contrary, pregnant women residing in rural areas had 75% lower likelihood (0.25 (AOR: 95%CI; 0.09, 0.71)) to perceive that few people in their community accept and/or encourage women to obtain the three domains of continuum of care while pregnant women whose desired birth attendant is Family member and/or TBA had 12% (0.88 (AOR: 95%CI; 0.17, 0.72)) lower likelihood to perceive that few people in their community accept and/or encourage women to get the three domains of maternal and newborns continuum of care as compared with their counter parts. The likelihood of maternal and newborns care continuum perceived community acceptance by few people in their community was only 0.51 (AOR: 95%CI; 0.30, 0.86) and 0.07 (AOR: 95%CI; 0.03, 0.22) respectively among pregnant women residing in the poorest and well to do households (Table 3 ). Table 3 Multinomial Logistic Regression for Perceived Community Acceptance on Maternal and Newborns Care Continuum among a panel of Pregnant Women, Evidence from Baseline data form the Ethiopia Performance Monitoring for Action Ethiopia, Nov 2019 to Jan 2020 Variables Most People A RRR Some People A RRR Few People, A RRR Women Age 15–19 years 1 1 1 Category 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) Husbands 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 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)*** 2.50 (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) 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 Health Professional 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 Being short of half way of the SDG era; the paradigm shift in terms of policy articulation, service provision and research focus on maternal and newborn health services calls for an integrated service provision. This integrated service is called continuum of maternal, newborns, child health care continuum which calls up on that every pregnant women being enrolled to antenatal care (ANC) should get the recommended cares namely: ANC4+, skilled childbirth care and immediate postnatal care. This could increase the yield rate of retention in the care continuum. Moreover, evidences showed that one of the bottlenecks for the exiting persistent poor maternal and fetal outcomes despite the visible efforts in maternal, newborns and child health (MCH) service provision is women perception that people in their community accept and/or encourage pregnant women to obtain the three domains of the care. Besides, 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. Therefore, documenting the proportion maternal and newborns care continuum perceived community acceptance among pregnant women and identifying its correlates for the variation of such an acceptance is a very critical step in availing actionable evidence to improve maternal and newborns outcomes by increasing skilled delivery care at health facilities at this juncture. The finding that pregnant women perceived community acceptance on maternal and newborns care continuum was found to be 33.66% and 31.93% for most and few people respectively accept and/or encourage women to obtain the three domains of maternal and newborns care continuum is suboptimal. This suboptimal perceived community acceptance on maternal and newborns care continuum calls for the Ethiopian government, the global a community, relevant actors and developmental partners to focus their effort to improve community acceptance and/or encouragement for pregnant women to use the three recommended services. This is clearly stated indicated in a study ( 10 ) on continuum of care for maternal, newborns, and child health from slogan to service delivery and provision of those service for better postnatal newborns and maternal outcomes ( 2 , 10 , 33 ). This indirectly minimizes the effect of significant others on health service and enhances the rate of retention in the care continuum. The implication of this study call up on strengthen the new community score cards (CSC) strategy being implemented by health facilities in Ethiopia as stated in ( 45 ) that the use of CSCs in Ethiopia contributed to the health system’s performance in terms of maternal and child health services improvement. This implication was supported by the finding from a study by Kiracho et al. and his colleagues conducted in Uganda on the Influence of community scorecards on maternal and newborns health service delivery and utilization. The study recommended that the community score cards created opportunities for community leaders and communities to work together to identify innovative ways of dealing with the health service delivery and utilization challenges that they are facing ( 41 ). It highlighted that local leaders should encourage the availability of safe spaces for dialogue between communities, health workers and leaders where performance and utilization challenges can be identified and solutions proposed and implemented jointly ( 41 ). The other implication of this finding was that the role of installing women community maternal newborns health family meeting to increase uptake of the three domains of maternal and newborns care continuum as supported by a finding from a study ( 2 ). This study further showed that the completeness of maternal and newborns care received during birth and the early postnatal period in rural Ethiopia was directly proportional to the number for meetings which claimed that the completeness of maternal and newborns care received during birth and the early postnatal period in rural Ethiopia was directly proportional to the number of meetings. Our finding´s further implication was reflected from the another study´s finding ( 45 ) on Implementing a social accountability approach for maternal, neonatal, and child health service performances in Ethiopia: a pre-post study design showed that the use of community score cards (CSCs) in Ethiopia contributed to the health system’s performance in terms of maternal and child health services uptake improvement. The responsiveness of health workers and utilization of basic health services by community members were found to increase significantly with CSC use. This study recommended on continued implementation of the CSC intervention at Primary Health Care Unit (PHCU)” highlighting that of the 10 key maternal neonatal and child health performance indicators measured, 9 were found to be improved as a result of implementing the community scorecard approach. The Federal democratic Republic of Ethiopian Health Ministry has been implementing the social accountability: Community score card as a tool to get feedback from the community to increase health service uptake in general and maternal and new born care continuum packages in particular. Since 2017 CSC was regard as a key component of the Ministry´s reform agenda which was first piloted in 36 districts and later implemented 55% of the districts in the country by 2020. The country has rolled out a community score card (CSC) mechanism to improve quality of care within the primary health care units by involving health extension workers and the Health Development Army to monitor the progress towards implementing the two of the ministry´s initiatives, namely: the woreda transformation and the primary health care improvement programmes ( 46 ) serving as a mechanism to gather community feedback to improve service quality and service uptake completeness. The finding that middle aged and educated ( 47 ) pregnant women have positive and increased likelihood of maternal and newborns care perceived community acceptance by most and/or some people in their community to accept and/or encourage women to obtain the three domains of maternal and newborns care might be related with their experience in child bearing, previous pregnancy and childbirth care ( 48 ). This higher likelihood might be related with awareness on the benefits of health service use. Such attributes might empower them to use reproductive and maternal health services ( 49 – 52 ) since getting reproductive service including contraception as this has been declared as women and girls right ( 53 ) in the human right approach of reproductive, maternal, newborns and child health care services provision. This decreases the negative influence of other people in their community on their health service use. The finding that women desired place of delivery was health facility has increased the likelihood of pregnant women maternal and newborns care continuum perceived community acceptance might related with proximity of health facilities ( 54 ), the success of the health extension program along with risk assessment and referring to maternity waiting homes particularly in remote areas to mention one of main reasons ( 55 ) and the government’s commitment to avail service near to the community ( 56 ) as well as to improve quality of care and provide respectful maternity care ( 57 , 58 ). The might be also related with husband support and accompany during the maternal and newborns care continuum ( 34 , 35 ). The finding that pregnant women who ever used contractive is associated with increment in the likelihood maternal and newborns care continuum perceived community acceptance might be related with women ability to decide about their reproductive health service use including contraceptive use by themselves ( 50 , 51 ). Their contraceptive use experience might enable them to have exposure for health service and reduce the negative influence of people in the community on their maternal and newborns care continuum use and completion. The finding that pregnant women whose desired birth attendants was family Member and/or TBA lowers the likelihood of perceiving people in their community to accept and/or encourage women to get the three recommended services might be related with the government commitment to avail health service in general and maternal and newborns health service and childbirth care in particular, most free of charge ( 56 ). Besides, the health promotion and prevention efforts being made by the health extension programs and health extension workers as well as their effort to link pregnant women after first antenatal care visit contact and post-partum women to higher level facilities through their home-to-home visits apart from providing initial care, counseling and provision of postpartum contraception provision could be considered as additional plausible explanation ( 55 ). The finding that being the member of the well to do households lowered the likelihood pregnant women maternal and newborns care continuum perceived community acceptance might be related with their influence in household level decision making ( 59 , 60 ) and with good couples communication ( 61 ). This in turn lower the negative influence from significant others around them. The other argument is that most of the well index constructs used in Ethiopia are skewed to the rural set up and those rural residents have lower likelihood of maternal and newborns care perceived community acceptances ( 62 , 63 ). On the contrary, occupying the better socio-economic position enabling them to rely on themselves for their health service use decision rather than seeking the sole approval and validation from significant others around them ( 60 , 64 ). The finding that rural women have lower perceived acceptance and/or encouragement that people in their community encourage women to get there three recommended care of maternal and newborns health might be related that women themselves and people around them prefer care by traditional birth attendants ( 62 ) as predominantly practiced in rural setting which is related with cultural and religious inclinations ( 63 ) which is also pronounced among rural residents . The finding that higher birth order lowered women perceived likelihood that most, some and few people in their community accept and/or encourage women obtain the three recommended domains of care might be related with women prior pregnancy experience ( 48 ) enabling them to rely on themselves for health service rather than seeking significant others sole approval and validation to seek maternal and reproductive health service use ( 60 , 64 ). The finding that husband has other wives’ would lower the likelihood of maternal and newborns care continuum perceived community acceptance might be related the suboptimal husband involvement in maternal, newborns and child health care ( 32 ) though WHO recommended husband involvement as one of the pivotal strategies to increase uptake and completion of maternal and newborns health ( 7 ). Moreover, this might be related companionship preference during labor and delivery and while seeking postnatal care services. A study ( 39 ) showed that women stated different preferences for their desired companion, including their husband or male partner, sister, mother, mother-in-law, doula, or a combination of different people. This might be also related with absence of policy on husband involvement in maternal and newborns care and when exits there is a gap in policy and practice ( 65 , 66 ) and lack of knowledge of husband on their wife’s maternal and newborns care continuum involvement as concluded on a study ( 67 ). Besides, women in a polygamous families have lower likelihood of perceived community acceptance on the maternal and newborns care continuum. Being in a polygamy marriage contributed for the inequalities in adherence to the continuum of maternal and child health service utilization ( 68 ). One of the possible mechanism through which polygamy lower health service use by its effect the psycho-social health of the women ( 69 ), economic disadvantaged and hampering their decision making ability. Women in polygamous families’ experience more marital distress ( 70 ). The other plausible route for polygamy to lower maternal and newborns care continuum perceived community acceptance and actual service uptake is through its deterring effect on contraceptive use ( 71 ) and its effect is more pronounced in a pastoralist communities ( 72 ). The other effect is through health service use reduction such antenatal and postnatal care services ( 73 ). Intimate partner violence might be the other possible routes through which polygamy operates in lowering women perceived community acceptance on maternal and newborns care continuum by deterring the health service use decision making ( 74 , 75 ). This study is not spared of limitations. To begin with, perception measurement has always possessed challenges in health, medical and behavioral research undertakings. This study used pregnant women perception of the community as proxy indicator to measure community acceptance on maternal and newborns care continuum. This proxy finding could gave an insight in assessing community influence on maternal and newborns care continuum which is the focus of contemporary health research in health services use. However, future studies are needed to conduct sensitivity analysis among the categories of the outcome variable and come up with a direct measurement approach options to capitalize findings from this study. Therefore, though reliance on self-reported history data and potential biases exist particularity on maternal and newborns continuum of care service use perceived community acceptance among a cohort of pregnant women; such findings offer meaningful insights in measuring the influence of the community on health service use in general and pregnant women maternal and newborns care continuum of care service use in particular. In addition, inherent to all secondary data analysis; not all the necessary confounder variables including cultural beliefs related variables which could influence maternal and newborns health services use were not measured. Besides, caution need to be considered while extrapolating this findings to non-panel regions (the three mainly agrarian region, Addis Ababa and the former southern nation’s nationalities and peoples region) owing to the fact about diverse socio-cultural issues across the country which might have influence on the perceived community acceptance. Conclusion The finding that maternal and new born care continuum perceived community acceptance among pregnant women was suboptimal is an alarm that the global community have a long way to go to achieve nearly almost all women get the three recommended cares by averting the negative influence of people in the community on the entry, being retained in and completing the maternal and newborns care continuum among pregnant women Similarly, the observed regional variation calls upon the ministry and relevant developmental partners to design and implement regionally sensitive activities to escalate completion of maternal and newborns care continuum by empowering women to avoid seeking approval and validation from people in community to decide their health services use. Given pregnancy and childbirth are social and communal events, activities and targets focusing on women who are educated and, which encourage contraceptive use for spacing, women economic empowerment and advocating planning and obtaining health facility delivery and skilled childbirth care are likely to nurture women perceived acceptance for most people in the community to use the three domains of CoC. Such an endeavor in improving the positive impact significant others on maternal and newborns health service use. This halts the negative effect of other and women be able to decide their health service needs independent of the influence of the community and the significant others. The finding related desired birth attendant and place of delivery indicate that increasing awareness creation and advocating birth preparedness and complication readiness is likely 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 considering the regional variation in women perception that people in their community accept and/or encourage for women to use the three recommended domains of maternal and newborns continuum of care and its actual uptake. Region and place of residence specific age sensitive efforts and activities which targeted less educated women, women with polygamy, women with higher birth order and who do not need additional child aiming at increasing institutional and skilled childbirth care along with diversified contraceptive provision would enhance maternal and newborns care continuum perceived community acceptance among pregnant women. Utilizing the promising Implementation of the social accountability approach for maternal, neonatal, and child health service among the primary health care units in Ethiopia and Installing the inter pregnancy package of preconception care are imperative to enhance and nurture the positive influence of the community in the community on maternal and newborns care continuum perceived community acceptance among pregnant women. This provides a mechanism to get feedback on maternal and newborns care continuum indicators from the community. Future Ethiopian PMA and related surveys might need to come up with a direct measurement approach on the influence of the community towards pregnant women perceived community acceptance on maternal and newborns care continuum of care service use in particular and health service in general. Moreover, in the upcoming manuscript, the authors are planning to consider facility level factors by merging PMA service facility data with women and household data to consider the effect of facility side factors. Furthermore, future similar surveys need to collect information on important missing elements such as cultural beliefs related variables which could influence maternal and newborns health services use. Lastly, we recommend the use of merged service delivery point and community data to capture the effect of facility side factors for future endeavors to further analysis the publicly available data sets from the Johns Hopkins Research Data Repository by adhering the Data Use Agreement and proper citation as stated in the community norms of good scientific practices on the data repository platform. Policy and practical implication of findings The implication of the study´s finding was strengthening the implementation of community score cards which provided a mechanism for obtaining and incorporating community input. This input enhances health service uptake in general and maternal and newborns care continuum completion in particular. Installing women community maternal newborns health family meeting on the type of birth attendant and completeness of maternal and newborns care received during childbirth and the early postnatal period was another implication of this study. This indicated that the use of community score card at health facilities and family meeting provide a mechanism to entertain community input and feedback on maternal and newborns health service provision. This could nurture a positive influence on maternal and newborns care continuum among pregnant women. In 2017, the Federal Health Ministry (FMoH) introduced a Community Scorecards (CSC) for Woreda (district) health offices, primary health care facilities and the community to monitor service quality, and respond to community needs. As of June 2019, the CSC had been rolled out in four agrarian regions: Tigray, Amhara, Oromia and the Southern Nations, Nationalities, and Peoples’ Region. Hence, take lessons lessoned, strengthening the monitoring and evaluation of the implementation status could be imperative to get community feedback to improve health service utilization in general and maternal and newborns care continuum completion in particular. Besides, testing the effectiveness of community maternal and newborns health family meetings in urban setting, and scaling up is implied to enhance maternal and newborns service uptake and continuum of care completion as indicated in ( 2 ) that the completeness of maternal and newborns care received during birth and the early postnatal period in rural Ethiopia was directly proportional to the number for meetings. Both community score care and community family meeting provide a mechanism to obtain feedback from the community and make the community involved in improving health care services use and completion of maternal and newborns care continuum. Moreover, the link and the positive association between contraceptive use history and perceived community acceptance need to be further explored. This association implied the use of health facility visit for contraceptive to advocate the maternal and newborns care continuum use and completion with a focus on women in rural areas and women in polygamous marriage. Abbreviations ARRR: adjusted relative risk ration CRRR: crude relative risk ration CoC: continuum of care (Maternal and new born care continuum) HH: households PMA: Performance Monitoring for Action PMA_Eth: Performance Monitoring For Action Ethiopia RE: Resident Enumerator SNNPR: Southern nations, people’s nationalities Region TBA: Traditional Birth Attendant ToT: Training of Trainers 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 Nov 2019 to Jan 2020. 