Introduction
Methods and materials
Study settings and data source
Population and sample size
Measurements
Data management and analysis
Results
Basic characteristics of women’s attending Antenatal care
Variables | Weighted Frequency (%) | HTC during ANC | COR (95%CI) | |
---|---|---|---|---|
No(%) | Yes(%) | |||
Women’s Age (Years) | ||||
15–19 | 7,214 (8.63%) | 3,255 (45.12%) | 3,959 (54.88%) | Ref. |
20–25 | 20,421 (24.43%) | 7,523 (36.84%) | 12,898 (63.16%) | 1.41 (1.31–1.51) ** |
25–34 | 38,704 (46.31%) | 13,905 (35.93%) | 24,799 (64.07%) | 1.69 (1.58–1.81) ** |
35–49 | 17,245 (20.63%) | 6, 351 (36.83%) | 10, 894 (63.17%) | 1.62 (1.50–1.74)** |
Marital Status | ||||
Single | 6,764 (8.09%) | 2,031 (30.03%) | 4,733 (69.97%) | Ref. |
Married | 58,582 (70.09%) | 23,680 (40.42%) | 34,902 (59.58%) | 1.03 (0.94–1.09) |
Living with partner | 13,171 (15.76)% | 3,814 (28.96%) | 9,357 (71.04%) | 1.16 (0.99–1.27) |
Widowed/Divorced | 2,295 (2.75%) | 806 (35.11%) | 1,489 (64.89%) | 1.00 (0.87–1.16) |
Separated | 2,772 (3.32%) | 703 (25.36%) | 2,069 (74.64%) | 1.12 (0.99–1.27) |
Educational Status | ||||
No education | 25,574 (30.60%) | 13,776 (53.87%) | 11,798 (46.13%) | Ref. |
Primary | 30,607 (36.62%) | 9,841 (32.15%) | 20,766 (67.85%) | 1.49 (1.42–1.57)** |
Secondary and Above | 27,403 (32.79%) | 7,418 (27.07%) | 19, 985 (72.93%) | 2.11 (2.00-2.23)** |
Occupation | ||||
No occupation | 24,183 (28.93%) | 10,441 (43.18%) | 13,742 (56.82%) | Ref. |
Had Occupation | 59,401 (71.07%) | 20,593 (34.67%) | 38,808 (65.33%) | 1.33 (1.27–1.69)** |
Partners Education | ||||
No education | 23,202 (32.35%) | 13,281 (57.24%) | 9,921 (42.76%) | Ref. |
Primary | 21,471 (29.93%) | 6,508 (30.31%) | 14,963 (69.69%) | 1.79 (1.69–1.90)** |
Secondary and Above | 27,061 (37.72%) | 7,704 (28.47%) | 19,357 (71.53%) | 2.13 (2.02–2.59)** |
Partners occupation | ||||
No Occupation | 24,165 (28.91%) | 10,434 (43.18%) | 13,731 (56.82%) | Ref. |
Had Occupation | 59,419 (71.09%) | 20,601 (34.67%) | 38, 818 (65.33%) | 1.33 (1.27–1.39)** |
Media Exposure | ||||
No | 28,171 (33.70%) | 11,741 (41.68%) | 16,430 (58.32%) | Ref. |
Yes | 55,413 (66.30%) | 19,293 (34.82%) | 36,120 (65.18%) | 1.41 (1.35–1.47)** |
Access to Health Facility (n = 82,746) | ||||
A big problem | 30,331 (36.66%) | 11,863 (39.11%) | 18,467 (60.89%) | Ref. |
Not a big problem | 52,415 (63.34%) | 19,059 (36.36%) | 33,357 (63.64%) | 1.15 (1.10–1.20)** |
Wealth Index | ||||
Poor | 33,821 (40.46%) | 14,204 (42.00%) | 19,617 (58.00%) | Ref. |
Medium | 17,211 (20.59%) | 6,603 (38.37%) | 10,608 (61.63%) | 1.24 (1.17–1.30)** |
Rich | 32,552 (38.95%) | 10,227 (31.42%) | 22,325 (68.58%) | 1.61 (1.52–1.70)** |
Number of children in a family | ||||
No children | 780 (0.93%) | 361 (46.30%) | 419 (53.70%) | Ref. |
One child | 20,035 (23.97%) | 7,420 (37.04%) | 12,615 (62.96%) | 1.31 (1.10–1.58)** |
