{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T11:26:42Z","timestamp":1771932402924,"version":"3.50.1"},"reference-count":18,"publisher":"BMJ","issue":"9","license":[{"start":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T00:00:00Z","timestamp":1757376000000},"content-version":"unspecified","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2025,8,20]]},"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Antenatal care (ANC) is a critical component for improving maternal and newborn health. It provides a platform for essential healthcare services, including health promotion, screening and diagnosis, injury and disease prevention, birth preparedness and preparation for the postnatal period. By implementing timely and appropriate evidence-based practices, ANC can reduce maternal and child morbidity and mortality and optimise overall health and well-being.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To assess the magnitude of utilisation of ANC with eight or more contacts and its associated factors among pregnant women attending ANC in Yayo District, 2023.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A facility-based cross-sectional study was conducted among 301 randomly selected pregnant women attending ANC follow-up in selected health facilities in Yayo District, Southwest Ethiopia, from 1 June 2023 to 30 June 2023. Data were collected using an interviewer-administered structured questionnaire. The collected data were coded and entered into Epi Data V.4.6 and then exported to SPSS V.26 for descriptive and inferential analysis. Both bivariate and multivariate logistic regression models were fitted. Adjusted OR (AOR) with a 95% CI was estimated to assess the strength of associations. A p value &lt;0.05 was considered statistically significant in the multivariate analysis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 298 pregnant women participated in the study, yielding a response rate of 99%. Most of the pregnant women, 139 (46.6%), were housewives, and the majority, 248 (83.2%), were married. Adequate utilisation of ANC with eight or more contacts was found to be 7.7%. Factors significantly associated with ANC 8+ contacts utilisation include previous pregnancy-related complications (AOR 5.238 (95%\u2009CI 1.004 to 27.31)) and early initiation of ANC (AOR 29.09 (95%\u2009CI 8.87 to 95.3)).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>The magnitude of ANC 8+ contacts utilisation was remarkably low in the study area. Therefore, greater investment is needed to promote the new ANC approach, emphasising ANC 8+ contacts. Special attention should be given to mobilising mothers to initiate ANC before 12 weeks of gestation to reduce the risk of complications and ensure maximum utilisation of ANC 8+ contacts.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjopen-2024-089280","type":"journal-article","created":{"date-parts":[[2025,9,10]],"date-time":"2025-09-10T05:10:30Z","timestamp":1757481030000},"page":"e089280","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Magnitude of utilisation of ANC with eight or more contacts and its associated factors among pregnant women in Yayo District, Oromia, Ethiopia, 2023: a quantitative facility-based cross-sectional study"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7277-8490","authenticated-orcid":false,"given":"Worke Yismaw","family":"Sisay","sequence":"first","affiliation":[{"name":"Department of Health, Mettu University College of Health Sciences, Mettu, Oromia, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gemechu","family":"Mulatu","sequence":"additional","affiliation":[{"name":"Department of Nursing, Mettu University, Mettu, Oromia, Ethiopia"},{"name":"Department of public health, Mettu woreda health office, Oromia, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3534-4308","authenticated-orcid":false,"given":"Abdi Geda","family":"Gedefa","sequence":"additional","affiliation":[{"name":"Department of Public Health, Mettu University, Mettu, Oromia, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4651-9644","authenticated-orcid":false,"given":"Tigist Teklu","family":"Shayi","sequence":"additional","affiliation":[{"name":"Department of Nursing, Mettu University, Mettu, Oromia, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,9,9]]},"reference":[{"key":"2025090922102336000_15.9.e089280.1","unstructured":"WHO . WHO recommendations on antenatal care for a positive pregnancy experience. 2016."},{"key":"2025090922102336000_15.9.e089280.2","unstructured":"Every Woman Every Child . Indicator and monitoring framework for the global strategy for women\u2019s, children\u2019s and adolescents\u2019 health (2016\u20132030). Geneva: World Health Organization, 2016."},{"key":"2025090922102336000_15.9.e089280.3","doi-asserted-by":"crossref","DOI":"10.1136\/bmjgh-2020-002605","article-title":"Implementation of the new WHO antenatal care model for a positive pregnancy experience: a monitoring framework","volume":"5","author":"Lattof","year":"2020","journal-title":"BMJ Glob Health"},{"key":"2025090922102336000_15.9.e089280.4","unstructured":"Individual- level and community- level factors associated with eight or more antenatal care contacts in sub- Saharan Africa: evidence from 36 sub- Saharan African countries. 