{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T01:37:43Z","timestamp":1790991463147,"version":"4.1.0"},"reference-count":56,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,5,21]],"date-time":"2021-05-21T00:00:00Z","timestamp":1621555200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,5,21]],"date-time":"2021-05-21T00:00:00Z","timestamp":1621555200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Reprod Health"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Preconception care (PCC) is a series of biomedical, mental, and psycho-social health services provided to women and a couple before pregnancy and throughout subsequent pregnancies for desired outcomes. Millions of women and new-borns have died in low-income countries due to impediments that arise before and exaggerate during pregnancies that are not deal with as part of pre-conception care. To the best of our knowledge, however, there is a lack of information about preconception care practice and its determinants in southern Ethiopia, including the study area. This study was therefore planned to assess the practice of preconception care and its determinants among mothers who recently gave birth in Wolkite town, southern Ethiopia, in 2020.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A community-based cross-sectional study was conducted from February 1 to 30, 2020. A total of 600 mothers who have given birth in the last 12\u00a0months have been randomly selected. A two-stage sampling technique was employed. For data collection, a pre-tested, semi-structured questionnaire was used. The data was encoded and entered into Epi-Data version 3.1 and exported for analysis to SPSS version 23. Household wealth status was determined through the application of principal component analysis(PCA). The practice PCC was considered as a count variable and measured as a minimum score of 0 and a maximum of 10. A bivariable statistical analysis was performed through analysis of variance (ANOVA) and independent t-tests and variables with a p-value of\u2009&lt;\u20090.05 were eligible for the generalized linear regression model. To see the weight of each explanatory variable on PCC utilization, generalized linear regression with a Poisson link was done.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the sampled 600 participants, 591 took part in the study, which yielded a response rate of 98.8%.The mean (\u00b1\u2009SD) score of the practice of PCC was 3.94 (\u00b1\u20091.98) with minimum and maximum scores of 0 and 10 respectively. Only 6.4% (95%CI: 4.6, 8.6) of mothers received all selected items of PCC services. Thecommonest item received by 67.2% of mothers was Folic acid supplementation, while 16.1% of mothers received the least item of optimizing psychological health. Education status of mother[AOR 0.74, 95%CI 0.63, 0.97], time spent to access nearby health facilities [AOR 0.69, 95%CI 0.58, 0.83], availability of PCC unit [AOR\u20091.46; 95%CI 1.17, 1.67], mother\u2019s knowledge on PCC [AOR 1.34, 95%CI 1.13, 1.65], being a model household [AOR 1.31, 95%CI 1.18, 1.52] and women\u2019s autonomy in decision making [AOR 0.75, 95%CI 0.64, 0.96] were identified as significant predictors of practice of PCC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The uptake of WHO-recommended PCC service elements in the current study area was found to be unsatisfactory. Stakeholders must therefore increase their efforts to align PCC units with existing MNCH service delivery points, improve women's decision-making autonomy, and focus on behavioral change communication to strengthen PCC practice.