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 and/or the Johns Hopkins Research Data Repository: https://archive.data.jhu.edu/dataset.xhtml?persistentId=doi:10.34976/h75w-8084 Competing interests: the authors declare that they have no competing interest. Funding: The authors did not obtained any funding. Author Contributions SA conceptualized the study, obtained the data, conducted the data curation , performed the data management and the formal analysis; and draft the manuscript and wrote the final the manuscript, interpreted the results and critically revised the manuscript. FT contributed for the conception, participated in the writing draft manuscript, analysis and interpretation of the findings the provide useful feedback during the analysis and manuscript development. FT and SA also participated in the field wok supervision, implementation and project facilitation. MY: Contributed in critically reviewing the final version of the manuscript. She also participated in the field work. BA and KM critically review the final version manuscript including language checks. AZ: participated during the conception in the large scale data analysis training and critically reviewed the final version. TD: Contributed in critically reviewing the final version of the manuscript. She also participated in the field work. All authors reviewed, read and approved the final version of the manuscript. Acknowledgement: We appreciate the huge commitment of PMA Ethiopian data collection team, notably: Enumerators, supervisors and regional Coordinators. In addition, our heartfelt gratitude goes for the study participants for their kindest cooperation. Besides, all the staff of Ethiopian Red Cross training Center at Addis Ababa and Kereyu resort_Adama deserve huge recognition for their hospitality in facilitating and hosting all the PMA filed staff trainings including the two rounds of the large scale complex data analysis. Besides, the large scale data analysis training organizers and facilitators from AAU, PMA Ethiopia Project at AAU and JHU deserve recognition as well; namely: Tesfamichael Awoke Sisay, Mahari Yihdego Gidey, Niguse Tadele Atnafu,, Dr. Solomon Emyu, Dr. Girma Taye and Dr. Sally, and. Lastly, we further extend our special thanks for Dr. Linnea A.Zimmerman´s, Dr. Assefa Seme, Dr. Solomon Shiferaw´s Professor Saifuddin´s mentorship during and following the short courses on large scale data analysis and fellow trainees’ inspiration as well. Authors Information SA: Solomon Abrha Damtew, An assistant Professor of Public Health in Epidemiology and Biostatistics at School of Public Health Wolaita Sodo University, Regional Coordinator at PMA Ethiopia Project. FT: Manager at Fitsum Tariku Fantaye: FTF research consult manger with Demography and Reproductive Health Specialty, Lead and Coordinate numerous health related surveys. BA: Beadwork Ayele Kassa : PhD candidate at the university of Cape Town on developmental studies, she phycology and gender concentration KM: Kelemua Menegesha Sene an associate professor of English Language at Kotebe Metropolitan University. MY: Metages Yohannes: Manager Metages Yohannes Health Research Consultant, Addis Ababa, Ethiopia, AZ: Addisalem Zebene Armdie, MPH in Public health nutrition and assistant project coordinator of PMA 2020 Project at Addis Ababa University TD; Tamirat Denekew: Manager at Tamerat Denekew Health and Social Research Consultancy ORCID Solomon Abrha Damtew https://orcid.org/0000-0002-0758-7348 Fitsum Tariku Fantaye https://orcid.org/ 0000-0003-1790-7269 Metages Yohannes: https://orcid.org/0009-0004-4186-2886 Addisalem Zebene Armdie https://orcid.org/0000-0003-3851-6072 Kelemua Menegesha Sene: https://orcid.org/0009-0002-7479-7318 ttpscid. References Addis Ababa University School of Public Health, The William H. Gates Institute for Population and Reproductive Health at The Johns Hopkins Bloomberg School of Public Health (2023) Performance Monitoring for Action Ethiopia (PMA-ET) Cohort Two Six-Week Postpartum Maternal Newborn Health Technical Report. Ethiopia and Baltimore, Maryland, USA. 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BMC Pregnancy Childbirth 20(1):258 Jacobs C, Moshabela M, Maswenyeho S, Lambo N, Michelo C, Jacobs C, Moshabela M, Maswenyeho S, Lambo N, Michelo C (2017) Predictors of antenatal care, skilled birth attendance, and postnatal care utilization among the remote and poorest rural communities of Zambia: a multilevel analysis. Front Public Health Moran AC (2016) Assessing the continuum of care pathway for maternal health in South Asia and sub-Saharan Africa. Matern Child Health J 20(2):281–289 Yeji F, Shibanuma A, Oduro A, Debpuur C, Kikuchi K, Owusu-Agei S et al (2015) Continuum of care in a maternal, newborn and child health program in Ghana: low completion rate and multiple obstacle factors. PLoS ONE 10(12):e0142849 Chaka EE, Parsaeian M, Majdzadeh R (2019) 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 10:136 Haile D, Kondale M, Andarge E, Tunje A, Fikadu T, Boti N (2020) 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 15(6):e0221670 Atnafu A, Kebede A, Misganaw B, Teshome DF, Biks GA, Demissie GD et al (2020) Determinants of the Continuum of Maternal Healthcare Services in Northwest Ethiopia: Findings from the Primary Health Care Project. J Pregnancy. ;2020 Wang W, Hong R (2015) 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. https://doi.org/10.1186/s12884-015-0497-0 Kebede AA, Gessesse DN, Tsega NT, Aklil MB, Abegaz MY, Anteneh TA et al (2022) Husband Involvement in Maternal, Neonatal, and Child Health Care among Women who Have a Child Less Than one Year in Gondar City, Northwest Ethiopia, 2021. Health Serv Res Manag Epidemiol 9:23333928221124807 WHO. WHO recommendations on maternal and newborn care for a positive postnatal experience (2018) 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 Craymah JP, Oppong RK, Tuoyire DA (2017) Male Involvement in Maternal Health Care at Anomabo, Central Region, Ghana. Int J Reprod Med 2017:2929013 Lewis S, Lee A, Simkhada P (2015) The role of husbands in maternal health and safe childbirth in rural Nepal: a qualitative study. BMC Pregnancy Childbirth 15:162 Singh D, Lample M, Earnest J (2014) The involvement of men in maternal health care: cross-sectional, pilot case studies from Maligita and Kibibi, Uganda. Reprod Health 11:68 Teklesilasie W, Deressa W (2018) Husbands' involvement in antenatal care and its association with women's utilization of skilled birth attendants in Sidama zone, Ethiopia: a prospective cohort study. BMC Pregnancy Childbirth 18(1):315 UNICEF, UNFPA, UNICEF, UNFPA (2015) Trends in Maternal Mortality: 1990 to 2015 Estimates by WHO. World Bank Group and the United Nations Population Division Executive Summary WHO (2018) WHO recommendations Intrapartum care for a positive childbirth experience. https://iriswhoint/bitstream/handle/10665/260178/9789241550215-engpdf?sequence=1 Dynes M, Stephenson R, Rubardt M, Bartel D (2012) The influence of perceptions of community norms on current contraceptive use among men and women in Ethiopia and Kenya. Health Place 18(4):766–773 Kiracho EE, Namuhani N, Apolot RR, Aanyu C, Mutebi A, Tetui M et al (2020) Influence of community scorecards on maternal and newborn health service delivery and utilization. Int J Equity Health. ;19(1) Tiruneh GT, Demissie M, Worku A, Berhane Y (2021) Community's experience and perceptions of maternal health services across the continuum of care in Ethiopia: A qualitative study. PLoS ONE 16(8):e0255404 Limmerman L, Shiferaw S, Seme A, Yihdego M, Desta S, Shankar M et al (2018) Z Final Report: Performance Monitoring and Accountability 2020 – Maternal and Newborn Health in Southern Nations, Nationalities and Peoples’ region (SNNPR) – Ethiopia. Baltimore. Bill & Melinda Gates Institute for Population and Reproductive Health, Johns Hopkins University Bloomberg School of Public Health, Maryland, USA Zimmerman L, Desta S, Yihdego M, Rogers A, Amogne A, Karp C et al (2020) Protocol for PMA-Ethiopia: a new data source for cross-sectional and longitudinal data of reproductive, maternal, and newborn health. ;4 Argaw MD, Desta BF, Mamo E (2021) ea. Implementing a social accountability approach for maternal, neonatal, and child health service performances in Ethiopia: a pre-post study design. Glob Health Sci Pract. ;9(1):123–135. https://doi.org/10.9745/GHSP-D-20-00114 . 2021 Ethiopia FMOH Implementation of the community scorecard in Ethiopia: Best practices and lessons learned ALMA Scorecard Hub Al Riyami A, Afifi M, Mabry RM (2004) Women's autonomy, education and employment in Oman and their influence on contraceptive use. Reprod Health Matters 12(23):144–154 JHPIEGO (2004) monitoring birth preparedness and complication readiness tools and indicators for maternal and newborn health Mihiretu Alemayehu MM (2017) Health care decision making autonomy of women from rural districts of southern ethiopia: a community based cross-sectional study. Dovepress Int J Women`s Health Damtew SA, Fantaye FT (2024) Women alone modern contraceptive use decision making and its correlates, evidence from PMA CS 2021 survey. BMC Womens Health. ;24(1) Fantaye FT, Damtew SA (2024) 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 Do M, Kurimoto N (2012) Women's empowerment and choice of contraceptive methods in selected African countries. Int Perspect Sex Reprod Health 38(1):23–33 Rimon JGII, Tsui AO (2018) Regaining momentum in family planning. Global Health Science Practice. ; 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 (2017) Does proximity of women to facilities with better choice of contraceptives affect their contraceptive utilization in rural Ethiopia? PLoS ONE 12(11):e0187311 Assefa Y, Gelaw YA, Hill PS, Taye BW, Van Damme W (2019) Community health extension program of Ethiopia, 2003–2018: successes and challenges toward universal coverage for primary healthcare services. Global Health 15(1):24 FMoH (2021) Health Sector Transformation Plan II (HSTP-II) FMoH (2019) Ethiopian Health Care Quality Bulletin; Continuous Health Care Quality Improvement through Knowledge Management Fedral Democratic Republic of Ethiopia Health Minister. NATIONAL HEALTHCARE QUALITY AND SAFETY STRATEGY (NQSS) (2021) -25 2021 Bitew DA, Getahun AB, Gedef GM, Andualem F, Getnet M (2024) Determinants of household decision making autonomy among rural married women based on Ethiopian demography health survey: a multilevel analysis. BMC Womens Health 24(1):216 Erci B (2003) Women's efficiency in decision making and their perception of their status in the family. Public health Nurs (Boston Mass) 20(1):65–70 Zelalem D, Worku A, Alemayehu T, Dessie Y (2021) Association of Effective Spousal Family Planning Communication with Couples’ Modern Contraceptive Use in Harar, Eastern Ethiopia. Open Access J Contracept 12:45 Gurara M, Muyldermans K, Jacquemyn Y, Van Geertruyden JP, Draulans V (2020) Traditional birth attendants' roles and homebirth choices in Ethiopia: A qualitative study. Women Birth 33(5):e464–e72 Aynalem ea (2023) 41 http://onlineliebertpubcom/doi/101089/whr20230024. 2023 Osamor PE, Grady C (2016) Women's autonomy in health care decision-making in developing countries: a synthesis of the literature. Int J Womens Health 8:191–202 Daniele MAS (2021) Male partner participation in maternity care and social support for childbearing women: a discussion paper. Philosophical Transactions of the Royal Society B: Biological Sciences. ;376(1827) Gopal P, Fisher D, Seruwagi G, Taddese HB (2020) Male involvement in reproductive, maternal, newborn, and child health: evaluating gaps between policy and practice in Uganda. Reprod Health 17(1):114 Rajaseharan D, Suryawanshi DS, Venugopal R (2021) Involvement of husband in maternal and child health care in rural field practice area of a tertiary medical college in South India—A mixed method study. J Family Med Prim Care. ;10(8) Geda NR, Feng CX, Henry CJ, Lepnurm R, Janzen B, Whiting SJ (2021) Inequalities in adherence to the continuum of maternal and child health service utilization in Ethiopia: multilevel analysis. J Health Popul Nutr 40(1):45 Shaiful Bahari I, Norhayati MN, Nik Hazlina NH, Mohamad Shahirul Aiman CAA, Nik Muhammad Arif NA (2021) Psychological impact of polygamous marriage on women and children: a systematic review and meta-analysis. BMC Pregnancy Childbirth 21(1):823 Mengistu N, Shumye S, Tesfaye TS, Haile S, Bayisa Y, Yimer S et al (2022) Stressful life experience of the first married women in polygamous families in Gedeo zone, South Ethiopia: a qualitative study, 2021. BMC Psychol 10(1):40 Asrese ET, Adem YF (2023) Contraceptive utilization and associated factors among polygamous and monogamous women in Worebabo Woreda, South Wollo Zone, Ethiopia: a comparative cross sectional study. BMC Womens Health 23(1):39 Alemayehu M, Medhanyie AA, Reed E, Kahsay ZH, Kalayu M, Mulugeta A (2023) Effects of continuum of care for maternal health service utilisation on intention to use family planning among pastoralist women of Ethiopia: a robust regression analysis and propensity score matching modelling. BMJ Open 13(7):e072179 Regassa N (2011) Antenatal and postnatal care service utilization in southern Ethiopia: a population-based study African Health Sciences. ; 11(3): 390–397. 2011 Damtew SA, Shiferaw S, Seme A (2024) Intimate Partner Violence during the Index Pregnancy and its correlates among a panel of pregnant women in Ethiopia, evidence from performance, and monitoring for action (PMA) 2021 cohort two baseline survey. BMC Pregnancy Childbirth. ;24(1) Damtew SA, Atnafu NT, Gidey MY, Sisay TA, Yohannes M (2025) Partner conflict during their index pregnancy and its correlates among a cohort of six weeks postpartum women in Ethiopia. Sci Rep. ;15(1) Additional Declarations The authors declare no competing interests. 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-6925501","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":473248673,"identity":"7f710f11-200d-4f65-8fef-3dd90f3730ec","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":"https://orcid.org/0000-0002-0758-7348","institution":"Wolaita Sodo Univeristy","correspondingAuthor":true,"prefix":"","firstName":"Solomon","middleName":"Abrha","lastName":"Damtew","suffix":""},{"id":473248991,"identity":"b3258283-1756-4e87-9425-0d7f3849faf3","order_by":1,"name":"Metages Yohannes","email":"","orcid":"","institution":"Metages Yohannes Health Research Consultant, Addis Ababa, Ethiopia,","correspondingAuthor":false,"prefix":"","firstName":"Metages","middleName":"","lastName":"Yohannes","suffix":""},{"id":473248992,"identity":"62640964-a676-4278-b1ca-8416312a1c4b","order_by":2,"name":"Addisalem Zebene Armdie","email":"","orcid":"","institution":"Ethiopian PMA Project at Addis Ababa University, Addis Ababa, Ethiopia,","correspondingAuthor":false,"prefix":"","firstName":"Addisalem","middleName":"Zebene","lastName":"Armdie","suffix":""},{"id":473249230,"identity":"95d7fb90-dba1-45ac-bcbf-6a80fdc2820d","order_by":3,"name":"Fistum Tariku Fantaye","email":"","orcid":"","institution":"FTF Research consult, Addis Ababa, Ethiopia","correspondingAuthor":false,"prefix":"","firstName":"Fistum","middleName":"Tariku","lastName":"Fantaye","suffix":""},{"id":473249231,"identity":"752204ed-1006-4007-b885-30ada8b67309","order_by":4,"name":"Tamerat Denekew Temesgen","email":"","orcid":"","institution":"Tamerat Denekew Health and Social Research Consultancy, Addis Ababa, Ethiopia,","correspondingAuthor":false,"prefix":"","firstName":"Tamerat","middleName":"Denekew","lastName":"Temesgen","suffix":""},{"id":473249232,"identity":"a51eddf9-d2f5-48b4-af3d-2f98d14b6a78","order_by":5,"name":"Kelemua Menegesha Sene","email":"","orcid":"","institution":"Department of English Language, Kotebe Metropolitan University, Addis Ababa, Ethiopia,","correspondingAuthor":false,"prefix":"","firstName":"Kelemua","middleName":"Menegesha","lastName":"Sene","suffix":""},{"id":473249233,"identity":"3a14179e-6fa7-41d1-b63d-d0c00bab1084","order_by":6,"name":"Bezawork Ayele Kassa","email":"","orcid":"","institution":"University of Western Cape, Cape Town, South Africa,","correspondingAuthor":false,"prefix":"","firstName":"Bezawork","middleName":"Ayele","lastName":"Kassa","suffix":""}],"badges":[],"createdAt":"2025-06-18 18:58:44","currentVersionCode":1,"declarations":{"humanSubjects":false,"vertebrateSubjects":false,"conflictsOfInterestStatement":false,"humanSubjectEthicalGuidelines":false,"humanSubjectConsent":false,"humanSubjectClinicalTrial":false,"humanSubjectCaseReport":false,"vertebrateSubjectEthicalGuidelines":false},"doi":"10.21203/rs.3.rs-6925501/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-6925501/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":85183579,"identity":"8db735ba-08ea-4b44-925e-b93fb69b66f7","added_by":"auto","created_at":"2025-06-23 07:50:55","extension":"png","order_by":1,"title":"Figure 1","display":"","copyAsset":false,"role":"figure","size":480602,"visible":true,"origin":"","legend":"\u003cp\u003e\u003cstrong\u003eMagnitude of Maternal and Newborn Care Continuum Perceived Community Acceptance among a panel of Pregnant Women, Evidence from Baseline data form Performance Monitoring for Action Ethiopia, Nov 2019 to Jan 2020\u003c/strong\u003e\u003c/p\u003e","description":"","filename":"1.png","url":"https://assets-eu.researchsquare.com/files/rs-6925501/v1/7c2e4cf2d72d91449f597938.png"},{"id":85185270,"identity":"21698ac5-8cef-4025-89bb-2f534035079d","added_by":"auto","created_at":"2025-06-23 08:06:57","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":3641998,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-6925501/v1/b9901690-4d51-43a5-b7d5-938903f0eba6.pdf"}],"financialInterests":"The authors declare no competing interests.","formattedTitle":"\u003cp\u003e\u003cstrong\u003ePerceived Community Acceptance of Maternal - Newborns Care Continuum and its Correlates in Ethiopia\u003c/strong\u003e\u003c/p\u003e","fulltext":[{"header":"Background","content":"\u003cp\u003ePerceived community acceptance of maternal and newborns care continuum was measured by asking pregnant women how many people in their community accept and/or encourage pregnant women to be enrolled to antenatal care and obtain the recommended antenatal care; encourage women to deliver at the health facility with skilled childbirth care; and encourage them to seek for immediate and extended postnatal care services (\u003cspan citationid=\"CR1\" class=\"CitationRef\"\u003e1\u003c/span\u003e). Maternal and newborns care continuum service use decision making process is influenced by seeking validation and the sole approval from significant others (\u003cspan citationid=\"CR2\" class=\"CitationRef\"\u003e2\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eIn this era of SDG, when countries which are relatively achieving maternal and newborns care geographic coverage are moving to a new paradigm labeled as completion of maternal and new born care continuum (\u003cspan citationid=\"CR3\" class=\"CitationRef\"\u003e3\u003c/span\u003e, \u003cspan citationid=\"CR4\" class=\"CitationRef\"\u003e4\u003c/span\u003e) and equity of the care (\u003cspan citationid=\"CR5\" class=\"CitationRef\"\u003e5\u003c/span\u003e). Completion of the various maternal and new born care continuum is proved to improve maternal and new born health outcomes (\u003cspan citationid=\"CR6\" class=\"CitationRef\"\u003e6\u003c/span\u003e). Hence, measuring the influence of significant others: the community and partner/or husband is considered as pivotal and one of the pillar strategies towards the level of care continuum completion. This is very critical to address the sustained higher level of maternal and neonatal mortality in lower and middle income countries in general and Sub Saharan Africa in particular (\u003cspan citationid=\"CR7\" class=\"CitationRef\"\u003e7\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eBesides, recently, a paradigm shift has been observed in maternal and newborns health service provision, research undertaking focus, policy articulation; and program implementation, monitoring and evaluating at national and international level. This is being advocated by relevant actors and the maternal and newborns health advocators (\u003cspan additionalcitationids=\"CR9\" citationid=\"CR8\" class=\"CitationRef\"\u003e8\u003c/span\u003e–\u003cspan citationid=\"CR10\" class=\"CitationRef\"\u003e10\u003c/span\u003e). This change is the integration of service provision that the expectant mothers should be enrolled and being retained in the maternal and newborns care continuum (MCH). This is under the general umbrella of getting and being treating for the reproductive, maternal, newborns and child health care services (RMNCH) as part of the life course and human right approach for service provision for women and girls. This is embedded under target 7 of the sustainable development goal 3 which claimed ensuring the universal access to sexual and reproductive health-care services, including for family planning, information and integration of reproductive health service in to national strategies and programs by 2030 (\u003cspan citationid=\"CR11\" class=\"CitationRef\"\u003e11\u003c/span\u003e). Hence, research undertakings should focus to provide evidence on the status of this continuum of care and factors hindering the care completion. In addition, the policy framework need to prioritize and assess the achievement of this new paradigm shift in terms of implementation, monitoring and evaluation. This includes addressing the maternal and newborns care continuum community acceptance and encouragement which has been identified as one of the bottlenecks in hindering the completion of continuum of the care continuum and the retention in the care (\u003cspan citationid=\"CR9\" class=\"CitationRef\"\u003e9\u003c/span\u003e, \u003cspan citationid=\"CR11\" class=\"CitationRef\"\u003e11\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eMoreover, evidence has shown that one of the bottlenecks for the suboptimal completion and retention in care of the maternal and newborns care continuum is the community´s acceptance and support that women and newborns need to obtain maternal and newborns care continuum and retained in it. The influence of community acceptance was reported as one of the bottlenecks for this sub optimal completion of care (\u003cspan citationid=\"CR1\" class=\"CitationRef\"\u003e1\u003c/span\u003e, \u003cspan citationid=\"CR2\" class=\"CitationRef\"\u003e2\u003c/span\u003e, \u003cspan additionalcitationids=\"CR13 CR14 CR15 CR16\" citationid=\"CR12\" class=\"CitationRef\"\u003e12\u003c/span\u003e–\u003cspan citationid=\"CR17\" class=\"CitationRef\"\u003e17\u003c/span\u003e). In Ethiopian only one in four women completed this continuum of care (\u003cspan citationid=\"CR17\" class=\"CitationRef\"\u003e17\u003c/span\u003e). The proportion of women who continue to receive full continuum of maternal, newborns and child health (MNCH) care services was suboptimal and varies from country to country, ranging from 6–47% (\u003cspan citationid=\"CR12\" class=\"CitationRef\"\u003e12\u003c/span\u003e, \u003cspan additionalcitationids=\"CR19 CR20 CR21 CR22 CR23\" citationid=\"CR18\" class=\"CitationRef\"\u003e18\u003c/span\u003e–\u003cspan citationid=\"CR24\" class=\"CitationRef\"\u003e24\u003c/span\u003e). This percentage gets lowered when the immediate postpartum care received is restricted within 2 days postpartum instead of considering the care received during the extended postnatal period.