scholarly journals Status of Home Delivery and Its Associated Factors among Women Who Gave Birth within the Last 12 Months in East Badawacho District, Hadiya Zone, Southern Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Deneke Delibo ◽  
Melake Damena ◽  
Tesfaye Gobena ◽  
Bahailu Balcha
Keyword(s):  
Maternal Education ◽  
Skilled Birth Attendance ◽  
Home Delivery ◽  
Southern Ethiopia ◽  
Systematic Sampling ◽  
Birth Preparedness ◽  
Cross Sectional ◽  
Place Of Delivery ◽  
Birth Plan ◽  
Birth Attendance

Background. Home delivery is responsible to maternal mortality due to obstetric complication like hemorrhage, hypertensive disorders, and sepsis. The prevalence of home delivery is remained very high both nationally (73%) and regionally (SNNPR) with 74.5%. Efforts were made to increase institutional delivery through skilled birth attendance. But women still prefer home as a place of delivery. This study was done to determine whether home preference has association with home delivery or not and the reason why they prefer home delivery Method. A community-based cross-sectional study was conducted in East Badawacho District from January 26 to February 25/2018. A total of 552 participants were selected by systematic sampling. Data were collected using both quantitative and qualitative methods. Bivariate and multivariable analyses were carried out to identify factors associated with home delivery. Qualitative data was analyzed thematically, and results were triangulated with the data. Associations were determined by using OR at 95% CI and p value at 0.05. Result. Home delivery is found to be 73.6% (95% CI, 69.9%-77.2%). Lack of written birth plan for birth preparedness and readiness (AOR=14.965, 95% CI: 4.488-49.899), incomplete number of ANC visits (1-3)(AOR=4.455, 95% CI: 1.942-10.221), and home preference as a place of delivery (AOR=4.039, 95% CI: 1.545-10.558) were independent predictors of home delivery. Conclusion. Home delivery was high in the district. The independent factors significantly associated with home were lack of written birth plan for preparedness and readiness, incomplete number of ANC visits (1-3), and home preference as place of delivery. Actions targeting maternal education, encouraging number of ANC visits, and avoiding barriers for ID utilization were the crucial areas to tackle the problem.

Improving Practice of Institutional Delivery in Southern Ethiopia

2019 ◽  
Author(s):  
Dejene Kassa ◽  
Henok Tadele ◽  
Birkneh Tilahun Tadesse ◽  
Akalewold Alemayehu ◽  
Teshome Abuka ◽  
...  
Keyword(s):  
Institutional Delivery ◽  
Significant Proportion ◽  
Skilled Birth Attendance ◽  
Home Delivery ◽  
Outcome Variable ◽  
Southern Ethiopia ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Birth Attendance ◽  
At Home

Abstract Background Institutional delivery service utilization is one of the key and proven interventions to reduce maternal death. It ensures safe birth, reduces both actual and potential complications, and decreases maternal and newborn death. However, a significant proportion of deliveries in developing countries including Ethiopia occurs at home and is not attended by skilled birth attendants. This study aimed at determining the prevalence of home delivery and associated factors in three districts in Sidama Zone.Methods A cross sectional survey was conducted from 15th- 20th October 2018. A multi-stage sampling design was employed to select 507 women who gave birth 12 months preceding the survey. Quantitative data were collected by using structured, interviewer administered questionnaires. Univariate and multivariate logistic regression models were run to assess factors associated with home delivery. Measures of association between factors and the outcome variable were reported using 95% confidence intervals (CIs) and adjusted odds ratios (aORs).Results The response rate was 495(97.6%). The overall prevalence of home delivery was 113 (28%) with 95%CI (19%, 27%). Maternal rural residence, aOR=7.45(95%CI: 2.23-24.83); illiteracy of mothers, aOR=8.78 (95% CI: 2.33-33.01); those who completed grades 1-4, aOR =3.81(95% CI: 1.16-12.49); mothers who did not know the expected date of delivery, aOR=2.12 (95% CI: 1.21-3.71); mother being merchant, aOR=3.01(95%CI:1.44-6.3) and paternal illiteracy, aOR=3.27, (95% CI: 1.20-8.88) were predictors of home birth.Conclusion The prevalence of skilled birth attendance in the study area has improved from the EDHS 2016 report of 26%. Uneducated, rural and merchant mothers were more likely to deliver at home. Interventions targeting rural and uneducated mothers might help to increase skilled birth attendance in the region.

scholarly journals Skilled Birth Attendance among Women in Tharaka-Nithi County, Kenya