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Plain language summary<\/jats:bold>\n                    <\/jats:p>\n                    <jats:p>Preconception care (PCC) is a series of biomedical, mental, and psycho-social health services provided to women and a couple before pregnancy and throughout subsequent pregnancies for better endings. The main goal of the PCC is to improve maternal and child health outcomes, by-promoting wellness and providing preventive care. It can also be seen as an earlier chance for teenage girls, mothers, and children to live a better and longer-term healthy life. Pieces of PCC service packages suggested by the World Health Organization(WHO) are, micronutrient supplementation (Folate supplementation), infectious disease (STI\/HIV) screening and testing, chronic disease screening and management, healthy diet therapy, vaccination, prevention of substance use (cessation of cigarette smoking and too much alcohol consumption), optimizing psychological health, counseling on the importance of exercise and reproductive health planning and implementation. Millions of women and new-borns have died in low-income countries due to impediments that arise before and exaggerate during pregnancies that are not deal with as part of pre-conception care. To the best of our knowledge, however, there is a lack of information about preconception care practice and its determinants in southern Ethiopia, including the study area. This study was therefore planned to evaluate the practice of preconception care and its determinants among mothers who recently gave birth in Wolkite town, southern Ethiopia, in 2020.<\/jats:p>\n                    <jats:p>Mothers who have given birth in the last 12\u00a0months have been randomly selected Household wealth status was determined through the application of principal component analysis(PCA). To see the weight of each explanatory variable on PCC, generalized linear regression with a Poisson type was done. Accordingly, the Education status of the mother, time spent to access nearby health facilities, availability of PCC unit, mother\u2019s knowledge on PCC, being a model household, and women\u2019s autonomy in decision making were identified as significant predictors of practice of PCC. Stakeholders must therefore increase their efforts to align PCC units with existing MNCH service delivery points, improve women's decision-making autonomy, and focus on behavioral change communication to strengthen PCC practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12978-021-01154-3","type":"journal-article","created":{"date-parts":[[2021,5,21]],"date-time":"2021-05-21T04:03:04Z","timestamp":1621569784000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Determinants of practice of preconception care among women of reproductive age group in southern Ethiopia, 2020: content analysis"],"prefix":"10.1186","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5719-4294","authenticated-orcid":false,"given":"Aklilu","family":"Habte","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Dessu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dereje","family":"Haile","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,5,21]]},"reference":[{"key":"1154_CR1","unstructured":"Organization WH. Meeting to develop a global consensus on preconception care to reduce maternal and childhood mortality and morbidity: World Health Organization Headquarters, Geneva, 6\u20137 February 2012: meeting report. 2013."},{"key":"1154_CR2","doi-asserted-by":"publisher","DOI":"10.1186\/1742-4755-11-S3-S8","author":"E Mason","year":"2014","unstructured":"Mason E. Preconception care; advancing from important to do and can be done to is being done and is making a difference, in low income countries. Reprod Health. 2014. https:\/\/doi.org\/10.1186\/1742-4755-11-S3-S8.","journal-title":"Reprod Health"},{"key":"1154_CR3","doi-asserted-by":"crossref","unstructured":"Johnson K, Posner SF, Biermann J, Cordero JF, Atrash HK, Parker CS, Boulet S, Curtis MG. Recommendations to improve preconception health and Health Care\u2014United States: report of the CDC\/ATSDR preconception care work group and the select panel on preconception care. Morb Mortal Wkly Rep Recomm Rep 2006;55(6):1-CE.","DOI":"10.1037\/e506902006-001"},{"issue":"3","key":"1154_CR4","doi-asserted-by":"publisher","first-page":"367","DOI":"10.1057\/jphp.2011.13","volume":"32","author":"B Van Der Zee","year":"2011","unstructured":"Van Der Zee B, et al. Preconception care: an essential preventive strategy to improve children\u2019s and women\u2019s health. J Public Health Policy. 