\u003c/p\u003e \u003cp\u003eFurthermore, the full continuum of care utilization is influenced by a set of individual and community level factors: such as, 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 (\u003cspan citationid=\"CR17\" class=\"CitationRef\"\u003e17\u003c/span\u003e, \u003cspan additionalcitationids=\"CR26 CR27 CR28 CR29 CR30 CR31\" citationid=\"CR25\" class=\"CitationRef\"\u003e25\u003c/span\u003e–\u003cspan citationid=\"CR32\" class=\"CitationRef\"\u003e32\u003c/span\u003e). In addition, the postnatal care (PNC) domain is measured in the extended period which failed to address the most critical period of care the first 48 hours of life (\u003cspan citationid=\"CR33\" class=\"CitationRef\"\u003e33\u003c/span\u003e) when the influence of the community is higher. Such studies examined factors; individual and a few husband related factors (\u003cspan citationid=\"CR32\" class=\"CitationRef\"\u003e32\u003c/span\u003e, \u003cspan additionalcitationids=\"CR35 CR36\" citationid=\"CR34\" class=\"CitationRef\"\u003e34\u003c/span\u003e–\u003cspan citationid=\"CR37\" class=\"CitationRef\"\u003e37\u003c/span\u003e) though varying in scope of care measured in husband and/or male involvement. However, not paying adequate attention for community level factors which affect health service use to a greater extent exacerbates the persisting poor maternal and newborn outcomes.\u003c/p\u003e \u003cp\u003eMore specifically, the influence of people in the community where women are residing in seeking health care by women in general and being enrolled and retained in to complete the maternal, newborns and child health (MNCH) care continuum among pregnant women in particular was reported considerably important in shaping the maternal and newborns outcomes. This is owing to the fact that pregnancy and childbirth is a social and communal event (\u003cspan citationid=\"CR7\" class=\"CitationRef\"\u003e7\u003c/span\u003e, \u003cspan citationid=\"CR38\" class=\"CitationRef\"\u003e38\u003c/span\u003e, \u003cspan citationid=\"CR39\" class=\"CitationRef\"\u003e39\u003c/span\u003e). Moreover, acceptance and support of the community for women and newborns to be enrolled in and being retained in to complete the three recommended maternal and new born care continuum domains and their retention in the care was reported among the critical determinants of the success of the new MNCH paradigm shift (\u003cspan citationid=\"CR2\" class=\"CitationRef\"\u003e2\u003c/span\u003e, \u003cspan citationid=\"CR7\" class=\"CitationRef\"\u003e7\u003c/span\u003e, \u003cspan citationid=\"CR15\" class=\"CitationRef\"\u003e15\u003c/span\u003e, \u003cspan additionalcitationids=\"CR41\" citationid=\"CR40\" class=\"CitationRef\"\u003e40\u003c/span\u003e–\u003cspan citationid=\"CR42\" class=\"CitationRef\"\u003e42\u003c/span\u003e). Unfortunately, community influence and perceived acceptance of the community on being enrolled and complete the maternal and newborns care continuum among pregnant women is less explored and consequently there is a dearth of evidence in Ethiopia.\u003c/p\u003e \u003cp\u003eTherefore, this study determined the level of perceived community acceptance on maternal and newborns care continuum: to obtain and be retained in the care among pregnant women and identified associated factors for the variation. The aim of this study was to document and provide actionable evidence for the Federal Democratic Republic of Ethiopia Health Minister and relevant developmental partners. The finding could also provide evidence to track sustainable development goal 3 and target 7, SDG 3.7 (\u003cspan citationid=\"CR11\" class=\"CitationRef\"\u003e11\u003c/span\u003e).\u003c/p\u003e \n"},{"header":"Methods and Data Sources","content":"\u003cp\u003eStudy Design and Population, Eligibility and Sample Size\u003c/p\u003e\u003cp\u003ePerformance monitoring for action collected both cross-sectional and longitudinal data on selected maternal, newborns health and contraceptive use and women and girls empowerment nationwide priority indicators.\u003c/p\u003e\u003cp\u003eThis study used community based baseline cross-sectional data from prospective cohort study with 6 weeks, 6 months and one year postpartum follow up interviews. The data were collected from six regions: namely: Addis Ababa, Afar, Amhara, Oromia, SNNPR and Tigray by well-trained resident enumerators. The female screening from was used in this study to recruit and enroll pregnant and puerperal women less than six weeks postpartum. These are the two enrollment criteria used to screen and enroll eligible women. This was then followed by administering the female baseline questionnaire. Then, these panel of women were interviewed at 6 weeks, 6 months and one year postpartum as follow up interviews. However, this study further analyzed and present data from the baseline cross-sectional survey among the pregnant women during the enrollment.\u003c/p\u003e\u003cp\u003eCohort one panel baseline cross-sectional data were used for this study. All pregnant women with gestational age of 1 to 9 months by the time of data collection and who completed the female baseline and household forms were included in this analysis. Hence, a total of 2,219 pregnant women were included in this further analysis. The overall sample size and cell sample size adequacy was checked and found adequate to generating unbiased estimates on maternal and newborns care continuum perceived community acceptance among a panel of pregnant women in Ethiopia .\u003c/p\u003e\u003cp\u003eThe Ethiopian Performance Monitoring for Action (PMA) employed a two stage cluster sampling. In the first stage enumeration areas (EA) were selected. In each of the selected EAs census was conducted to screen and enroll pregnant women and women less than 6 weeks postpartum women by then. This study was restricted to only 2,219 pregnant women enrolled from 217 enumerations areas who completed the baseline female questionnaire. Following enrollment the female baseline questionnaire was administered. In the female baseline questionnaire women were asked about their antenatal care sought thus far during their index pregnancy, partner support and perceived community encouragement on the use the three main domains of the maternal and newborns care continuum components, their reproductive and sexual history, their birth preparedness and complication readiness; about their agreement and disagreement on girls and women empowerment towards contraceptive use and women sexual and reproductive issues; about their contraceptive use history and their current and future fertility intention. Women were asked how they themselves did felt when learned the index pregnancy.\u003c/p\u003e\u003cp\u003eMost important to this study, they were also asked about their perceived community acceptance and/or encouragement on the use the three main domains of the maternal and newborns care continuum components as follows: For each of the following questions, would you say that most people, some people, or few people in your community believe these things: people in my community encourage going to antenatal care; people in my community encourage women to deliver at a health facility? And people in my community encourage women to seek postnatal care. These items were used to construct the outcome variable of this study: perceived community acceptance on maternal and newborns care continuum among pregnant women.\u003c/p\u003e\u003cp\u003eIn order to maximize the sample of pregnant women; a census of all the panel enumeration areas (EAs) was conducted. All women aged 15–49 who were usual members of the household were screened by using self-reported current pregnancy status and being less than six weeks postpartum. If pregnant, they were approached for enrollment in the panel and voluntarily consented women were recruited to participate in the study. For the census, a 95% response rate was assumed; that the average number of women aged 15–49 per household is 0.98, and of these, 10% have reported of being pregnant or 42 days postpartum from the previous PMA survey rounds (\u003cspan citationid=\"CR43\" class=\"CitationRef\"\u003e43\u003c/span\u003e). The calculated sample size was found sufficient to examine selected key maternal and newborns health (MNH) indicators at the national level with 5% margin of error. The survey was not anticipated to provide representatives estimates of all maternal and newborns care indicators at the regional level.\u003c/p\u003e\u003cp\u003eIn order not to miss all pregnant and six week postpartum women by then in the selected enumerations areas (EAs), complete census was conducted. The main sample units or enumeration areas (EAs) were chosen using the frame from the Ethiopia Population and Housing Census (PHC), which was performed in 2019 by the Ethiopia Central Statistical Services. Of the total 265 EAs which were chosen in the first stage with independent selection in each sampling stratum and a probability proportional to EA size; pregnant women from 217 EAs which were selected from the six panel regions were included in this further analysis. In second stage, a census of all households was conducted in all the selected EAs to obtain adequate sample size of pregnant women and to improve the study´s power. The protocol of Ethiopian PMA contains all the details on sample design and selection probabilities, design effects and sampling methods (\u003cspan citationid=\"CR44\" class=\"CitationRef\"\u003e44\u003c/span\u003e).\u003c/p\u003e\u003cp\u003eData collection and Field Work.\u003c/p\u003e\u003cp\u003eCohort one baseline cross sectional data were collected from Nov 2019 to Jan 2020 by well-trained resident enumerators on various reproductive, maternal, newborns and child health national priority indicators. The details in field work implementation is reported in the performance monitoring for action longitudinal and cross sectional survey protocol (\u003cspan citationid=\"CR44\" class=\"CitationRef\"\u003e44\u003c/span\u003e). The first field work of the panel baseline survey was screening and enrolling pregnant women and women who were less than 6 weeks post-partum by the time of the enrollment. A two stage stratified cluster sampling method was used to select enumeration areas. Complete census was conducted in the selected enumeration areas. Following the census the cross sectional female baseline line questionnaire was administered where consent for the follow up studies was sought. 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, Ethiopian Statistical Services, Bill \u0026amp; Melinda Gates Institute for Population and Reproductive Health (Johns Hopkins Bloomberg School of Public Health), (\u003cspan citationid=\"CR44\" class=\"CitationRef\"\u003e44\u003c/span\u003e).\u003c/p\u003e\u003cp\u003eVariables:\u003c/p\u003e\u003cp\u003eOutcome variable\u003c/p\u003e\u003cp\u003eThe main outcome variable was perceived community acceptance on maternal and newborns care continuum among a panel of pregnant women in Ethiopia, i.e. their perception that people in their community encourage women to get the three recommend maternal and newborns care continuum (Table\u0026nbsp;\u003cspan refid=\"Tab1\" class=\"InternalRef\"\u003e1\u003c/span\u003e). A nominal composite variable on no, some, few and most people in their community encourage pregnant 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.\u003c/p\u003e\u003cp\u003e \u003c/p\u003e\u003cdiv class=\"gridtable\"\u003e\u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e\u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e\u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e\u003cdiv align=\"left\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e\u003cdiv align=\"left\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e\u003ctable float=\"Yes\" id=\"Tab1\" border=\"1\"\u003e\u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 1\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eItems used to create the Continuum Maternal and Newborns Care Continuum Perceived Community Acceptance variable among a panel of Pregnant Women, Evidence from Baseline survey from Performance Monitoring for Action Ethiopia, Nov 2019 to Jan 2020\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e\u003ccolgroup cols=\"5\"\u003e\u003c/colgroup\u003e\u003ctbody\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\" morerows=\"6\" rowspan=\"7\"\u003e \u003cp\u003eDo X people in your community\u003c/p\u003e \u003cp\u003e1. thinks it’s encourage women to go to clinic for for antenatal (ANC)\u003c/p\u003e \u003cp\u003e2. encourage women deliver in health facility and\u003c/p\u003e \u003cp\u003e3. Encourage women to seek post natal care (PNC)?\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003eVariable\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colspan=\"2\" nameend=\"c4\" namest=\"c3\"\u003e \u003cp\u003eQuestion \u0026amp; Responses\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003eCategories\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eItem\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eResponse\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c2\" morerows=\"4\" rowspan=\"5\"\u003e \u003cp\u003eMaternal and new born care continuum (MN-CoC) Norm\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\" morerows=\"4\" rowspan=\"5\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eDo not know =-88\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eExcluded cases:\u003c/p\u003e \u003cp\u003e34 from encourage going to ANC\u003c/p\u003e \u003cp\u003e43 from encourage going to delivery at facility\u003c/p\u003e \u003cp\u003e50 from encourage women to seek PNC\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eNo people thinks\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\" morerows=\"3\" rowspan=\"4\"\u003e \u003cp\u003eNo people thinks\u003c/p\u003e \u003cp\u003eMost people thinks\u003c/p\u003e \u003cp\u003eSome people thinks\u003c/p\u003e \u003cp\u003eFew People Think\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eMost people thinks\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eSome people thinks\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eFew People Think\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003c/tbody\u003e\u003c/table\u003e\u003c/div\u003e\u003cp\u003e\u003c/p\u003e\u003cp\u003eIndependent Variables\u003c/p\u003e\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\u003cp\u003eGroup or enumeration area (EA) level variables included two integral variables namely, region and place of residence were considered. “Region” was grouped into six categories, 1 = Tigray 2 = Afar, 3 = Amhara, 4 = Oromia, 7 = SNNPRs and 10 = Addis Ababa city administration. Place of residence follows the default urban/rural classification. Analysis and Measurement\u003c/p\u003e\u003cp\u003eThe panel baseline women data set were further analyzed for this study. Stata v16 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 on the level maternal and newborns care continuum perceived community acceptance and factors contributing for the variation among a panel of pregnant women in Ethiopia.\u003c/p\u003e\u003cp\u003eExploratory 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 biologically 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.\u003c/p\u003e\u003cp\u003e Multinomial logistics regression statistical model was fitted to identify important predictors of perceived community acceptance on maternal and newborns care continuum among pregnant women. At bivariate analysis a p value cut of 0.25 was used to select candidate variable for multinomial multivariate 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 was fit meaning that variables included in the final multinomial logistics regression model explains for the variation in pregnant women perceived community acceptance on maternal newborns care continuum. This supported by the model fitness test result with chi-squared statistic = 31.290 and Prob \u0026gt; 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 observed variation in the perceived community acceptance on maternal and newborns care continuum. .\u003c/p\u003e\u003cp\u003eData Quality Management and Control\u003c/p\u003e\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).\u003c/p\u003e\u003cp\u003ePerformance Monitoring for Action (PMA) Ethiopia data were collected using standard and pretested tool which was translated in to three local languages (Tigrigna, Afan Oromo and Amharic) after the provision of ToT for regional coordinators and supervisors along with hands-on intensive RE training with mock interviews. Close supervision during filed work, timely progress report and hierarchal errors correction, 10% random check with dedicated re interview form were some of the modalities used to maintain the quality of the collected data, the detail is reported somewhere else (\u003cspan citationid=\"CR44\" class=\"CitationRef\"\u003e44\u003c/span\u003e).\u003c/p\u003e\u003cp\u003eEthical Considerations\u003c/p\u003e\u003cp\u003e This study involved a secondary analysis of deidentified data from the PMA surrey has been also conducted after obtained ethical approval from Bloomberg School of Public Health at Johns Hopkins University in Baltimore, USA and Addis Ababa University, Ethiopia. Informed consent was obtained from respondents during the data collection process of PMA Ethiopia on the baseline data collection on Nov 2019 to Jan 2020. Participation to the baseline study and follow up interviews was obtained in the various stages of the survey in addition to the consent take at the enrollment. To ensure confidentiality and safety of the respondents a unique identifier with concatenated information within the qr code was given for each respondent where basic information was updated at each round of interview and collected by the research team at the end of the project. Minors less than 15 years as per the law were not included in this study. Informed verbal consent was take from study participants.\u003c/p\u003e"},{"header":"Result","content":"\u003cp\u003eParticipants Characteristics\u003c/p\u003e\u003cp\u003e \u003cb\u003ePerceived Community Acceptance Magnitude on Maternal and Newborns Care Continuum among a panel of Pregnant Women\u003c/b\u003e, \u003cb\u003eEvidence from\u003c/b\u003e \u003cb\u003eBaseline data from the Ethiopian Performance Monitoring for Action Ethiopia, Nov 2019 to Jan 2020\u003c/b\u003e\u003c/p\u003e\u003cp\u003eThe proportion maternal and newborns care continuum perceived community acceptance for most, some and few people in their community was found to be 33.66% (95%CI: 31.42%, 35.96%), 27.37% (95%CI: 25.12%, 29.69%) and 31.93% (95%CI: 29.60%, 34.36%) respectively. The overall proportion of perceived community acceptance for maternal and newborns care continuum by people in their community was found to be 93.30% (95%CI: 91.61%, 94.41%). The proportion of pregnant women who perceived no people encourage for pregnant women to obtain the three domains of continuum of care was 7.03% (95%CI: 5.89%, 8.38%) \u003cb\u003e(\u003c/b\u003eFig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e1\u003c/span\u003e\u003cb\u003e)\u003c/b\u003e.