{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T10:03:32Z","timestamp":1789380212622,"version":"build-2803163510"},"reference-count":27,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T00:00:00Z","timestamp":1784160000000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Adequate antenatal care (ANC) contacts are essential for reducing complications during pregnancy and childbirth. Recognizing that inadequate ANC utilization is associated with high maternal mortality, the World Health Organization (WHO) revised its ANC guidelines in 2016, recommending at least eight ANC contacts for all pregnant women. Despite this recommendation, ANC coverage remains suboptimal globally, particularly in East Africa. In Ethiopia, especially in the Sululta district, evidence regarding adherence to the 8+ contact ANC model is limited. Therefore, this study aimed to assess adherence to the WHO\u2010recommended eight\u2010contact ANC model and identify its associated factors among postpartum mothers attending public health facilities in the Sululta district, Ethiopia, in 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      An institution\u2010based cross\u2010sectional study was conducted in public health facilities of the Sululta district from October 10 to November 10, 2024. A total of 410 postpartum mothers were selected using systematic random sampling and all participants (100% response rate) provided complete data. Data were analyzed using logistic regression analysis. Variables with\n                      <jats:italic>p<\/jats:italic>\n                      value &lt;0.05% and 95% confidence intervals (CI) were considered statistically significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall adherence to the WHO\u2010recommended eight\u2010contact ANC model was 25.4%(104\/410; 95% CI: 21%\u201330%). Factors significantly associated with adherence included urban residence (AOR: 3.06; 95% CI: 1.17\u20138.03), previous cesarean delivery (AOR: 3.33; 95% CI: 1.39\u20137.97), history of obstetric complications (AOR: 6.16; 95% CI: 2.69\u201314.10), maternal satisfied with ANC services (AOR: 6.78; 95% CI: 2.46\u201318.66), and receiving ANC at a health center rather than a hospital (AOR: 2.95; 95% CI: 1.24\u20136.93).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Adherence to the WHO\u2010recommended eight\u2010contact ANC model was low among postpartum women in the Sululta district. Interventions led by the regional and district health offices, health facility managers, healthcare providers and community health extension workers should focus on improving maternal satisfaction with ANC service, reducing waiting times and increasing access for rural populations through targeted counseling and community awareness initiatives to enhance adherence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.72816","type":"journal-article","created":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T21:02:59Z","timestamp":1784235779000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Adherence to the WHO Eight\u2010Contact Antenatal Care Model and Associated Factors Among Postpartum Mothers in Sululta District, Ethiopia: A Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9185-3951","authenticated-orcid":false,"given":"Ebisa","family":"Zerihun","sequence":"first","affiliation":[{"name":"Department of Nursing, College of Health Science Oda Bultum University Chiro Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anane","family":"Mulatu","sequence":"additional","affiliation":[{"name":"College of Medicine and Health Science Arsi University Assela Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roza","family":"A\/Michael","sequence":"additional","affiliation":[{"name":"College of Medicine and Health Science Arsi University Assela Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1544-8791","authenticated-orcid":false,"given":"Abdi","family":"Deksisa","sequence":"additional","affiliation":[{"name":"College of Medicine and Health Science Arsi University Assela Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shilema","family":"Urge","sequence":"additional","affiliation":[{"name":"Anatomy Unit, School of Medicine Madda Walabu University Goba Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bereket","family":"Bedore","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Nursing, College of Medicine and Health Science Wolaita Sodo University Sodo Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,16]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.xagr.2024.100418"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1155\/2021\/7146452"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-021-03837-y"},{"issue":"258","key":"e_1_2_15_5_1","first-page":"2","article-title":"Assessment of Timing of First Antenatal Care Booking and Associated Factors Among Pregnant Women Who Attend Antenatal Care at Health Facilities in Dilla Town, Gedeo Zone, Southern Nations, Nationalities and Peoples Region, Ethiopia, 2014","volume":"3","author":"Abuka T.","year":"2016","journal-title":"Journal of Pregnacy and Child Health"},{"key":"e_1_2_15_6_1","unstructured":"WHO WHO Antenatal Care Guidelines(WHO Press March 2016) 1\u20136."},{"key":"e_1_2_15_7_1","unstructured":"E.Mueni \u201cImplications of New WHO Antenatal Guidelines on Maternal Mortality \u201dKenyan Daily Nation Vol. 6 2016."},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/2333794X211045822"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-022-05171-3"},{"issue":"2","key":"e_1_2_15_10_1","first-page":"439","article-title":"Utilization Pattern of Antenatal Care and Determining Factors Among Reproductive\u2010Age Women in Borama, Somaliland","volume":"62","author":"Mouhoumed H. 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