2011;32(3):367\u201379.","journal-title":"J Public Health Policy"},{"issue":"5","key":"1154_CR5","doi-asserted-by":"publisher","first-page":"478","DOI":"10.1016\/j.contraception.2011.07.013","volume":"84","author":"LB Finer","year":"2011","unstructured":"Finer LB, Zolna MR. Unintended pregnancy in the United States: incidence and disparities, 2006. Contraception. 2011;84(5):478\u201385.","journal-title":"Contraception"},{"issue":"9","key":"1154_CR6","doi-asserted-by":"publisher","first-page":"e1001508","DOI":"10.1371\/journal.pmed.1001508","volume":"10","author":"S Dean","year":"2013","unstructured":"Dean S, et al. Setting research priorities for preconception care in low-and middle-income countries: aiming to reduce maternal and child mortality and morbidity. PLoS Med. 2013;10(9):e1001508.","journal-title":"PLoS Med"},{"key":"1154_CR7","unstructured":"Centers for Disease Control and Prevention. Maternal health: advancing the health of mothers in the 21st century. 2016."},{"key":"1154_CR8","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1007\/s12687-014-0204-2","volume":"6","author":"S Temel","year":"2015","unstructured":"Temel S. The Dutch national summit on preconception care: a summary of definitions, evidence and recommendations. DJ Community Genet. 2015;6:107\u201315.","journal-title":"DJ Community Genet"},{"issue":"5","key":"1154_CR9","doi-asserted-by":"publisher","first-page":"421-e1","DOI":"10.1016\/j.ajog.2010.12.008","volume":"204","author":"FJ DeWeger","year":"2011","unstructured":"DeWeger FJ. Advanced maternal age, short inter-pregnancy interval, and perinatal outcome. Am J Obstet Gynecol. 2011;204(5):421-e1.","journal-title":"Am J Obstet Gynecol"},{"issue":"9","key":"1154_CR10","doi-asserted-by":"publisher","first-page":"3781","DOI":"10.18203\/2320-1770.ijrcog20173623","volume":"6","author":"S Mohan","year":"2017","unstructured":"Mohan S, et al. Analysis of risk factors, maternal and fetal outcome of spontaneous preterm premature rupture of membranes: a cross sectional study. Int J Reprod Contracept Obstet Gynecol. 2017;6(9):3781\u20137.","journal-title":"Int J Reprod Contracept Obstet Gynecol"},{"issue":"6","key":"1154_CR11","doi-asserted-by":"publisher","first-page":"S266","DOI":"10.1016\/j.ajog.2008.07.067","volume":"199","author":"BW Jack","year":"2008","unstructured":"Jack BW, et al. The clinical content of preconception care: an overview and preparation of this supplement. Am J Obstet Gynecol. 2008;199(6):S266\u201379.","journal-title":"Am J Obstet Gynecol"},{"key":"1154_CR12","doi-asserted-by":"publisher","first-page":"462","DOI":"10.1016\/S0140-6736(15)00838-7","volume":"387","author":"L Alkema","year":"2016","unstructured":"Alkema L, et al. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. Lancet. 2016;387:462\u201374.","journal-title":"Lancet"},{"issue":"9730","key":"1154_CR13","doi-asserted-by":"publisher","first-page":"2032","DOI":"10.1016\/S0140-6736(10)60678-2","volume":"375","author":"ZA Bhutta","year":"2012","unstructured":"Bhutta ZA, Chopra M, Axelson H, Berman P, Boerma T, Bryce J, Bustreo F, Cavagnero E, Cometto G, Daelmans B. Taking stock of maternal, newborn, and child survival. Countdown to decade report(2000-10). Lancet. 2012;375(9730):2032\u201344.","journal-title":"Lancet"},{"key":"1154_CR14","unstructured":"Central Statistical Agency (CSA) [Ethiopia], ICF. Ethiopia Demographic and Health Survey 2016. Addis Ababa, Ethiopia, and Rockville, Maryland: CSA and ICF; 2016."},{"key":"1154_CR15","doi-asserted-by":"crossref","unstructured":"Say, L., et al., Global Causes of Maternal Death: A WHO Systematic Analysis. Lancet Global Health, 2014. 