\u003c/p\u003e\u003cp\u003e \u003c/p\u003e\u003cp\u003e \u003c/p\u003e\u003cp\u003e \u003cb\u003ePerceived\u003c/b\u003e Community Acceptance \u003cb\u003eon\u003c/b\u003e Maternal and Newborns Care Continuum among a panel of Pregnant Women, Evidence from Baseline data form the Ethiopia Performance Monitoring for Action Ethiopia, Nov 2019 to Jan 2020\u003c/p\u003e\u003cp\u003ePerceived community acceptance on maternal and newborns care continuum on how many people (no, some, few and most) in their community accept and/or encourage for pregnant women to obtain the three domains (ANC4+, skilled childbirth care and post natal care) among a panel of pregnant showed variation by the categories of selected independent variables.\u003c/p\u003e\u003cp\u003eThe proportion of maternal and newborns care continuum perceived community acceptance and/or encouragement among pregnant women for most people in their community was 33.58% among those aged 20 to 24 years and 34.83% among those aged 35 to 39 years. Among pregnant women aged 40 to 49, 23.16% of them perceived that some people in their community accept and/or encourage women to get the three domains of the continuum maternal and newborns care continuum. The percentage of pregnant women who perceived most, some and few people in their community to accept and/or encourage for women to get the three domains of the maternal and newborns care continuum was found to be 52.26%, 29.81% and 16.82% respectively among pregnant women who attended secondary or above education. Similarly, there is variation by religion and wealth index in the proportion maternal and newborns care continuum perceived community acceptance among pregnant women. For instance, this respective proportion for Orthodox religion followers was 37.82%, 29.59% and 30.25% respectively. This same proportion of maternal and newborns care continuum perceived community acceptance for most, some and few people to acceptance and/or encouragement was 21.58%, 20.85% and 48.66% among pregnant women residing in households with the lowest wealth quintile (Table\u0026nbsp;\u003cspan refid=\"Tab2\" class=\"InternalRef\"\u003e2\u003c/span\u003e\u003cb\u003e)\u003c/b\u003e.\u003c/p\u003e\u003cp\u003eBesides, the proportion maternal and newborns care continuum perceived community acceptance among pregnant women with higher birth order of 3 to 12 children was found to be 27.41%, 24.36% and 37.87% r most, some and few people to acceptance and/or encouragement respectively. Likewise, among pregnant women who reported they wanted that no more or prefer to have no child 30.85%, 24.37% and 36.43% of them perceived that most, some and few people in their community accept and/or encourage for women to get the three domains of the continuum of care.\u003c/p\u003e\u003cp\u003eSimilarly, maternal and newborns care continuum perceived community acceptance showed variation by service use particularly contraceptive use history. Hence, the variation that pregnant women perceived acceptance towards people in their community to accept and/or encourage to obtain these cares among contraceptive ever users was 38.82% for most people, 28.95% and 28.19% for some and few people in their community respectively (Table\u0026nbsp;\u003cspan refid=\"Tab2\" class=\"InternalRef\"\u003e2\u003c/span\u003e\u003cb\u003e)\u003c/b\u003e.\u003c/p\u003e\u003cp\u003eIn similar fashion, perceived community acceptance for maternal and newborns care services use showed variation among pregnant women by residence. Accordingly, pregnant women who reside in rural areas perceived that 26.48%, 28.75% and 36.35% of them perceived that most, some and few people in their community accept and/or encourage women to obtain the three recommended domains of the maternal and newborns care continuum (Table\u0026nbsp;\u003cspan refid=\"Tab2\" class=\"InternalRef\"\u003e2\u003c/span\u003e\u003cb\u003e)\u003c/b\u003e.\u003c/p\u003e\u003cp\u003eLikewise, among pregnant women who were residents in Tigray regional state, the proportion of maternal and newborns care continuum perceived community acceptance by most, some and few people in their community was found to be 1 in 2 women (47.31%), 24.92% and 27.46%respectively. Notably, no pregnant women in Tigray regional state perceived that no people encourage. This same figure stood 28.34%, 30.55% and 34.00% for most, some and few people in their community respectively among residents of Oromya regional state (Table\u0026nbsp;\u003cspan refid=\"Tab2\" class=\"InternalRef\"\u003e2\u003c/span\u003e\u003cb\u003e).\u003c/b\u003e\u003c/p\u003e\u003cp\u003eMoreover, in terms of the desired childbirth attendant, of those women whose desired childbirth attendant was health professional, the proportion of perceived community acceptance and/or encouragement on maternal and newborns care continuum by most, some and few people in their community was found to be 45.67%, 27.98% and 23.79% respectively. This same proportion among pregnant women who desired to delivered at health facilities stood 45.90%, 27.88% and 23.87% for most, some and few people in their community respectively (Table\u0026nbsp;\u003cspan refid=\"Tab2\" class=\"InternalRef\"\u003e2\u003c/span\u003e\u003cb\u003e)\u003c/b\u003e.\u003c/p\u003e\u003cp\u003eFinally, across most the independent variables the proportion of pregnant women who perceived that no people in their community encourage women to obtain the three domains of the continuum of care was found to be less 10% even 5%, except residents of Tigray, where none of them perceived that no people encourage women to get the three domains in the continuum of care. The overall figure for no perceived community acceptance and/or encouragement was 7.4% (Table\u0026nbsp;\u003cspan refid=\"Tab2\" class=\"InternalRef\"\u003e2\u003c/span\u003e\u003cb\u003e)\u003c/b\u003e.\u003c/p\u003e\u003cp\u003e \u003c/p\u003e\u003cdiv class=\"gridtable\"\u003e\u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e\u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e\u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e\u003cdiv align=\"left\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e\u003cdiv align=\"left\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e\u003cdiv align=\"left\" class=\"colspec\" colname=\"c6\" colnum=\"6\"\u003e\u003c/div\u003e\u003cdiv align=\"left\" class=\"colspec\" colname=\"c7\" colnum=\"7\"\u003e\u003c/div\u003e\u003cdiv align=\"left\" class=\"colspec\" colname=\"c8\" colnum=\"8\"\u003e\u003c/div\u003e\u003cdiv align=\"left\" class=\"colspec\" colname=\"c9\" colnum=\"9\"\u003e\u003c/div\u003e\u003cdiv align=\"left\" class=\"colspec\" colname=\"c10\" colnum=\"10\"\u003e\u003c/div\u003e\u003cdiv align=\"left\" class=\"colspec\" colname=\"c11\" colnum=\"11\"\u003e\u003c/div\u003e\u003ctable float=\"Yes\" id=\"Tab2\" border=\"1\"\u003e\u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 2\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003e\u003cb\u003ePerceived Community Acceptance on Maternal and Newborns Care Continuum among a panel of Pregnant Women\u003c/b\u003e, \u003cb\u003eEvidence from\u003c/b\u003e \u003cb\u003eBaseline data form the Ethiopia Performance Monitoring for Action Ethiopia, Nov 2019 to Jan 2020\u003c/b\u003e, \u003cem\u003e(n = 2,219)\u003c/em\u003e\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e\u003ccolgroup cols=\"11\"\u003e\u003c/colgroup\u003e\u003cthead\u003e\u003ctr\u003e\u003cth align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003eVariables\u003c/p\u003e \u003c/th\u003e\u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003eNo People\u003c/p\u003e \u003c/th\u003e\u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003e%\u003c/p\u003e \u003c/th\u003e\u003cth align=\"left\" colname=\"c5\"\u003e \u003cp\u003eMost People\u003c/p\u003e \u003c/th\u003e\u003cth align=\"left\" colname=\"c6\"\u003e \u003cp\u003e%\u003c/p\u003e \u003c/th\u003e\u003cth align=\"left\" colname=\"c7\"\u003e \u003cp\u003eSome People\u003c/p\u003e \u003c/th\u003e\u003cth align=\"left\" colname=\"c8\"\u003e \u003cp\u003e%\u003c/p\u003e \u003c/th\u003e\u003cth align=\"left\" colname=\"c9\"\u003e \u003cp\u003eFew People\u003c/p\u003e \u003c/th\u003e\u003cth align=\"left\" colname=\"c10\"\u003e \u003cp\u003e%\u003c/p\u003e \u003c/th\u003e\u003cth align=\"left\" colname=\"c11\"\u003e \u003cp\u003eTotal\u003c/p\u003e \u003c/th\u003e\u003c/tr\u003e\u003ctr\u003e\u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAge Category\u003c/p\u003e \u003c/th\u003e\u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003e15–19 years\u003c/p\u003e \u003c/th\u003e\u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003e19\u003c/p\u003e \u003c/th\u003e\u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003e7.97\u003c/p\u003e \u003c/th\u003e\u003cth align=\"left\" colname=\"c5\"\u003e \u003cp\u003e76\u003c/p\u003e \u003c/th\u003e\u003cth align=\"left\" colname=\"c6\"\u003e \u003cp\u003e31.82\u003c/p\u003e \u003c/th\u003e\u003cth align=\"left\" colname=\"c7\"\u003e \u003cp\u003e68\u003c/p\u003e \u003c/th\u003e\u003cth align=\"left\" colname=\"c8\"\u003e \u003cp\u003e28.62\u003c/p\u003e \u003c/th\u003e\u003cth align=\"left\" colname=\"c9\"\u003e \u003cp\u003e75\u003c/p\u003e \u003c/th\u003e\u003cth align=\"left\" colname=\"c10\"\u003e \u003cp\u003e31.59\u003c/p\u003e \u003c/th\u003e\u003cth align=\"left\" colname=\"c11\"\u003e \u003cp\u003e238\u003c/p\u003e \u003c/th\u003e\u003c/tr\u003e\u003ctr\u003e\u003cth align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/th\u003e\u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003e20–24 years\u003c/p\u003e \u003c/th\u003e\u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003e32\u003c/p\u003e \u003c/th\u003e\u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003e6.13\u003c/p\u003e \u003c/th\u003e\u003cth align=\"left\" colname=\"c5\"\u003e \u003cp\u003e177\u003c/p\u003e \u003c/th\u003e\u003cth align=\"left\" colname=\"c6\"\u003e \u003cp\u003e33.58\u003c/p\u003e \u003c/th\u003e\u003cth align=\"left\" colname=\"c7\"\u003e \u003cp\u003e161\u003c/p\u003e \u003c/th\u003e\u003cth align=\"left\" colname=\"c8\"\u003e \u003cp\u003e30.58\u003c/p\u003e \u003c/th\u003e\u003cth align=\"left\" colname=\"c9\"\u003e \u003cp\u003e156\u003c/p\u003e \u003c/th\u003e\u003cth align=\"left\" colname=\"c10\"\u003e \u003cp\u003e29.70\u003c/p\u003e \u003c/th\u003e\u003cth align=\"left\" colname=\"c11\"\u003e \u003cp\u003e526\u003c/p\u003e \u003c/th\u003e\u003c/tr\u003e\u003c/thead\u003e\u003ctbody\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e25–29 years\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e48\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e7.41\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e234\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e36.20\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e167\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e25.86\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e197\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e30.53\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e645\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e30–34 years\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e27\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e6.45\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e128\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e30.24\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e122\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e28.75\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e147\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e34.57\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e425\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e35–39 years\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e22\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e7.46\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e102\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e34.83\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e68\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e23.23\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e101\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e34.48\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e292\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e40–49 years\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e8\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e8.55\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e31\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e33.13\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e22\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e23.16\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e33\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e35.16\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e93\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eTotal\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e156\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e7.04\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e747\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e33.66\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e607\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e27.37\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e709\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e31.93\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e2219\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eNo Formal Education\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e93\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e9.97\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e247\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e26.52\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e252\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e27.07\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e339\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e36.44\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e931\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eEducational Status\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003ePrimary Education\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e59\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e6.67\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e288\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e32.62\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e234\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e26.57\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e301\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e34.14\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e882\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eSecondary Education\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e5\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e1.11\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e212\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e52.26\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e121\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e29.81\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e68\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e16.82\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e406\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eTotal\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e156\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e7.04\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e747\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e33.66\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e607\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e27.37\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e709\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e31.93\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e2219\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eOther*\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e0\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e0.00\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e12\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e28.38\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e22\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e51.71\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e8\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e19.91\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e43\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eReligion\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eOrthodox\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e20\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e2.34\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e315\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e37.82\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e246\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e29.59\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e252\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e30.25\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e833\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eProtestant\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e70\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e11.71\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e162\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e26.92\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e149\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e24.83\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e219\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e36.54\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e601\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eMuslim\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e66\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e8.92\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e258\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e34.74\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e190\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e25.55\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e229\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e30.79\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e743\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eTotal\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e156\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e7.04\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e747\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e33.66\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e607\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e27.37\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e709\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e31.93\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e2219\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eLowest quintile\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e39\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e8.91\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e95\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e21.58\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e91\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e20.85\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e213\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e48.66\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e438\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colspan=\"1\" nameend=\"c11\" namest=\"c11\"\u003e\u0026nbsp;\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eWealth Index\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eLower quintile\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e41\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e9.39\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e94\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e21.45\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e140\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e31.94\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e164\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e37.22\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e440\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eMiddle quintile\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e24\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e5.19\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e138\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e29.79\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e164\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e35.28\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e138\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e29.74\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e464\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eHigher quintile\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e33\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e7.47\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e157\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e35.46\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e123\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e27.69\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e130\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e29.38\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e443\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eHighest