Urban-rural disparity and determinants of delivery care utilization in Oromia region, Ethiopia: Community-based cross-sectional study

Background. Exclusive breastfeeding tops the table of life-saving interventions for newborns. A child who is exclusively breastfed is 14 times less likely to die in the first six months compared to its counterpart. Approximately 18,000 children globally still die every day and if current trend continues, some 60 million children under age 5 will die between 2017 and 2030, and half of them will be newborns. Five countries, including Ethiopia, accounted for half of all newborn deaths in the world. Objective. To assess the prevalence and associated factors of exclusive breastfeeding practice among mothers who have infants 6-12 months of age in Boditi Town, Wolaita Zone, Southern Ethiopia, 2018. Methods. Community-based cross-sectional study was conducted among 412 randomly selected mothers having 6 to 12 month infants from April 1 to 14, 2018. A pretested interviewer administered questionnaire was used for data collection. The data were entered using Epi Data version 3.1 and analyzed using SPSS version 20. Descriptive statistics was made. Bivariate and multivariate logistic regression was also carried out to see the effect of each independent variable on the dependent variable. Results. Of 412 mother-infant pairs sampled, 403 were participated, which made a response rate of 97.8%. Prevalence of EBF computed using since birth dietary recall method was 64.8% (95% C.I= 60.0, 69.0). From multivariable analysis, child birth attended by health care provider (AOR = 5.303, 95% C.I = 1.613, 17.436), postnatal care utilization (AOR = 1.91, C.I = 1.083, 3.370), and mothers who did not report any breast related problem for the first six months after child birth (AOR = 1.864, C.I = 1.090, 3.189) were factors positively associated with exclusive breastfeeding practice. Conclusion. Although the prevalence of exclusive breastfeeding practice in this study was relatively high, more effort to meet World Health Organization (WHO) recommendations is still necessary to benefit from its intervention. There is a need to promote child births to be attended by health care providers and postnatal care utilization. Further, women should be educated on what to do and where to seek care if breast problem occurs after child birth.

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Factors associated with women’s autonomy regarding maternal and child health care utilization in Bale Zone: a community based cross-sectional study

BMC Women s Health ◽

10.1186/1472-6874-14-79 ◽

2014 ◽

Vol 14 (1) ◽

Cited By ~ 22

Author(s):

Dabere Nigatu ◽

Abebe Gebremariam ◽

Muluemebet Abera ◽

Tesfaye Setegn ◽

Kebede Deribe

Keyword(s):

Health Care ◽

Cross Sectional Study ◽

Care Utilization ◽

Child Health Care ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Factors Associated ◽

And Child Health ◽

Bale Zone

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Antenatal service utilization among women in South India: a community based cross sectional study

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20200884 ◽

2020 ◽

Vol 9 (3) ◽

pp. 1110

Author(s):

Chethana K. ◽

Manjula Anil ◽

Maria Nelliyanil

Keyword(s):

Antenatal Care ◽

Service Utilization ◽

Univariate Analysis ◽

Cross Sectional Study ◽

Care Utilization ◽

Snowball Sampling ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Validated Questionnaire

Background: Antenatal period is important for identifying pregnancy related threats and antenatal care (ANC) is one of the most effective health interventions during this period. It provides a unique opportunity for screening and diagnosis, health promotion and disease prevention. This study assessed the antenatal service utilization pattern and its determinants among women.Methods: A community based cross sectional study was conducted in the field practice area of a teaching hospital in Mangalore. Study included 142 women who had delivered in the last one year in the study area, selected using snowball sampling method. A pretested semi-structured validated questionnaire was used to collect the data. Predictors of full ANC were identified using univariate analysis and explanatory variables were entered into multivariate regression model to obtain the adjusted odds ratios to find the association between full ANC coverage and its determinants.Results: Among the participants, 99.3% registered their pregnancy and 78.9% had early registration. Majority, 91.5% had minimum antenatal visits, 83.1% consumed iron and folic acid supplements for more than three months and tetanus toxoid (TT) coverage was 98.6%. Full ANC coverage was found to be 81% and unadjusted analysis showed higher odds of full ANC coverage among housewives, primiparous, women in joint family and among literates. However, multi variable analysis revealed literacy as the major determinant of full ANC.Conclusions: In the present study, majority of the women had adequate antenatal care utilization. Full antenatal coverage was found to be statistically significant among literate women.

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Postnatal Care Utilization and Its Determinants in Loma District, Southwest Ethiopia: A Community Based Cross Sectional Study

10.17303/jwhg.2018.5.103 ◽

2019 ◽

Vol 6 (3) ◽

Keyword(s):

Postnatal Care ◽

Cross Sectional Study ◽

Care Utilization ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Southwest Ethiopia

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Determinants of postnatal care utilization in Tigray, Northern Ethiopia: A community based cross-sectional study

PLoS ONE ◽

10.1371/journal.pone.0221161 ◽

2019 ◽

Vol 14 (8) ◽

pp. e0221161 ◽

Cited By ~ 3

Author(s):

Almaz Berhe ◽

Alemayehu Bayray ◽

Yibrah Berhe ◽

Alula Teklu ◽

Amanuel Desta ◽

...

Keyword(s):

Postnatal Care ◽

Cross Sectional Study ◽

Care Utilization ◽

Northern Ethiopia ◽

Sectional Study ◽

Community Based ◽

Cross Sectional

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Early postnatal care utilization among mothers gave birth in the last six weeks in remote district of Ethiopia: a cross-sectional study

10.21203/rs.2.12580/v1 ◽

2019 ◽

Author(s):

Zewde Ayana ◽

Deselegn Wirtu ◽

Belachew Etana ◽

Tariku Tesfaye Beakuma

Keyword(s):

Postnatal Care ◽

Cross Sectional Study ◽

Care Utilization ◽

P Value ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Factors Associated ◽

Qualitative Finding ◽

Association Result

Abstract Background majority of neonate and maternal death is occurring in the first week of delivery. Therefore, utilization of postnatal care within the first week of delivery is essential to increase the survival of both a mother and newborn. Therefore, this study was aimed to assess the use of postnatal care in the first week of delivery and factors associated among women who gave birth in the last six weeks. Method A community-based cross-sectional study was conducted in the Dano District, one of the remotest districts in the Oromia Region of Ethiopia. A total of 274 women who gave birth during the last six weeks and selected using random sampling method were included in the study. Multivariate logistic regression was used to identify factors associated with the utilization of postnatal care within the first week of delivery. Finding with a p-value less than 0.05 is considered a statistically significant association. Result early postnatal care utilization is found to be (within the first week of delivery) was 23.7 percent. Mother given appointment after delivery [AOR=4.84, 95% CI= (1.46, 16.1)], have used postnatal care previous [AOR= 7.4, 95% CI= (2.9, 18.5)] and aware of postnatal care within first week of delivery [AOR=4.27, 95% CI= (1.46, 12.49)] were more likely to use the postnatal care within first week. The qualitative finding indicated traditional beliefs during postpartum also found to affect the use of postnatal care. Conclusion The utilization of postnatal care within first week of delivery in was low in the district. Therefore, creating awareness on the benefits of early postnatal care, and designing of strategies to decrease the effect of traditional belief on postnatal care recommended to improve the coverage.

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