2.","DOI":"10.1016\/S2214-109X(14)70227-X"},{"key":"1154_CR16","doi-asserted-by":"publisher","first-page":"e323","DOI":"10.1097\/00006254-199308000-00026","volume":"48","author":"G Maxwell","year":"1993","unstructured":"Maxwell G. Preterm premature rupture of membranes. Obstet Gynecol Surv. 1993;48:e323\u201333.","journal-title":"Obstet Gynecol Surv"},{"key":"1154_CR17","doi-asserted-by":"publisher","first-page":"375","DOI":"10.1016\/S0146-0005(96)80004-8","volume":"20","author":"GWL Merenstein","year":"1996","unstructured":"Merenstein GWL. Premature rupture of the membranes: neonatal consequences. Semin Perinatol. 1996;20:375\u201380.","journal-title":"Semin Perinatol"},{"key":"1154_CR18","doi-asserted-by":"publisher","first-page":"e280","DOI":"10.1016\/j.ajog.2008.08.060","volume":"199","author":"MK Moos","year":"2008","unstructured":"Moos MK, et al. Healthier women, healthier reproductive outcomes: recommendations for the routine care of all women of reproductive age. Am J Obstet Gynecol. 2008;199:e280\u20139.","journal-title":"Am J Obstet Gynecol"},{"key":"1154_CR19","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-011-0932-4","author":"L Williams","year":"2012","unstructured":"Williams L, Zapata LB, D\u2019Angelo DV. Associations between preconception counseling and maternal behaviors before and during pregnancy. Matern Child Health J. 2012. https:\/\/doi.org\/10.1007\/s10995-011-0932-4.","journal-title":"Matern Child Health J"},{"key":"1154_CR20","doi-asserted-by":"publisher","DOI":"10.4314\/eamj.v78i2.9090","author":"D Kaya","year":"2001","unstructured":"Kaya D. Risk factors of preterm premature rupture of membranes at Mulago hospital Kampala. East Afr Med J. 2001. https:\/\/doi.org\/10.4314\/eamj.v78i2.9090.","journal-title":"East Afr Med J"},{"issue":"9","key":"1154_CR21","doi-asserted-by":"publisher","first-page":"1147","DOI":"10.1001\/jama.1990.03450090083032","volume":"264","author":"BW Jack","year":"1990","unstructured":"Jack BW, Culpepper L. Preconception care: risk reduction and health promotion in preparation for pregnancy. JAMA. 1990;264(9):1147\u20139.","journal-title":"JAMA"},{"key":"1154_CR22","unstructured":"Kay J, et al. Recommendations to improve preconception health and healthcare\u2014United States. A report of the CDC\/ATSDR Preconception Care Work Group and the Select Panel on Preconception Care. Atlanta: 2006\/55(RR06):1\u201323."},{"key":"1154_CR23","first-page":"38","volume":"63","author":"DHL Cotton","year":"1984","unstructured":"Cotton DHL, et al. Use of amniocentesis in preterm gestation with ruptured membranes. Obstet Gynecol. 1984;63:38\u201343.","journal-title":"Obstet Gynecol"},{"key":"1154_CR24","unstructured":"Estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations population division. 2015, Geneva: World Health Organization."},{"key":"1154_CR25","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(02)02380-3","author":"SESG Ferguson","year":"2002","unstructured":"Ferguson SESG, et al. Preterm premature rupture of membranes: nutritional and socioeconomic factors. Obstet Gynecol. 2002. https:\/\/doi.org\/10.1016\/S0029-7844(02)02380-3.","journal-title":"Obstet Gynecol"},{"key":"1154_CR26","first-page":"2594","volume":"3","author":"MRS Choudhary","year":"2017","unstructured":"Choudhary MRS, Chowdhary J, Garg S. Pre and post conception risk factors in PROM. Int J Res Med Sci. 2017;3:2594\u20138.","journal-title":"Int J Res Med Sci"},{"key":"1154_CR27","doi-asserted-by":"publisher","first-page":"492","DOI":"10.1111\/ppe.12218","volume":"29","author":"D Yan","year":"2015","unstructured":"Yan D, et al. Survey on the implementation of preconception Care in Shanghai, China. Paediatr Perinat Epidemiol. 2015;29:492\u2013500.","journal-title":"Paediatr Perinat Epidemiol"},{"key":"1154_CR28","doi-asserted-by":"publisher","first-page":"3","DOI":"10.4038\/sljog.v35i1.5996","volume":"35","author":"M Patabendige","year":"2013","unstructured":"Patabendige M, Goonewardene I. Preconception care received by women attending antenatal clinics at a Teaching Hospital in Southern Sri Lanka. Sri Lanka J Obstet Gynaecol. 