quintile\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e19\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e4.31\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e263\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e60.47\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e89\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e20.55\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e64\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e14.67\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e434\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eTotal\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e156\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e7.04\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e747\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e33.66\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e607\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e27.37\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e709\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e31.93\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e2219\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eNo Child\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e26\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e4.92\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e201\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e38.07\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e166\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e31.60\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e134\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e25.41\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e527\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colspan=\"1\" nameend=\"c11\" namest=\"c11\"\u003e\u0026nbsp;\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eBirth Order\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e1_2 Children\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e31\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e4.22\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e286\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e38.50\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e210\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e28.23\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e216\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e29.04\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e744\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\" morerows=\"1\" rowspan=\"2\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e3_12 Children\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e98\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e10.36\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e259\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e27.41\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e230\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e24.36\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e358\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e37.87\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e945\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eTotal\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e155\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e7.01\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e746\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e33.67\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e607\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e27.38\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e708\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e31.95\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e2216\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eOnly Once\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e136\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e7.10\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e638\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e33.34\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e528\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e27.61\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e611\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e31.95\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e1912\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colspan=\"1\" nameend=\"c11\" namest=\"c11\"\u003e\u0026nbsp;\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eMarriage History\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eMore than Once\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e20\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e6.86\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e103\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e35.92\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e72\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e25.16\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e92\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e32.06\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e287\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eTotal\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e156\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e7.07\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e741\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e33.68\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e600\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e27.29\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e703\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e31.96\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e2199\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eMonogamy\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e126\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e6.43\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e685\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e35.07\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e542\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e27.75\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e601\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e30.75\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e1954\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colspan=\"1\" nameend=\"c11\" namest=\"c11\"\u003e\u0026nbsp;\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eMarriage type\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003ePolygamy\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e28\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e14.06\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e43\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e21.21\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e44\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e21.70\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e87\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e43.04\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e203\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eTotal\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e154\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e7.14\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e728\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e33.77\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e586\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e27.19\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e688\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e31.90\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e2157\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eUndecided/DKN\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e8\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e3.72\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e77\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e37.34\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e68\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e33.14\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e53\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e25.80\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e205\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colspan=\"1\" nameend=\"c11\" namest=\"c11\"\u003e\u0026nbsp;\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eFertility Intention\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eHave a/another child\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e111\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e7.10\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e530\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e33.99\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e429\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e27.48\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e490\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e31.43\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e1560\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eNo more no child\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e38\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e8.34\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e140\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e30.85\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e111\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e24.37\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e165\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e36.43\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e454\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eTotal\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e156\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e7.04\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e747\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e33.66\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e607\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e27.37\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e709\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e31.93\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e2219\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eMarried\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e147\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e6.96\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e703\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e33.27\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e583\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e27.57\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e680\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e32.20\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e2113\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colspan=\"1\" nameend=\"c11\" namest=\"c11\"\u003e\u0026nbsp;\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eMarital Status\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eLiving With A partner\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e8\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e13.00\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e32\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e50.67\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e9\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e13.89\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e14\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e22.44\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e63\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eWidowed\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e1\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e2.43\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e13\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e30.32\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e15\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e36.67\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e13\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e30.58\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e41\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eTotal\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e156\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e7.05\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e747\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e33.71\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e606\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e27.36\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e707\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e31.89\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e2217\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eNo\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e101\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e11.71\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e220\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e25.54\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e214\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e24.90\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e326\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e37.85\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e861\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colspan=\"1\" nameend=\"c11\" namest=\"c11\"\u003e\u0026nbsp;\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eContraceptive Ever Use\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eYes\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e55\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e4.05\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e527\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e38.82\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e393\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e28.95\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e382\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e28.19\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e1357\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eTotal\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e156\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e7.03\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e747\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e33.66\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e607\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e27.37\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e708\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e31.94\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e2218\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eUrban\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e9\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e1.92\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e284\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e60.16\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e105\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e22.28\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e74\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e15.63\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e473\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colspan=\"1\" nameend=\"c11\" namest=\"c11\"\u003e\u0026nbsp;\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eResidence\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eRural\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e147\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e8.42\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e462\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e26.48\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e502\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e28.75\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e635\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e36.35\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e1746\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eTotal\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e156\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e7.04\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e747\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e33.66\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e607\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e27.37\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e709\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e31.93\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e2219\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eTigray\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e--\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e--\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e75\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e47.31\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e39\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e24.92\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e43\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e27.46\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e158\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colspan=\"1\" nameend=\"c11\" namest=\"c11\"\u003e\u0026nbsp;\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eRegion\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eAfar\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e16\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e36.16\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e3\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e6.00\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e6\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e13.05\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e20\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e44.79\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e45\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eAmhara\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e15\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e3.41\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e163\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e36.92\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e129\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e29.23\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e135\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e30.44\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e442\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eOromiya\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e68\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e7.11\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e273\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e28.34\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e294\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e30.55\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e327\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e34.00\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e963\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eSNNP*/*\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e54\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e10.14\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e183\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e34.44\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e120\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e22.61\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e175\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e32.81\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e532\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eAddis\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e2\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e2.69\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e50\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e62.88\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e19\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e23.30\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e9\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e11.13\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e80\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eTotal\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e156\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e7.04\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e747\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e33.66\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e607\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e27.37\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e709\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e31.93\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e2219\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eVery happy\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e52\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e5.59\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e349\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e37.69\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e258\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e27.84\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e268\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e28.87\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e927\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colspan=\"1\" nameend=\"c11\" namest=\"c11\"\u003e\u0026nbsp;\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eGot Pregnant Feeling\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eSort happy\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e54\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e9.38\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e174\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e30.24\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e168\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e29.23\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e179\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e31.15\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e575\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eMixed