2022."},{"key":"2025090922102336000_15.9.e089280.5","first-page":"869","article-title":"WHO recommendations on antenatal care for a positive pregnancy experience","volume":"124","year":"2017","journal-title":"BJOG"},{"key":"2025090922102336000_15.9.e089280.6","unstructured":"Factors associated with the utilization of antenatal care services among pregnant women in Eswatini. 2022."},{"key":"2025090922102336000_15.9.e089280.7","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0239855","article-title":"Individual-, household-, and community-level factors associated with eight or more antenatal care contacts in Nigeria: Evidence from Demographic and Health Survey","volume":"15","author":"Ekholuenetale","year":"2020","journal-title":"PLoS One"},{"key":"2025090922102336000_15.9.e089280.8","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2021-049379","article-title":"Individual-level and community-level factors associated with eight or more antenatal care contacts in sub-Saharan Africa: evidence from 36 sub-Saharan African countries","volume":"12","author":"Tessema","year":"2022","journal-title":"BMJ Open"},{"key":"2025090922102336000_15.9.e089280.9","doi-asserted-by":"crossref","first-page":"1736","DOI":"10.1002\/hpm.3439","article-title":"Dimensions of women empowerment on access to antenatal care in Uganda: A further analysis of the Uganda demographic health survey 2016","volume":"37","author":"Sserwanja","year":"2022","journal-title":"Int J Health Plann Manage"},{"key":"2025090922102336000_15.9.e089280.10","doi-asserted-by":"crossref","unstructured":"Ekholuenetale M , Nzoputam CI , Barrow A , et al . 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Status of the latest 2016 world health organization recommended frequency of antenatal care contacts in sierra leone: a nationally representative survey. 2022. doi:10.21203\/rs.3.rs-919186\/v1","DOI":"10.21203\/rs.3.rs-919186\/v1"},{"key":"2025090922102336000_15.9.e089280.12","doi-asserted-by":"crossref","DOI":"10.1177\/2333794X211045822","article-title":"Prevalence of Eight or More Antenatal Care Contacts: Findings From Multi-Country Nationally Representative Data","volume":"8","author":"Ekholuenetale","year":"2021","journal-title":"Glob Pediatr Health"},{"key":"2025090922102336000_15.9.e089280.13","doi-asserted-by":"crossref","unstructured":"Jiwani SS , Amouzou-Aguirre A , Carvajal L , et al . Timing and number of antenatal care contacts in low and middle-income countries: Analysis in the Countdown to 2030 priority countries. J Glob Health 2020;10. doi:10.7189\/jogh.10.010502","DOI":"10.7189\/jogh.10.010502"},{"key":"2025090922102336000_15.9.e089280.14","unstructured":"Michael E . Prevalence of Eight or More Antenatal Care Contacts: Findings From Multi Country Nationally Representative Data. 2021."},{"key":"2025090922102336000_15.9.e089280.15","doi-asserted-by":"crossref","DOI":"10.1016\/j.xagr.2024.100418","article-title":"Use of eight or more antenatal care contacts and determinants among healthcare providers in Ethiopia: systematic review and meta-analysis","volume":"5","author":"Zeleke","year":"2025","journal-title":"AJOG Glob Rep"},{"key":"2025090922102336000_15.9.e089280.16","doi-asserted-by":"crossref","DOI":"10.1186\/s12884-022-04576-4","article-title":"Antenatal care attendance and low birth weight of institutional births in sub-Saharan Africa","volume":"22","author":"Weyori","year":"2022","journal-title":"BMC Pregnancy Childbirth"},{"key":"2025090922102336000_15.9.e089280.17","doi-asserted-by":"crossref","DOI":"10.3389\/fgwh.2024.1259637","article-title":"Level of optimal antenatal care utilization and its associated factors among pregnant women in Arba Minch town, southern Ethiopia: new WHO-recommended ANC 8+ model","volume":"5","author":"Deresa Dinagde","year":"2024","journal-title":"Front Glob Womens Health"},{"key":"2025090922102336000_15.9.e089280.18","doi-asserted-by":"crossref","DOI":"10.11604\/pamj.2015.21.321.6527","article-title":"Determinants of antenatal care, institutional delivery and postnatal care services utilization in Nigeria","volume":"21","author":"Dahiru","year":"2015","journal-title":"Pan Afr Med J"}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2024-089280","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,10]],"date-time":"2025-09-10T05:10:35Z","timestamp":1757481035000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2024-089280"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":18,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2025,9,9]]},"published-print":{"date-parts":[[2025,9]]}},"alternative-id":["10.1136\/bmjopen-2024-089280"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2024-089280","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9]]}}}