2013;35:3.","journal-title":"Sri Lanka J Obstet Gynaecol"},{"key":"1154_CR29","doi-asserted-by":"publisher","first-page":"109","DOI":"10.4103\/2230-8229.181012","volume":"23","author":"AY Madanat","year":"2016","unstructured":"Madanat AY, Sheshah EA. Preconception care in Saudi women with diabetes mellitus. J Fam Community Med. 2016;23:109.","journal-title":"J Fam Community Med"},{"issue":"1","key":"1154_CR30","doi-asserted-by":"publisher","first-page":"347","DOI":"10.1186\/s12884-019-2478-1","volume":"19","author":"TT Asresu","year":"2019","unstructured":"Asresu TT, et al. Mothers\u2019 utilization and associated factors in preconception care in northern Ethiopia: a community based cross sectional study. BMC Pregnancy Childbirth. 2019;19(1):347.","journal-title":"BMC Pregnancy Childbirth"},{"key":"1154_CR31","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-019-0758-x","author":"TL Demisse","year":"2019","unstructured":"Demisse TL, et al. Utilization of preconception care and associated factors among reproductive age group women in DebreBirhan town, north Shewa, Ethiopia. Reprod Health. 2019. https:\/\/doi.org\/10.1186\/s12978-019-0758-x.","journal-title":"Reprod Health"},{"issue":"1","key":"1154_CR32","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12905-020-00900-2","volume":"20","author":"DB Fekene","year":"2020","unstructured":"Fekene DB, et al. Knowledge, uptake of preconception care and associated factors among reproductive age group women in West Shewa zone, Ethiopia, 2018. BMC Womens Health. 2020;20(1):1\u20138.","journal-title":"BMC Womens Health"},{"issue":"445","key":"1154_CR33","first-page":"2167-0420.10004","volume":"7","author":"Y Goshu","year":"2018","unstructured":"Goshu Y, Liyeh T, Simegn Ayele A. Preconception care utilization and its associated factors among pregnant women in Adet, North-Western Ethiopia (Implication of Reproductive Health). J Women\u2019s Health Care. 2018;7(445):2167-0420.1000445.","journal-title":"J Women's Health Care"},{"issue":"49","key":"1154_CR34","doi-asserted-by":"publisher","first-page":"8505","DOI":"10.18410\/jebmh\/2015\/1165","volume":"2","author":"K Vishwakarma","year":"2015","unstructured":"Vishwakarma K, et al. Impact of premature rupture of membranes on maternal & neonatal health in Central India. J Evid Based Med Healthc. 2015;2(49):8505\u20138.","journal-title":"J Evid Based Med Healthc"},{"key":"1154_CR35","doi-asserted-by":"publisher","first-page":"e1001507","DOI":"10.1371\/journal.pmed.1001507","volume":"10","author":"CT Young","year":"2013","unstructured":"Young CT, Arquia ML, Ray JT. Preconception care in low- and middle-income countries: new opportunities and a new metric. PLoS Med. 2013;10:e1001507.","journal-title":"PLoS Med"},{"key":"1154_CR36","unstructured":"Brajesh. Effect of women's empowerment on reproductive and child health services among South Asian Women. Demography India. 2017;46(2):95\u2013112."},{"issue":"10","key":"1154_CR37","doi-asserted-by":"publisher","first-page":"657","DOI":"10.1016\/j.jcma.2016.12.006","volume":"80","author":"I Chandra","year":"2017","unstructured":"Chandra I, Sun L. Third trimester preterm and term premature rupture of membranes: is there any difference in maternal characteristics and pregnancy outcomes? J Chin Med Assoc. 2017;80(10):657\u201361.","journal-title":"J Chin Med Assoc"},{"key":"1154_CR38","doi-asserted-by":"publisher","first-page":"561","DOI":"10.1089\/jwh.2009.1411","volume":"19","author":"MK Moos","year":"2010","unstructured":"Moos MK. From concept to practice: reflections on the preconception health agenda. J Women\u2019s Health. 2010;19:561\u20137.","journal-title":"J Women\u2019s Health"},{"key":"1154_CR39","unstructured":"Biratu AK,. Addressing the high adverse pregnancy outcomes through the incorporation of preconception care (PCC) in the health system of Ethiopia [PHD]. Pretoria: University of South Africa (UNISA), 2017."