unhappy\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e22\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e6.16\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e123\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e35.18\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e82\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e23.35\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e124\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e35.31\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e351\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eSort unhappy\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e17\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e9.10\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e50\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e26.53\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e56\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e30.09\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e64\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e34.28\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e187\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eVery unhappy\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e12\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e6.74\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e47\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e26.94\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e42\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e24.00\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e74\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e42.32\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e176\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eTotal\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e156\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e7.05\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e744\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e33.56\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e607\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e27.38\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e709\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e32.00\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e2216\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eNo One\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e10\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e8.18\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e19\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e14.77\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e35\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e27.13\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e64\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e49.93\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e127\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colspan=\"1\" nameend=\"c11\" namest=\"c11\"\u003e\u0026nbsp;\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003e\u003cb\u003eDesired Birth Attendant\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eHealth Professional\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e37\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e2.56\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e659\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e45.67\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e404\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e27.98\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e343\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e23.79\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e1443\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eFamily Member\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e109\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e16.86\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e68\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e10.53\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e167\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e25.85\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e302\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e46.76\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e645\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eTotal\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e156\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e7.05\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e746\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e33.66\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e605\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e27.31\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e709\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e31.98\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e2216\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eHome/ND\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e123\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e15.11\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e103\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e12.59\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e216\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e26.49\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e374\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e45.81\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e816\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colspan=\"1\" nameend=\"c11\" namest=\"c11\"\u003e\u0026nbsp;\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eDesired Place of Delivery\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eHealth Facility\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e33\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e2.35\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e644\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e45.90\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e391\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e27.88\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e335\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e23.87\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e1403\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eTotal\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003e156\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u003cb\u003e7.04\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e747\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e\u003cb\u003e33.66\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u003cb\u003e607\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cb\u003e27.37\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cb\u003e709\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e\u003cb\u003e31.93\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e\u003cb\u003e2219\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003c/tbody\u003e\u003c/table\u003e\u003c/div\u003e\u003cp\u003e\u003c/p\u003e\u003cp\u003e*/*=former Southern Nations Nationalities and Peoples Region which consists of the current South Ethiopia, Central Ethiopia, South West Ethiopia, and Sidama Regions, *= Wakefeta and traditional religion\u003c/p\u003e\u003cp\u003e \u003cb\u003eCorrelates of Perceived Community Acceptance on Maternal and Newborns Care Continuum among a panel of Pregnant Women, Evidence from Baseline data form the Ethiopian Performance Monitoring for Action Ethiopia, Nov 2019 to Jan 2020\u003c/b\u003e \u003c/p\u003e\u003cp\u003eAfter controlling for confounders with p value \u0026lt; 0.25 the following factors affecting perceived community acceptance on maternal and newborns care continuum among pregnant women for most people in their community were identified.\u003c/p\u003e\u003cp\u003eThe likelihood of maternal and newborns care continuum perceived community acceptance for most people in their community was found to be 3.01 (AOR: 95%CI; 1.13, 8.00) times higher among those aged 30 to 34 older compared to those 15 to 19 years while pregnant women aged 35 to 39 had 4.61 times (AOR: 95%CI; 1.55, 13.72) higher likelihood of perceiving that most people in their community accept and/or encourage to get the three domains of the continuum of care. Similarly, pregnant women who were residents of Oromiya region had 2.10 times (AOR: 95%CI; 1.17, 3.77) higher likelihood of maternal and newborns care continuum perceived community acceptance for most people in their community. Moreover, pregnant women who attended secondary education or above had 3.33 times (AOR: 95%CI; 1.23, 9.07) higher likelihood to perceive that most people in their community to accept and/or encourage women to get the three domains of maternal and newborns care continuum compared to those with no formal education.\u003c/p\u003e\u003cp\u003eFurthermore, the likelihood of maternal and newborns care continuum perceived community acceptance for most people in their community among pregnant women who ever used contraceptives and those whose desired delivery place was health facility was found to be 2.56 (AOR: 95%CI; 1.57,4.16) and 4.28 (AOR: 95%CI; 1.57,11.62) respectively \u003cb\u003e(\u003c/b\u003eTable\u0026nbsp;\u003cspan refid=\"Tab3\" class=\"InternalRef\"\u003e3\u003c/span\u003e\u003cb\u003e).\u003c/b\u003e\u003c/p\u003e\u003cp\u003eOn the other hand, the likelihood of maternal and newborns care continuum perceived community acceptance and/or encouragement by most people was found to be only 0.19 (AOR: 95%CI; 0.06, 0.58) among pregnant women residing in the well to do households. This likelihood was lowered by 64% (AOR: 0.36 (95%CI; 0.13, 0.96)) and only 0.18 (AOR: 95%CI; 0.07, 0.51)) among those who desired birth attendant was family member and/or TBA and among those residents of rural areas respectively. Similarly, women those whose husbands had other wife’s reported and those who had a higher birth order a 55%, (AOR: 0.45 (95%CI; 0.26, 0.81) and a 60%, 0.40 (AOR: 95%CI: 0.18, 0.90) lower likelihood of maternal and newborns care continuum perceived community acceptance for most people in their community respectively (Table\u0026nbsp;\u003cspan refid=\"Tab3\" class=\"InternalRef\"\u003e3\u003c/span\u003e\u003cb\u003e).\u003c/b\u003e\u003c/p\u003e\u003cp\u003eAfter controlling for confounders with p value \u0026lt; 0.25 the following factors were found to be factors associated with for maternal and newborns care continuum perceived community acceptance among pregnant women for some people in their community.\u003c/p\u003e\u003cp\u003eThe likelihood of maternal and newborns care continuum perceived community acceptance among pregnant women for some people in their community to accept and/or encourage women to get the three domains of was 3.84 (AOR: 95%CI; 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 years had 4.40 (AOR: 95%CI; 1.47, 13.14) higher likelihood of perceiving some people in their community to get the three domains of the continuum of care. Moreover, pregnant women who attended secondary education or above 3.63 times (AOR: 95%CI; 1.32, 9.96) higher likelihood to perceive that some people in their community could accept and/or encourage women to get the three domains of maternal compared to those pregnant with no formal education. Furthermore, pregnant women who have contraceptive use history had 2.50 (AOR: 95%CI; 1.54, 4.07) higher likelihood of maternal and newborns care continuum community acceptance for some people in their community \u003cb\u003e(\u003c/b\u003eTable\u0026nbsp;\u003cspan refid=\"Tab3\" class=\"InternalRef\"\u003e3\u003c/span\u003e\u003cb\u003e).\u003c/b\u003e\u003c/p\u003e\u003cp\u003eOn the other hand, pregnant women residing in the households with the highest wealth quintile had only 0.12 (95%CI: 0.04, 0.37) odds of maternal and newborns care continuum community acceptance for some people in their community, and those residing in rural areas had a 76% lower likelihood 0.24 (AOR: 95%CI; 0.08, 0.68)) of perceiving that some people in their community accept and/or encourages women to get the three domains of maternal and new born care continuum. Similarity, women whose husband has other wife’s had 56% lower likelihood 0.44 (AOR: 95%CI; 0.25, 0.77)) of perceiving that some people in their community to accept and/or encourage women to obtain the three domains of maternal and new born continuum of care. Similarly women with higher birth order had 65%, 0.35 (AOR: 95%CI; 0.16, 0.79) lower likelihood of perceived maternal and newborns care continuum community acceptance and/or encouragement by some people. Pregnant women whose desired birth attendant was Family member and/or TBA had 62% lower likelihood 0.38 (AOR: 95%CI; 0.15,0.94)) to perceive that some people in their community to accept and/or encourage women to get the three domains of maternal and newborns care continuum care as compared with their counter parts \u003cb\u003e(\u003c/b\u003eTable\u0026nbsp;\u003cspan refid=\"Tab3\" class=\"InternalRef\"\u003e3\u003c/span\u003e\u003cb\u003e).\u003c/b\u003e\u003c/p\u003e\u003cp\u003eAfter controlling for confounders with p value \u0026lt; 0.25 the following factors were found to be factors associated with maternal and newborns care continuum perceived community acceptance and/or encouragement among pregnant women for few people in their community.\u003c/p\u003e\u003cp\u003eThe likelihood of maternal and newborns care continuum perceived community acceptance among pregnant women by few people in their community to accept and/or encourage women to obtain the three domains of maternal and new born continuum was 2.90 (AOR: 95%CI; 1.02, 8.23) higher among pregnant women belonging to age group 35 to 39. Similarly, attending secondary education or above increased the likelihood of pregnant women perceived acceptance and/or encouragement by few people in their community by 3.03 (AOR: 95%CI; 1.10, 8.34). Furthermore, pregnant women who have contraceptive use history had 1.84 (AOR: 95%CI; 1.15, 2.94) higher likelihood of maternal and newborns care continuum community acceptance for few people in their community \u003cb\u003e(\u003c/b\u003eTable\u0026nbsp;\u003cspan refid=\"Tab3\" class=\"InternalRef\"\u003e3\u003c/span\u003e\u003cb\u003e).\u003c/b\u003e\u003c/p\u003e\u003cp\u003eOn the contrary, pregnant women residing in rural areas had 75% lower likelihood (0.25 (AOR: 95%CI; 0.09, 0.71)) to perceive that few people in their community accept and/or encourage women to obtain the three domains of continuum of care while pregnant women whose desired birth attendant is Family member and/or TBA had 12% (0.88 (AOR: 95%CI; 0.17, 0.72)) lower likelihood to perceive that few people in their community accept and/or encourage women to get the three domains of maternal and newborns continuum of care as compared with their counter parts. The likelihood of maternal and newborns care continuum perceived community acceptance by few people in their community was only 0.51 (AOR: 95%CI; 0.30, 0.86) and 0.07 (AOR: 95%CI; 0.03, 0.22) respectively among pregnant women residing in the poorest and well to do households (Table\u0026nbsp;\u003cspan refid=\"Tab3\" class=\"InternalRef\"\u003e3\u003c/span\u003e\u003cb\u003e).\u003c/b\u003e\u003c/p\u003e\u003cp\u003e \u003c/p\u003e\u003cdiv class=\"gridtable\"\u003e\u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e\u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e\u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e\u003cdiv align=\"left\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e\u003cdiv align=\"left\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e\u003ctable float=\"Yes\" id=\"Tab3\" border=\"1\"\u003e\u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 3\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eMultinomial Logistic Regression for Perceived Community Acceptance on Maternal and Newborns Care Continuum among a panel of Pregnant Women, \u003cem\u003eEvidence from\u003c/em\u003e Baseline data form the Ethiopia Performance Monitoring for Action Ethiopia, Nov 2019 to Jan 2020\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e\u003ccolgroup cols=\"5\"\u003e\u003c/colgroup\u003e\u003cthead\u003e\u003ctr\u003e\u003cth align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003eVariables\u003c/p\u003e \u003c/th\u003e\u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003eMost People\u003c/p\u003e \u003cp\u003eA RRR\u003c/p\u003e \u003c/th\u003e\u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003eSome People\u003c/p\u003e \u003cp\u003eA RRR\u003c/p\u003e \u003c/th\u003e\u003cth align=\"left\" colname=\"c5\"\u003e \u003cp\u003eFew People,\u003c/p\u003e \u003cp\u003eA RRR\u003c/p\u003e \u003c/th\u003e\u003c/tr\u003e\u003c/thead\u003e\u003ctbody\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eWomen Age\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e15–19 years\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eCategory\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e20–24 years\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1.24 (0.56,2.76)\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1.52 (0.70,3.33)\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1.28 (0.60,2.72)\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e25–29 years\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1.31 (0.55, 3.09)\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1.44 (0.61,3.41)\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1.33 (0.58,3.03)\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e30–34 years\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e3.01 (1.13, 8.00)*\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e3.84 (1.45, 10.21)**\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e2.56 (1.01,6.51)*\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e35–39 years\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e4..61 (1.55, 13.72)**\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e4.40 (1.47,13.14)**\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e2.90 (1.02,8.23)*\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e40–49 years\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e3.85 (0.99, 15.01)\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e3.30 (0.83,13.08)\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1.92 (0.52,7.09)\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eEducational Status\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eNo formal education\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\" morerows=\"1\" rowspan=\"2\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003ePrimary Education\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1.02 (0.62,1.69)\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1.09 (0.66, 1.80)\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1.23 (0.77,1.99)\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eSecondary+ _Education\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e3.33 (1.23, 9.07)**\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e3.63 (1.32,9.96)*\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e3.03 (1.10,8.34)\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eWealth Index\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003ePoorest quintile\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eLower quintile\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0.65 (0.36,1.19)\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1.15 (0.65,2.05)\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e0.51 (030.,0.86)*\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eMiddle quintile\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1.29 (0.68, 2.45)\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1.84 (0.98, 3.44)\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e0.68 (0.38,1.22)\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eHigher quintile\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1.42 (0.74,2.70)\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1.32 (0.70,2.50)\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e0.65 (0.36,1.16)\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eHighest quintile\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0.19(0.06,0.58)**\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e0.12 (0.04,0.37)***\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e0.07 (0.03,0.22)***\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eParity\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eNo Child\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e1_2 Children\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0.9 (0.46,1.79)\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e0.85 (0.43,1.69)\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e0.99 (0.51,1.94)\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e3_12 Children\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0.40 (0.18, 0.90)*\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e0.35 (0.16,0.79)*\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e0.62 (0.29,1.35)\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003e\u003cb\u003eHusbands Has other Wife’s\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eNo\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eYes\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0.45 (0.26,0.81)**\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e0.44(0.25,0.77)**\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e0.64 (0.40,1.03)\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003e\u003cb\u003eFertility