Two children | 17,375 (20.79%) | 6,086 (35.03%) | 11,289 (64.97%) | 1.56 (1.30–1.88)** |
3–4 Children | 25,608 (30.64%) | 9,160 (35.77%) | 16,448 (64.23%) | 1.64 (1.36–1.97)** |
Five and above | 19,785 (23.67%) | 8,007 (40.47%) | 11,778 (59.53%) | 1.56 (1.30–1.87)** |
Number of ANC Visit | ||||
One visit | 5,024 (6.01%) | 3,045 (60.62%) | 1,979 (39.38%) | Ref. |
Two visit | 7,096 (8.49%) | 3,452 (48.66%) | 3,643 (51.34%) | 1.41 (1.27–1.56)** |
three visit | 18,675 (22.34%) | 6,786 (36.34%) | 11,889 (63.66%) | 2.07 (1.90–2.26)** |
4 and above visit | 52,789 (63.16%) | 17,750 (33.63%) | 35,039 (66.37%) | 2.51 (2.31–2.73)** |
Residence | ||||
Rural | 53,614 (64.14%) | 20,721 (38.65%) | 32,893 (61.35%) | Ref. |
Urban | 29,970 (35.86%) | 10,313 (34.41%) | 19,657 (65.59%) | 1.36 (1.25–1.49)** |
Country | ||||
Angola | 4,758 (5.69%) | 1,847 (38.83%) | 2,911 (61.17%) | 0.49 (0.43–0.57)** |
Benin | 2,904 (3.47%) | 1,633 (56.23%) | 1,271 (43.77) | 0.31 (0.27–0.36)** |
Burundi | 6,935 (8.30%) | 2,746 (39.60%) | 4,188 (60.40%) | 0.64 (0.56–0.73)** |
Cameroon | 4,184 (5.01%) | 1,374 (32.85%) | 2,810 (67.15) | 1.09 (0.94–1.28) |
Ethiopia | 3,144 (3.76%) | 1,949 (62.00%) | 1,195 (38.00%) | 0.24 (0.21–0.28)** |
Gambia | 4,152 (4.97%) | 1,962 (47.25%) | 2,190 (52.75%) | 0.46 (0.39–0.54)** |
Guinea | 2,725 (3.26%) | 2,094 (76.84%) | 631 (23.16%) | 0.09 (0.07–0.11)** |
Liberia | 2,621 (3.14%) | 1,065 (40.65%) | 1,556 (59.35) | 0.69 (0.58–0.83)** |
Mali | 3,641 (4.36%) | 2,872 (78.88%) | 769 (21.12%) | 0.08 (0.07–0.10)** |
Mauritania | 4,565 (5.46%) | 4,303 (94.27%) | 262 (5.73%) | 0.02 (0.01–0.028)** |
Malawi | 8,602 (10.29%) | 866 (10.07%) | 7,736 (89.93%) | 5.43 (4.72–6.23)** |
Nigeria | 12, 343 (14.77%) | 4,166 (33.75%) | 8,177 (66.25%) | Ref. |
Rwanda | 4,681 (5.34%) | 478 (10.22%) | 4,203 (89.78%) | 5.11 (4.33–6.02)** |
Sierra Leone | 4,461 (5.34%) | 1,457 (32.66%) | 3,004 (67.34%) | 1.12 (0.97–1.28) |
Uganda | 7,232 (8.65%) | 1,401 (19.38%) | 5,831 (80.62%) | 2.32 (2.03–2.64)** |
South Africa | 1,647 (1.97%) | 218 (13.25%) | 1,429 (86.75%) | 3.86 (3.13–4.75)** |
Zambia | 4,986 (5.97%) | 600 (12.04%) | 4,386 (87.96%) | 4.41 (3.76–5.17)** |
HIV testing and counseling (HTC) during ANC visit in sub-saharan African countries
Determinants of HIV testing and counseling
Random effects
Variables | Models | |||
---|---|---|---|---|
Null Model | Model-1 AOR (95% CI) | Model-2 AOR (95% CI) | Model-3 AOR (95% CI) | |
Women’s Age (Years) | ||||
15–19 | - | Ref. | ||
20–24 | - | 1.36 (1.23–1.48) ** | - | 1.32 (1.21–1.45) ** |
25–34 | - | 1.60 (1.45–1.76) ** | - | 1.58 (1.43–1.75) ** |
35–49 | - | 1.69 (1.51–1.89) ** | - | 1.64 (1.46–1.83) ** |
Educational Status | ||||
No education | - | Ref. | ||
Primary | - | 1.42 (1.34–1.50)** | - | 1.17 (1.11–1.24)** |