},{"issue":"3","key":"1154_CR40","doi-asserted-by":"publisher","first-page":"205","DOI":"10.1080\/08898489409525374","volume":"4","author":"R Winkelmann","year":"1994","unstructured":"Winkelmann R, Zimmermann KF. Count data models for demographic data. Math Popul Stud. 1994;4(3):205\u201321.","journal-title":"Math Popul Stud"},{"key":"1154_CR41","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9781139013567","volume-title":"Regression analysis of count data","author":"AC Cameron","year":"2013","unstructured":"Cameron AC, Trivedi PK. Regression analysis of count data, vol. 53. Cambridge: Cambridge University Press; 2013."},{"issue":"1","key":"1154_CR42","doi-asserted-by":"publisher","first-page":"718","DOI":"10.1186\/s12913-017-2670-9","volume":"17","author":"FN Tiruneh","year":"2017","unstructured":"Tiruneh FN, Chuang K-Y, Chuang Y-C. Women\u2019s autonomy and maternal healthcare service utilization in Ethiopia. BMC Health Serv Res. 2017;17(1):718.","journal-title":"BMC Health Serv Res"},{"key":"1154_CR43","doi-asserted-by":"publisher","first-page":"e0142849","DOI":"10.1371\/journal.pone.0142849","volume":"10","author":"F Yeji","year":"2015","unstructured":"Yeji F, Shibanuma A, Oduro A, et al. Continuum of care in a maternal, newborn and child health program in Ghana: low completion rate and multiple obstacle factors. PLoS ONE. 2015;10:e0142849.","journal-title":"PLoS ONE"},{"key":"1154_CR44","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-017-0279-4","author":"A Yitayal","year":"2017","unstructured":"Yitayal A. Women\u2019s knowledge and associated factors in preconception care in adet, west gojjam, Northwest Ethiopia: a community based cross sectional study. Reprod Health. 2017. https:\/\/doi.org\/10.1186\/s12978-017-0279-4.","journal-title":"Reprod Health"},{"issue":"1","key":"1154_CR45","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1186\/s12884-016-0940-x","volume":"16","author":"B Darega","year":"2016","unstructured":"Darega B, et al. Institutional delivery and postnatal care services utilizations in Abuna Gindeberet District, West Shewa, Oromiya Region, Central Ethiopia: a community-based cross sectional study. BMC Pregnancy Childbirth. 2016;16(1):149.","journal-title":"BMC Pregnancy Childbirth"},{"issue":"1","key":"1154_CR46","doi-asserted-by":"publisher","first-page":"819","DOI":"10.1186\/s13104-018-3928-y","volume":"11","author":"TW Ayalew","year":"2018","unstructured":"Ayalew TW, Nigatu AM. Focused antenatal care utilization and associated factors in Debre Tabor Town, northwest Ethiopia, 2017. BMC Res Notes. 2018;11(1):819.","journal-title":"BMC Res Notes"},{"key":"1154_CR47","unstructured":"World Health Organization: preconception health; maximizing the gains of maternal and child health. World Health Organization 2013. Accessed at www.who.int\/maternal-child-adolescent\/\/document\/concensus-preconception-care\/en."},{"key":"1154_CR48","doi-asserted-by":"crossref","unstructured":"Jejeebhoy SJ. Women's education, autonomy, and reproductive behaviour: experience from developing countries. OUP Catalogue. 1995.","DOI":"10.1093\/oso\/9780198290339.001.0001"},{"key":"1154_CR49","doi-asserted-by":"publisher","unstructured":"You X, Tan H, Hu S, Wu J, Jiang H, Peng A, Dai Y, Wang L, Guo S, Qian X. Effects of preconception counseling on maternal health care of migrant women in China: a community-based, cross-sectional survey. BMC Pregnancy Childbirth. 2015;15:55. https:\/\/doi.org\/10.1186\/s12884-015-0485-4.","DOI":"10.1186\/s12884-015-0485-4"},{"key":"1154_CR50","unstructured":"UN-DESA. \u201cSustainable Development Goal 3: ensure healthy lives and promote well-being for all at all ages,\u201d, 2017. Sustainable Development Knowledge Platform. 17 May 2017."},{"key":"1154_CR51","doi-asserted-by":"crossref","unstructured":"Straneo M, Fogliati P, Pellis I, Goodman C, Riva DD, Kisika F, et al. On the way to universal coverage of maternal services in Iringa rural District in Tanzania. Who is yet to be reached? Afr Health Sci. 2016;16(2): 420\u20138.","DOI":"10.4314\/ahs.v16i2.10"},{"issue":"6","key":"1154_CR52","doi-asserted-by":"publisher","first-page":"62","DOI":"10.5897\/IJNM2018.0302","volume":"10","author":"V Chima","year":"2018","unstructured":"Chima V. Women autonomy and maternal healthcare services utilization among young ever-married women in Nigeria. Int J Nurs Midwifery. 