Desire\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eUndecided\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eWanted to have another child\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0.64 (0.30,1.37)\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e0.64 (0.30,1.36)\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e0.91 (0.44,1.90)\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eNo more another child\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0.53 (0.22,1.27)\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e0.42 (0.17,0.99)*\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e0.66 (0.29,1.53)\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eContraceptive Ever Use\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eNo\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eYes\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e2.56 (1.57,4.16)***\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e2.50 (1.54,4.07)***\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1.84 (1.15,2.94)*\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eResidence\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eUrban\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eRural\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0.18 (0.07,0.51)**\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e0.24 (0.08,0.68)***\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e0.25 (0.09,0.71)**\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eRegion\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eTigray \u0026amp;Afar\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eAmhara\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e2.08 (0.95, 4.57)\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e2.09 (0.95,4.60)\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1.79 (0.84,3.84)\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eOromiya\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e2.10 (1.17,3.77)*\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e2.35 (1.32,4.21)**\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1.58 (0.91,2.73)\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eSNNP\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1.09 (0.62,1.89)\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e0.95 (0.55,1.65)\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e0.73 (0.44,1.23)\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eAddis\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0.75 (0.24,2.28)\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e0.68 (0.21,2.15)\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e0.41 (0.13,1.34)\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eif got pregnant after this index\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eVery unhappy\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eSort happy\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0.69 (043,1.10)\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1.02 (0.65,1.62)\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1.01 (0.65,1.55)\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eMixed unhappy\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1.52 (0.76,3.02)\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1.25 (0.62,2.50)\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1.61 (0.83,3.13)\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eSort unhappy\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0.62 (0.28,1.37)\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e0.75 (0.34,1.66)\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e0.75 (0.35,1.31)\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eVery unhappy\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0.75 (0.30, 1.88)\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e0.81 (0.32,2.04)\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1.34 (0.56,3.17)\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eDesired Delivery Place\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eHome\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eHealth Facility\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e4.28 (1.57,11.62)**\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e2.19 (0.80,5.96)\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e2.67 (0.98,7.27)\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003e\u003cb\u003eDesired Attendant\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eNo one\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eHealth Professional\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e2.47 (0.71,8.61)\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1.64 (0.48,5.58)\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e0.71 (0.22,2.35)\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eTBA/Family Member\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0.36 (0.13,0.96)*\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e0.38 (0.15,0.94)*\u003c/p\u003e \u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e0.88 (0.17,0.72)*\u003c/p\u003e \u003c/td\u003e\u003c/tr\u003e\u003c/tbody\u003e\u003c/table\u003e\u003c/div\u003e\u003cp\u003e\u003c/p\u003e\u003cp\u003e*** p \u0026lt; .001, ** p \u0026lt; 0.01, * p \u0026lt; 0.05\u003c/p\u003e"},{"header":"Discussion","content":"\u003cp\u003eBeing short of half way of the SDG era; the paradigm shift in terms of policy articulation, service provision and research focus on maternal and newborn health services calls for an integrated service provision. This integrated service is called continuum of maternal, newborns, child health care continuum which calls up on that every pregnant women being enrolled to antenatal care (ANC) should get the recommended cares namely: ANC4+, skilled childbirth care and immediate postnatal care. This could increase the yield rate of retention in the care continuum. Moreover, evidences showed that one of the bottlenecks for the exiting persistent poor maternal and fetal outcomes despite the visible efforts in maternal, newborns and child health (MCH) service provision is women perception that people in their community accept and/or encourage pregnant women to obtain the three domains of the care. Besides, 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. Therefore, documenting the proportion maternal and newborns care continuum perceived community acceptance among pregnant women and identifying its correlates for the variation of such an acceptance is a very critical step in availing actionable evidence to improve maternal and newborns outcomes by increasing skilled delivery care at health facilities at this juncture.\u003c/p\u003e \u003cp\u003eThe finding that pregnant women perceived community acceptance on maternal and newborns care continuum was found to be 33.66% and 31.93% for most and few people respectively accept and/or encourage women to obtain the three domains of maternal and newborns care continuum is suboptimal. This suboptimal perceived community acceptance on maternal and newborns care continuum calls for the Ethiopian government, the global a community, relevant actors and developmental partners to focus their effort to improve community acceptance and/or encouragement for pregnant women to use the three recommended services. This is clearly stated indicated in a study (\u003cspan citationid=\"CR10\" class=\"CitationRef\"\u003e10\u003c/span\u003e) on continuum of care for maternal, newborns, and child health from slogan to service delivery and provision of those service for better postnatal newborns and maternal outcomes (\u003cspan citationid=\"CR2\" class=\"CitationRef\"\u003e2\u003c/span\u003e, \u003cspan citationid=\"CR10\" class=\"CitationRef\"\u003e10\u003c/span\u003e, \u003cspan citationid=\"CR33\" class=\"CitationRef\"\u003e33\u003c/span\u003e). This indirectly minimizes the effect of significant others on health service and enhances the rate of retention in the care continuum. The implication of this study call up on strengthen the new community score cards (CSC) strategy being implemented by health facilities in Ethiopia as stated in (\u003cspan citationid=\"CR45\" class=\"CitationRef\"\u003e45\u003c/span\u003e) that the use of CSCs in Ethiopia contributed to the health system\u0026rsquo;s performance in terms of maternal and child health services improvement. This implication was supported by the finding from a study by Kiracho et al. and his colleagues conducted in Uganda on the Influence of community scorecards on maternal and newborns health service delivery and utilization. The study recommended that the community score cards created opportunities for community leaders and communities to work together to identify innovative ways of dealing with the health service delivery and utilization challenges that they are facing (\u003cspan citationid=\"CR41\" class=\"CitationRef\"\u003e41\u003c/span\u003e). It highlighted that local leaders should encourage the availability of safe spaces for dialogue between communities, health workers and leaders where performance and utilization challenges can be identified and solutions proposed and implemented jointly (\u003cspan citationid=\"CR41\" class=\"CitationRef\"\u003e41\u003c/span\u003e). The other implication of this finding was that the role of installing women community maternal newborns health family meeting to increase uptake of the three domains of maternal and newborns care continuum as supported by a finding from a study (\u003cspan citationid=\"CR2\" class=\"CitationRef\"\u003e2\u003c/span\u003e). This study further showed that the completeness of maternal and newborns care received during birth and the early postnatal period in rural Ethiopia was directly proportional to the number for meetings which claimed that the completeness of maternal and newborns care received during birth and the early postnatal period in rural Ethiopia was directly proportional to the number of meetings.\u003c/p\u003e \u003cp\u003eOur finding\u0026acute;s further implication was reflected from the another study\u0026acute;s finding (\u003cspan citationid=\"CR45\" class=\"CitationRef\"\u003e45\u003c/span\u003e) on Implementing a social accountability approach for maternal, neonatal, and child health service performances in Ethiopia: a pre-post study design showed that the use of community score cards (CSCs) in Ethiopia contributed to the health system\u0026rsquo;s performance in terms of maternal and child health services uptake improvement. The responsiveness of health workers and utilization of basic health services by community members were found to increase significantly with CSC use. This study recommended on continued implementation of the CSC intervention at Primary Health Care Unit (PHCU)\u0026rdquo; highlighting that of the 10 key maternal neonatal and child health performance indicators measured, 9 were found to be improved as a result of implementing the community scorecard approach. The Federal democratic Republic of Ethiopian Health Ministry has been implementing the social accountability: Community score card as a tool to get feedback from the community to increase health service uptake in general and maternal and new born care continuum packages in particular. Since 2017 CSC was regard as a key component of the Ministry\u0026acute;s reform agenda which was first piloted in 36 districts and later implemented 55% of the districts in the country by 2020. The country has rolled out a community score card (CSC) mechanism to improve quality of care within the primary health care units by involving health extension workers and the Health Development Army to monitor the progress towards implementing the two of the ministry\u0026acute;s initiatives, namely: the woreda transformation and the primary health care improvement programmes (\u003cspan citationid=\"CR46\" class=\"CitationRef\"\u003e46\u003c/span\u003e) serving as a mechanism to gather community feedback to improve service quality and service uptake completeness.\u003c/p\u003e \u003cp\u003eThe finding that middle aged and educated (\u003cspan citationid=\"CR47\" class=\"CitationRef\"\u003e47\u003c/span\u003e) pregnant women have positive and increased likelihood of maternal and newborns care perceived community acceptance by most and/or some people in their community to accept and/or encourage women to obtain the three domains of maternal and newborns care might be related with their experience in child bearing, previous pregnancy and childbirth care (\u003cspan citationid=\"CR48\" class=\"CitationRef\"\u003e48\u003c/span\u003e). This higher likelihood might be related with awareness on the benefits of health service use. Such attributes might empower them to use reproductive and maternal health services (\u003cspan additionalcitationids=\"CR50 CR51\" citationid=\"CR49\" class=\"CitationRef\"\u003e49\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR52\" class=\"CitationRef\"\u003e52\u003c/span\u003e) since getting reproductive service including contraception as this has been declared as women and girls right (\u003cspan citationid=\"CR53\" class=\"CitationRef\"\u003e53\u003c/span\u003e) in the human right approach of reproductive, maternal, newborns and child health care services provision. This decreases the negative influence of other people in their community on their health service use.\u003c/p\u003e \u003cp\u003eThe finding that women desired place of delivery was health facility has increased the likelihood of pregnant women maternal and newborns care continuum perceived community acceptance might related with proximity of health facilities (\u003cspan citationid=\"CR54\" class=\"CitationRef\"\u003e54\u003c/span\u003e), the success of the health extension program along with risk assessment and referring to maternity waiting homes particularly in remote areas to mention one of main reasons (\u003cspan citationid=\"CR55\" class=\"CitationRef\"\u003e55\u003c/span\u003e) and the government\u0026rsquo;s commitment to avail service near to the community (\u003cspan citationid=\"CR56\" class=\"CitationRef\"\u003e56\u003c/span\u003e) as well as to improve quality of care and provide respectful maternity care (\u003cspan citationid=\"CR57\" class=\"CitationRef\"\u003e57\u003c/span\u003e, \u003cspan citationid=\"CR58\" class=\"CitationRef\"\u003e58\u003c/span\u003e). The might be also related with husband support and accompany during the maternal and newborns care continuum (\u003cspan citationid=\"CR34\" class=\"CitationRef\"\u003e34\u003c/span\u003e, \u003cspan citationid=\"CR35\" class=\"CitationRef\"\u003e35\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eThe finding that pregnant women who ever used contractive is associated with increment in the likelihood maternal and newborns care continuum perceived community acceptance might be related with women ability to decide about their reproductive health service use including contraceptive use by themselves (\u003cspan citationid=\"CR50\" class=\"CitationRef\"\u003e50\u003c/span\u003e, \u003cspan citationid=\"CR51\" class=\"CitationRef\"\u003e51\u003c/span\u003e). Their contraceptive use experience might enable them to have exposure for health service and reduce the negative influence of people in the community on their maternal and newborns care continuum use and completion.\u003c/p\u003e \u003cp\u003eThe finding that pregnant women whose desired birth attendants was family Member and/or TBA lowers the likelihood of perceiving people in their community to accept and/or encourage women to get the three recommended services might be related with the government commitment to avail health service in general and maternal and newborns health service and childbirth care in particular, most free of charge (\u003cspan citationid=\"CR56\" class=\"CitationRef\"\u003e56\u003c/span\u003e). Besides, the health promotion and prevention efforts being made by the health extension programs and health extension workers as well as their effort to link pregnant women after first antenatal care visit contact and post-partum women to higher level facilities through their home-to-home visits apart from providing initial care, counseling and provision of postpartum contraception provision could be considered as additional plausible explanation (\u003cspan citationid=\"CR55\" class=\"CitationRef\"\u003e55\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eThe finding that being the member of the well to do households lowered the likelihood pregnant women maternal and newborns care continuum perceived community acceptance might be related with their influence in household level decision making (\u003cspan citationid=\"CR59\" class=\"CitationRef\"\u003e59\u003c/span\u003e, \u003cspan citationid=\"CR60\" class=\"CitationRef\"\u003e60\u003c/span\u003e) and with good couples communication (\u003cspan citationid=\"CR61\" class=\"CitationRef\"\u003e61\u003c/span\u003e). This in turn lower the negative influence from significant others around them. The other argument is that most of the well index constructs used in Ethiopia are skewed to the rural set up and those rural residents have lower likelihood of maternal and newborns care perceived community acceptances (\u003cspan citationid=\"CR62\" class=\"CitationRef\"\u003e62\u003c/span\u003e, \u003cspan citationid=\"CR63\" class=\"CitationRef\"\u003e63\u003c/span\u003e). On the contrary, occupying the better socio-economic position enabling them to rely on themselves for their health service use decision rather than seeking the sole approval and validation from significant others around them (\u003cspan citationid=\"CR60\" class=\"CitationRef\"\u003e60\u003c/span\u003e, \u003cspan citationid=\"CR64\" class=\"CitationRef\"\u003e64\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eThe finding that rural women have lower perceived acceptance and/or encouragement that people in their community encourage women to get there three recommended care of maternal and newborns health might be related that women themselves and people around them prefer care by traditional birth attendants (\u003cspan citationid=\"CR62\" class=\"CitationRef\"\u003e62\u003c/span\u003e) as predominantly practiced in rural setting which is related with cultural and religious inclinations (\u003cspan citationid=\"CR63\" class=\"CitationRef\"\u003e63\u003c/span\u003e) which is also pronounced among rural residents .\u003c/p\u003e \u003cp\u003eThe finding that higher birth order lowered women perceived likelihood that most, some and few people in their community accept and/or encourage women obtain the three recommended domains of care might be related with women prior pregnancy experience (\u003cspan citationid=\"CR48\" class=\"CitationRef\"\u003e48\u003c/span\u003e) enabling them to rely on themselves for health service rather than seeking significant others sole approval and validation to seek maternal and reproductive health service use (\u003cspan citationid=\"CR60\" class=\"CitationRef\"\u003e60\u003c/span\u003e, \u003cspan citationid=\"CR64\" class=\"CitationRef\"\u003e64\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eThe finding that husband has other wives\u0026rsquo; would lower the likelihood of maternal and newborns care continuum perceived community acceptance might be related the suboptimal husband involvement in maternal, newborns and child health care (\u003cspan citationid=\"CR32\" class=\"CitationRef\"\u003e32\u003c/span\u003e) though WHO recommended husband involvement as one of the pivotal strategies to increase uptake and completion of maternal and newborns health (\u003cspan citationid=\"CR7\" class=\"CitationRef\"\u003e7\u003c/span\u003e). Moreover, this might be related companionship preference during labor and delivery and while seeking postnatal care services. A study (\u003cspan citationid=\"CR39\" class=\"CitationRef\"\u003e39\u003c/span\u003e) showed that women stated different preferences for their desired companion, including their husband or male partner, sister, mother, mother-in-law, doula, or a combination of different people. This might be also related with absence of policy on husband involvement in maternal and newborns care and when exits there is a gap in policy and practice (\u003cspan citationid=\"CR65\" class=\"CitationRef\"\u003e65\u003c/span\u003e, \u003cspan citationid=\"CR66\" class=\"CitationRef\"\u003e66\u003c/span\u003e) and lack of knowledge of husband on their wife\u0026rsquo;s maternal and newborns care continuum involvement as concluded on a study (\u003cspan citationid=\"CR67\" class=\"CitationRef\"\u003e67\u003c/span\u003e). Besides, women in a polygamous families have lower likelihood of perceived community acceptance on the maternal and newborns care continuum. Being in a polygamy marriage contributed for the inequalities in adherence to the continuum of maternal and child health service utilization (\u003cspan citationid=\"CR68\" class=\"CitationRef\"\u003e68\u003c/span\u003e). One of the possible mechanism through which polygamy lower health service use by its effect the psycho-social health of the women (\u003cspan citationid=\"CR69\" class=\"CitationRef\"\u003e69\u003c/span\u003e), economic disadvantaged and hampering their decision making ability. Women in polygamous families\u0026rsquo; experience more marital distress (\u003cspan citationid=\"CR70\" class=\"CitationRef\"\u003e70\u003c/span\u003e). The other plausible route for polygamy to lower maternal and newborns care continuum perceived community acceptance and actual service uptake is through its deterring effect on contraceptive use (\u003cspan citationid=\"CR71\" class=\"CitationRef\"\u003e71\u003c/span\u003e) and its effect is more pronounced in a pastoralist communities (\u003cspan citationid=\"CR72\" class=\"CitationRef\"\u003e72\u003c/span\u003e). The other effect is through health service use reduction such antenatal and postnatal care services (\u003cspan citationid=\"CR73\" class=\"CitationRef\"\u003e73\u003c/span\u003e). Intimate partner violence might be the other possible routes through which polygamy operates in lowering women perceived community acceptance on maternal and newborns care continuum by deterring the health service use decision making (\u003cspan citationid=\"CR74\" class=\"CitationRef\"\u003e74\u003c/span\u003e, \u003cspan citationid=\"CR75\" class=\"CitationRef\"\u003e75\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eThis study is not spared of limitations. To begin with, perception measurement has always possessed challenges in health, medical and behavioral research undertakings. This study used pregnant women perception of the community as proxy indicator to measure community acceptance on maternal and newborns care continuum. This proxy finding could gave an insight in assessing community influence on maternal and newborns care continuum which is the focus of contemporary health research in health services use. However, future studies are needed to conduct sensitivity analysis among the categories of the outcome variable and come up with a direct measurement approach options to capitalize findings from this study. Therefore, though reliance on self-reported history data and potential biases exist particularity on maternal and newborns continuum of care service use perceived community acceptance among a cohort of pregnant women; such findings offer meaningful insights in measuring the influence of the community on health service use in general and pregnant women maternal and newborns care continuum of care service use in particular. In addition, inherent to all secondary data analysis; not all the necessary confounder variables including cultural beliefs related variables which could influence maternal and newborns health services use were not measured. Besides, caution need to be considered while extrapolating this findings to non-panel regions (the three mainly agrarian region, Addis Ababa and the former southern nation\u0026rsquo;s nationalities and peoples region) owing to the fact about diverse socio-cultural issues across the country which might have influence on the perceived community acceptance.