Secondary and Above | - | 1.77 (1.66–1.89) ** | - | 1.50 (1.39–1.60)** |
Occupation | ||||
No occupation | - | Ref. | ||
Had Occupation | - | 1.52 (0.39–5.90) | - | 1.44 (0.42–4.92) |
Partners Education | ||||
No education | - | Ref. | ||
Primary | - | 1.62 (1.53–1.72) ** | - | 1.13 (1.07–1.20)** |
Secondary and Above | - | 1.65 (1.55–1.75) ** | - | 1.23 (1.15–1.30)** |
Partners occupation | ||||
No occupation | - | Ref. | ||
Had Occupation | - | 0.89 (0.23–3.48) | - | 0.72 (0.21–2.47) |
Media Exposure | ||||
No | - | Ref. | ||
Yes | - | 1.15 (1.10–1.21) ** | - | 1.25 (1.19–1.31)** |
Distance from health facility | ||||
A big problem | - | Ref. | ||
Not a big problem | - | 1.07 (1.02–1.12) ** | - | 1.07 (1.02–1.11)** |
Wealth Index | ||||
Poor | - | Ref. | ||
Medium | - | 1.09 (1.03–1.15) ** | - | 1.18 (1.11–1.24)** |
Rich | - | 1.20 (1.13–1.28) ** | - | 1.36 (1.27–1.45)** |
Number of children in a family | ||||
No children | - | Ref. | ||
One child | - | 1.27 (1.01–1.60) * | - | 1.21 (0.97–1.53) |
Two children | - | 1.41 (1.11–1.78) ** | - | 1.36 (1.08–1.71)** |
3–4 Children | - | 1.44 (1.13–1.82) ** | - | 1.38 (1.10–1.75)** |
Five and above | - | 1.43 (1.13–1.82) ** | - | 1.40 (1.12–1.76)** |
Number of ANC Visit | ||||
One visit | - | Ref. | ||
Two visit | - | 1.46 (1.31–1.63) ** | - | 1.23 (1.10–1.37)** |
three visit | - | 2.04 (1.85–2.25) ** | - | 1.54 (1.39–1.70)** |
4 and above visit | - | 2.36 (2.15–2.58) ** | - | 1.85 (1.68–2.02)** |
Residence | ||||
Rural | - | Ref. | ||
Urban | - | - | 2.02 (1.89–2.16)** | 1.40 (1.30–1.52)** |
Country | ||||
Angola | - | - | 0.42(0.37–0.48)** | 0.51 (0.44–0.60)** |
Benin | - | - | 0.31(0.27–0.35)** | 0.39 (0.34–0.45)** |
Burundi | - | - | 0.79(0.70–0.90)** | 0.91 (0.80–1.04) |
Cameroon | - | - | 1.02(0.88–1.19) | 1.10 (0.92–1.26) |
Ethiopia | - | - | 0.28(0.24–0.33)** | 0.36 (0.31–0.42)** |
Gambia | - | - | 0.42(0.35–0.49)** | 0.49 (0.41–0.58)** |
Guinea | - | - | 0.09(0.08–0.11)** | 0.13 (0.11–0.15)** |
Liberia | - | - | 0.71(0.60–0.84)** | 0.83 (0.69–1.01) |
Mali | - | - | 0.09(0.08-11)** | 0.11 (0.09–0.14)** |
Mauritania | - | - | 0.02(0.01–0.03)** | 0.02 (0.01–0.03)** |
Malawi | - | - | 6.65(5.79–7.63)** | 7.83 (6.76–9.07)** |
Nigeria | - | Ref. | ||
Rwanda | - | - | 6.03(5.12–7.09)** | 6.19 (5.19–7.38)** |
Sierra Leone | - | - | 1.17(1.02–1.34)** | 1.49 (1.29–1.72)** |
Uganda | - | - | 2.70(2.37–3.08)** | 2.86 (2.49–3.28)** |
South Africa | - | - | 3.41(2.78–4.19)** | 3.72 (2.42–5.73)** |
Zambia | - | - | 4.76(4.07–5.57)** | 5.35 (4.50–6.34)** |
Random Effects | ||||
Community Variance | 3.54(0.09) | 2.64(0.08) | 1.03(0.03) | 0.97(0.03) |
ICC% | 51.83% | 44.51% | 23.91% | 22.80% |
PCV | Ref. | 25.42% | 70.90% | 72.60% |
MOR | 5.97 | 4.68 | 2.62 | 2.55 |
Model Comparison | ||||
AIC | 90781.77 | 76257.77 | 82923.20 | 69781.07 |
BIC | 90800.44 | 76459.55 | 83100.53 | 70138.78 |