2018;10(6):62\u201373.","journal-title":"Int J Nurs Midwifery"},{"issue":"7","key":"1154_CR53","doi-asserted-by":"publisher","first-page":"599","DOI":"10.1080\/07399331003599555","volume":"31","author":"G Woldemicael","year":"2010","unstructured":"Woldemicael G. Do women with higher autonomy seek more maternal health care? Evidence from Eritrea and Ethiopia. Health Care Women Int. 2010;31(7):599\u2013620.","journal-title":"Health Care Women Int"},{"key":"1154_CR54","doi-asserted-by":"crossref","unstructured":"Dyson T, Mick M. On kinship structure, female autonomy, and demographic behavior in India. Popul Dev Rev. 1983;9(1):35\u201360.","DOI":"10.2307\/1972894"},{"key":"1154_CR55","doi-asserted-by":"crossref","unstructured":"Wang H, et al. Ethiopia health extension program: an institutionalized community approach for universal health coverage. The World Bank. 2016.","DOI":"10.1596\/978-1-4648-0815-9"},{"issue":"6","key":"1154_CR56","doi-asserted-by":"publisher","first-page":"e65160","DOI":"10.1371\/journal.pone.0065160","volume":"8","author":"AM Karim","year":"2013","unstructured":"Karim AM, et al. Effect of Ethiopia\u2019s health extension program on maternal and newborn health care practices in 101 rural districts: a dose-response study. PLoS ONE. 2013;8(6):e65160.","journal-title":"PLoS ONE"}],"container-title":["Reproductive Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12978-021-01154-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12978-021-01154-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12978-021-01154-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,31]],"date-time":"2024-08-31T05:13:12Z","timestamp":1725081192000},"score":1,"resource":{"primary":{"URL":"https:\/\/reproductive-health-journal.biomedcentral.com\/articles\/10.1186\/s12978-021-01154-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,21]]},"references-count":56,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["1154"],"URL":"https:\/\/doi.org\/10.1186\/s12978-021-01154-3","relation":{},"ISSN":["1742-4755"],"issn-type":[{"value":"1742-4755","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,21]]},"assertion":[{"value":"4 November 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 May 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 May 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Ethical clearance was obtained from the Ethical Review Board of Wolkite University, department of public health. Also, an official letter of cooperation was granted by the Guraghe zone health department and Wolkite town health unit. For those aged 18 and over, written informed consent was obtained from study participants. Besides, after explaining the study goals and procedures, consent was taken from a parent or guardian using normal disclosure processes for those participants less than 18\u00a0years of age. A specific ID number was allocated to preserve the anonymity of the questionnaire. The privacy and confidentiality of participants were guaranteed before data collection. The confidentiality of the information was ensured and the respondent's privacy was respected. Participants were also well aware that the data they generated during the analysis would only be used for the research purpose and would not be revealed to anyone outside the research team.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"We would like to assure you that, with full responsibility and communication, the document has been submitted. We indicated that there is no conflict of interest with other individuals or organizations that could influence or bias the content of the paper inappropriately.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"100"}}