\u003c/p\u003e"},{"header":"Conclusion","content":"\u003cp\u003eThe finding that maternal and new born care continuum perceived community acceptance among pregnant women was suboptimal is an alarm that the global community have a long way to go to achieve nearly almost all women get the three recommended cares by averting the negative influence of people in the community on the entry, being retained in and completing the maternal and newborns care continuum among pregnant women\u003c/p\u003e \u003cp\u003e Similarly, the observed regional variation calls upon the ministry and relevant developmental partners to design and implement regionally sensitive activities to escalate completion of maternal and newborns care continuum by empowering women to avoid seeking approval and validation from people in community to decide their health services use.\u003c/p\u003e \u003cp\u003e Given pregnancy and childbirth are social and communal events, activities and targets focusing on women who are educated and, which encourage contraceptive use for spacing, women economic empowerment and advocating planning and obtaining health facility delivery and skilled childbirth care are likely to nurture women perceived acceptance for most people in the community to use the three domains of CoC. Such an endeavor in improving the positive impact significant others on maternal and newborns health service use. This halts the negative effect of other and women be able to decide their health service needs independent of the influence of the community and the significant others.\u003c/p\u003e \u003cp\u003eThe finding related desired birth attendant and place of delivery indicate that increasing awareness creation and advocating birth preparedness and complication readiness is likely 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 considering the regional variation in women perception that people in their community accept and/or encourage for women to use the three recommended domains of maternal and newborns continuum of care and its actual uptake.\u003c/p\u003e \u003cp\u003eRegion and place of residence specific age sensitive efforts and activities which targeted less educated women, women with polygamy, women with higher birth order and who do not need additional child aiming at increasing institutional and skilled childbirth care along with diversified contraceptive provision would enhance maternal and newborns care continuum perceived community acceptance among pregnant women.\u003c/p\u003e \u003cp\u003e Utilizing the promising Implementation of the social accountability approach for maternal, neonatal, and child health service among the primary health care units in Ethiopia and Installing the inter pregnancy package of preconception care are imperative to enhance and nurture the positive influence of the community in the community on maternal and newborns care continuum perceived community acceptance among pregnant women. This provides a mechanism to get feedback on maternal and newborns care continuum indicators from the community.\u003c/p\u003e \u003cp\u003eFuture Ethiopian PMA and related surveys might need to come up with a direct measurement approach on the influence of the community towards pregnant women perceived community acceptance on maternal and newborns care continuum of care service use in particular and health service in general. Moreover, in the upcoming manuscript, the authors are planning to consider facility level factors by merging PMA service facility data with women and household data to consider the effect of facility side factors. Furthermore, future similar surveys need to collect information on important missing elements such as cultural beliefs related variables which could influence maternal and newborns health services use.\u003c/p\u003e \u003cp\u003eLastly, we recommend the use of merged service delivery point and community data to capture the effect of facility side factors for future endeavors to further analysis the publicly available data sets from the Johns Hopkins Research Data Repository by adhering the Data Use Agreement and proper citation as stated in the community norms of good scientific practices on the data repository platform.\u003c/p\u003e \u003cp\u003ePolicy and practical implication of findings\u003c/p\u003e \u003cp\u003e The implication of the study\u0026acute;s finding was strengthening the implementation of community score cards which provided a mechanism for obtaining and incorporating community input. This input enhances health service uptake in general and maternal and newborns care continuum completion in particular.\u003c/p\u003e \u003cp\u003e Installing women community maternal newborns health family meeting on the type of birth attendant and completeness of maternal and newborns care received during childbirth and the early postnatal period was another implication of this study. This indicated that the use of community score card at health facilities and family meeting provide a mechanism to entertain community input and feedback on maternal and newborns health service provision. This could nurture a positive influence on maternal and newborns care continuum among pregnant women. In 2017, the Federal Health Ministry (FMoH) introduced a Community Scorecards (CSC) for Woreda (district) health offices, primary health care facilities and the community to monitor service quality, and respond to community needs. As of June 2019, the CSC had been rolled out in four agrarian regions: Tigray, Amhara, Oromia and the Southern Nations, Nationalities, and Peoples\u0026rsquo; Region. Hence, take lessons lessoned, strengthening the monitoring and evaluation of the implementation status could be imperative to get community feedback to improve health service utilization in general and maternal and newborns care continuum completion in particular.\u003c/p\u003e \u003cp\u003eBesides, testing the effectiveness of community maternal and newborns health family meetings in urban setting, and scaling up is implied to enhance maternal and newborns service uptake and continuum of care completion as indicated in (\u003cspan citationid=\"CR2\" class=\"CitationRef\"\u003e2\u003c/span\u003e) that the completeness of maternal and newborns care received during birth and the early postnatal period in rural Ethiopia was directly proportional to the number for meetings. Both community score care and community family meeting provide a mechanism to obtain feedback from the community and make the community involved in improving health care services use and completion of maternal and newborns care continuum.\u003c/p\u003e \u003cp\u003eMoreover, the link and the positive association between contraceptive use history and perceived community acceptance need to be further explored. This association implied the use of health facility visit for contraceptive to advocate the maternal and newborns care continuum use and completion with a focus on women in rural areas and women in polygamous marriage.\u003c/p\u003e"},{"header":"Abbreviations","content":"\u003cp\u003eARRR: adjusted relative risk ration\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eCRRR: crude relative risk ration\u003c/p\u003e\n\u003cp\u003eCoC: continuum of care (Maternal and new born care continuum)\u003c/p\u003e\n\u003cp\u003eHH: households\u0026nbsp;\u003c/p\u003e\n\u003cp\u003ePMA: Performance Monitoring for Action\u0026nbsp;\u003c/p\u003e\n\u003cp\u003ePMA_Eth: Performance Monitoring For Action Ethiopia\u003c/p\u003e\n\u003cp\u003eRE: Resident Enumerator\u003c/p\u003e\n\u003cp\u003eSNNPR: Southern nations, people’s nationalities Region\u003c/p\u003e\n\u003cp\u003eTBA: Traditional Birth Attendant\u003c/p\u003e\n\u003cp\u003eToT: Training of Trainers\u003c/p\u003e"},{"header":"Declarations","content":"\u003ch2\u003eEthics approval and consent to participate:\u0026nbsp;\u003c/h2\u003e\n\u003cp\u003eThis study involved a secondary analysis of deidentified data from the PMA Ethiopia\u0026nbsp;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 Nov 2019 to Jan 2020.\u0026nbsp;Minors less than 15 years as per the law were not included in this study. Informed verbal consent was take from study participants.\u0026nbsp;PMA surrey has been also conducted after obtained ethical approval from Bloomberg School of Public Health at Johns Hopkins University in Baltimore, USA.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u0026nbsp;\u003cbr\u003eConsent for publication:\u0026nbsp;N/A not applicable\u0026nbsp;\u003cbr\u003eAvailability of data and materials:\u0026nbsp;\u0026nbsp;\u0026nbsp;The datasets generated during the study are publicly available from the PMA website and/or the Johns Hopkins Research Data Repository: https://archive.data.jhu.edu/dataset.xhtml?persistentId=doi:10.34976/h75w-8084\u003c/p\u003e\n\u003cp\u003eCompeting interests:\u0026nbsp;the authors declare that they have no competing interest.\u003c/p\u003e\n\u003cp\u003e\u003cbr\u003e\u0026nbsp;Funding: The authors did not obtained any funding.\u003c/p\u003e\n\u003ch3\u003eAuthor Contributions\u0026nbsp;\u003c/h3\u003e\n\u003cp\u003eSA conceptualized the study, obtained the data, conducted the\u0026nbsp;data curation\u003cstrong\u003e,\u0026nbsp;\u003c/strong\u003eperformed the data management\u0026nbsp;and the formal analysis; and draft the manuscript and wrote the final the manuscript, interpreted the results and critically revised the manuscript.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eFT contributed for the conception, participated in the writing draft manuscript, analysis and interpretation of the findings the provide useful feedback during the analysis and manuscript development. FT and SA also participated in the field wok supervision, implementation and project facilitation.\u003c/p\u003e\n\u003cp\u003eMY: Contributed in critically reviewing the final version of the manuscript. She also participated in the field work.\u003c/p\u003e\n\u003cp\u003eBA and KM critically review the final version manuscript including language checks.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eAZ: participated during the conception in the large scale data analysis training and critically reviewed the final version.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eTD: Contributed in critically reviewing the final version of the manuscript. She also participated in the field work.\u003c/p\u003e\n\u003cp\u003eAll authors reviewed, read and approved the final version of the manuscript.\u003c/p\u003e\n\u003ch3\u003eAcknowledgement:\u0026nbsp;\u003c/h3\u003e\n\u003cp\u003eWe appreciate the huge commitment of PMA Ethiopian data collection team, notably: Enumerators, supervisors and regional Coordinators. In addition, our heartfelt gratitude goes for the study participants for their kindest cooperation. Besides, all the staff of Ethiopian Red Cross training Center at Addis Ababa and Kereyu resort_Adama deserve huge recognition for their hospitality in facilitating and hosting all the PMA filed staff trainings including the two rounds of the large scale complex data analysis.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eBesides, the large scale data analysis training organizers and facilitators from AAU, PMA Ethiopia Project at AAU and JHU deserve recognition as well; namely: Tesfamichael Awoke Sisay, Mahari Yihdego Gidey, Niguse Tadele Atnafu,, Dr. Solomon Emyu, Dr. Girma Taye and Dr. Sally, and. \u0026nbsp;Lastly, we further extend our special thanks for Dr. Linnea A.Zimmerman\u0026acute;s, Dr. Assefa Seme, Dr. Solomon Shiferaw\u0026acute;s Professor Saifuddin\u0026acute;s mentorship during and following the short courses on large scale data analysis and fellow trainees\u0026rsquo; inspiration as well.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eAuthors Information\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eSA: Solomon Abrha Damtew, An assistant Professor of Public Health in Epidemiology \u0026nbsp;and Biostatistics at School of Public Health Wolaita Sodo University, Regional Coordinator at \u0026nbsp;PMA Ethiopia Project.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eFT: Manager at Fitsum Tariku Fantaye: FTF research consult manger with Demography and Reproductive Health Specialty, Lead and Coordinate numerous health related surveys.\u003c/p\u003e\n\u003cp\u003eBA: Beadwork Ayele Kassa\u003csup\u003e:\u0026nbsp;\u003c/sup\u003ePhD candidate at the university of Cape Town on developmental studies, she phycology and gender concentration\u003c/p\u003e\n\u003cp\u003eKM: Kelemua Menegesha Sene\u0026nbsp;an associate professor of English Language at Kotebe Metropolitan University.\u003c/p\u003e\n\u003cp\u003eMY: Metages Yohannes: \u0026nbsp;Manager\u0026nbsp;Metages Yohannes Health Research Consultant, Addis Ababa, Ethiopia,\u003c/p\u003e\n\u003cp\u003eAZ: Addisalem Zebene Armdie, MPH in Public health nutrition and assistant project coordinator of\u0026nbsp;PMA 2020 Project at Addis Ababa University\u003c/p\u003e\n\u003cp\u003eTD; Tamirat Denekew: \u0026nbsp;Manager at Tamerat Denekew Health and Social Research Consultancy\u003c/p\u003e\n\u003ch3\u003eORCID\u003c/h3\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 Fantaye \u0026nbsp;https://orcid.org/ 0000-0003-1790-7269\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eMetages Yohannes: https://orcid.org/0009-0004-4186-2886\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eAddisalem Zebene Armdie https://orcid.org/0000-0003-3851-6072\u003c/p\u003e\n\u003cp\u003eKelemua Menegesha \u0026nbsp;Sene: https://orcid.org/0009-0002-7479-7318 ttpscid.\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\u003cli\u003e\u003cspan\u003eAddis Ababa University School of Public Health, The William H. 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BMJ Open 13(7):e072179\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eRegassa N (2011) Antenatal and postnatal care service utilization in southern Ethiopia: a population-based study African Health Sciences. ; 11(3): 390\u0026ndash;397. 2011\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eDamtew SA, Shiferaw S, Seme A (2024) Intimate Partner Violence during the Index Pregnancy and its correlates among a panel of pregnant women in Ethiopia, evidence from performance, and monitoring for action (PMA) 2021 cohort two baseline survey. BMC Pregnancy Childbirth. ;24(1)\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eDamtew SA, Atnafu NT, Gidey MY, Sisay TA, Yohannes M (2025) Partner conflict during their index pregnancy and its correlates among a cohort of six weeks postpartum women in Ethiopia. Sci Rep. ;15(1)\u003c/span\u003e\u003c/li\u003e\u003c/ol\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":true,"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, women psycho-social health, perinatal period, pregnant women, community input, maternal and newborns care continuum, perceived community acceptance, Ethiopian PMA, Ethiopia","lastPublishedDoi":"10.21203/rs.3.rs-6925501/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-6925501/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cstrong\u003eBackground\u003c/strong\u003e: Maternal and newborns care continuum service use decision making process is influenced by seeking validation and the sole approval from significant others. Evidences has shown that one of the bottlenecks hindering the completion of the maternal and newborns care continuum is community acceptance and/or encouragement for the care continuum. Besides, among the critical determinants for the success of the new maternal, new born and child health care continuum (MCH) paradigm shift is the acceptance and support of the community for women and newborns to obtain the three recommend cares and their retention in the care. This is less explored, leading a dearth of evidence. Hence, this study aimed at documenting the level of pregnant women maternal and newborns care continuum perceived community acceptance and identify associated factors among pregnant women. The findings could provide actionable evidence for the Health Ministry and relevant developmental partners to improve maternal and newborns health outcomes.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eMethods:\u003c/strong\u003e This study used the baseline cross sectional data form the Ethiopian Performance Monitoring for Action (EPMA) cohort one survey. The study screened, enrolled and collected data from pregnant and six week postpartum women. The analytic sample were 2,219 pregnant women. Frequencies were computed to describe the pregnant women. Multinomial logistics regression statistical modeling was fitted to identify correlates of maternal and newborns care continuum perceived community acceptance. Results were presented in the form of percentages and odds ratio with 95% Confidence Intervals. Statistical significance was declared at p-value of 0.05.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eResults:\u003c/strong\u003e The overall proportion of perceived maternal and newborns care continuum community acceptance was 93.30% (95%CI: 91.61%, 94.41%). However, this proportion of perceiving for most and few people in their community to accept and/or encourage women to obtain the three domains of maternal and newborns care continuum services was found to be only 33.66% (31.42%, 35.96%) and 31.93 (29.60%, 34.36%) respectively. Women age, secondary educational status, contraceptive ever use history, health facility as desired place of delivery and residing in Oromiya regional state were found to increase the likelihood of maternal and newborns care continuum perceived community acceptance. On the contrary, this likelihood was lowered by factors: higher birth order, rural residence, higher wealth index and family member and desired birth attendant.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConclusions: \u003c/strong\u003eThis suboptimal level of maternal and newborns care continuum perceived community acceptance by most people in the community signals that the global community have a long way to go to achieve nurturing a positive influence of the community for women to complete the care continuum. Context specific and age sensitive efforts and activities which targeted in diversifying contraceptive provision, postpartum contraceptive use counseling, which target less educated women, economically disadvantage women and those with polygamous marriage are imperative to improve perceived community acceptance on maternal and newborns care continuum. Installing the inter pregnancy preconception care packages is imperative in this regard. Working on mechanisms for incorporating community input is the core implication. These include strengthening the implementation of community score card and; scaling up the community maternal and newborns health family meetings.\u003c/p\u003e","manuscriptTitle":"Perceived Community Acceptance of Maternal - Newborns Care Continuum and its Correlates in Ethiopia","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2025-06-23 07:50:50","doi":"10.21203/rs.3.rs-6925501/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":"147c062c-7e66-422a-ae37-fe38c3a45084","owner":[],"postedDate":"June 23rd, 2025","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[],"tags":[],"updatedAt":"2025-06-23T07:50:50+00:00","versionOfRecord":[],"versionCreatedAt":"2025-06-23 07:50:50","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-6925501","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-6925501","identity":"rs-6925501","version":["v1"]},"buildId":"8U1c8b4HqxoKbykW_rLl7","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}