2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
Eliphas Gitonga
Keyword(s):  
Family Income ◽  
Skilled Birth Attendance ◽  
Sub Saharan Africa ◽  
Systematic Sampling ◽  
Birth Preparedness ◽  
Cross Sectional Survey ◽  
Skilled Attendant ◽  
Chi Square ◽  
Cross Sectional ◽  
Birth Attendance

Background. The burden of maternal mortality is concentrated in sub-Saharan Africa with an estimation of 500 000 deaths annually. In 2012, about forty million births occurred without a skilled attendant in developing countries. Skilled birth attendance improves maternal and newborn survival. The aim of this study therefore was to establish the level of skilled birth attendance and the associated factors. Methods. A cross-sectional survey was carried out using structured questionnaires as tools of data collection. Systematic sampling was used to select the respondents from the facilities that were stratified. The dependent variable was skilled birth attendance. Descriptive statistics were used to generate proportions and percentages while chi-square and Fisher’s exact tests were used to draw inferences. Association was significant if P<0.05. Results. The level of utilisation of skilled birth attendance was 77%. Skilled birth attendance was noted to be associated with age, level of education, average family income, parity, distance to the health facility, timing of initiation of antenatal care, level of facility attended during pregnancy, and birth preparedness status. Conclusion. The level of skilled birth attendance among women in Tharaka-Nithi County, Kenya, despite being higher than in some counties, requires improvement.

scholarly journals Magnitude and determinants of self-referrals among women seeking skilled birth attendance services: a cross-sectional hospital-based study in Marsabit County, Kenya

2021 ◽  
Vol 8 (5) ◽  
pp. 2124
Author(s):  
Joseph O. Adoyo ◽  
Eliphas G. Makunyi ◽  
George O. Otieno ◽  
Alison Yoos
Keyword(s):  
Multiple Logistic Regression Analysis ◽  
Skilled Birth Attendance ◽  
Health Facilities ◽  
Public Hospitals ◽  
Systematic Sampling ◽  
P Value ◽  
Cross Sectional ◽  
Factors Associated ◽  
Birth Attendance ◽  
Referral Hospitals

Background: Self-referral to higher-level hospitals by women seeking skilled birth attendance services reflects in part their non-adherence to established referral pathways. This choice results in an inappropriate utilization of resources within health system. The Kenya Health Sector Referral Strategy aims at optimising the utilization and access of facilities. The aim of this study was to determine the prevalence and factors associated with self-referral among women seeking skilled birth attendance services in Marsabit County between 1st and 31st Oct 2019.Methods: A cross-sectional study was adopted at the maternity department in the selected public hospitals in Marsabit County, by use of interviewer-administered questionnaires to collect information from 161 women, through systematic sampling between 1st and 31st Oct 2019. Chi-square and multiple logistic regression analysis were used to test for factors associated with self-referral at 95% confidence interval.Results: Of the 161 women interviewed, 47.2% (n=76) were self-referrals. The odds of self-referral to the higher level health facilities were more likely among women: - aged 25-29 (AOR 5.174, CI 1.015-26.365, p-value 0.048); those referred for other ANC services (AOR 4.057, CI 1.405-11.720, p-value 0.010); and those, - who visited the referral facility before for delivery (AOR 5.395, CI 1.411 – 20.628, p-value 0.014). However, self-referral were less likely among women who perceived privacy and confidentiality of services at the referral hospitals (AOR 0.370, CI 0.138-0.990, p-value 0.048).Conclusions: Almost half of women seeking skilled birth attendance were self-referrals, relates to a possible implication on an unprecedented increased workload at referral hospitals and underutilization of primary health facilities.

scholarly journals Birth Preparedness and Its Association with Skilled Birth Attendance and Postpartum Checkups among Mothers in Gibe Wereda, Hadiya Zone, South Ethiopia

2016 ◽  
Vol 2016 ◽  
pp. 1-11 ◽  
Author(s):  
Yohannes Lakew ◽  
Fasil Tessema ◽  
Chernet Hailu
Keyword(s):  
Antenatal Care ◽  
Educational Status ◽  
Skilled Birth Attendance ◽  
Cross Sectional Study ◽  
Birth Preparedness ◽  
Sampling Frame ◽  
Cross Sectional ◽  
Danger Signs ◽  
Birth Attendance ◽  
Three Delays

Background. Birth preparedness program was designed to enhance skilled birth attendance and postpartum checkups of women in a developing country to reduce the three delays that lead women and neonates to death and disability. However, the relationship between birth preparedness with skilled birth attendance and postpartum checkups among mothers is not well studied. Therefore this study is intended to assess the association between birth preparedness and skilled birth attendance and postpartum checkups. Methods. A community based cross-sectional study was conducted from March to April 2014. Eight out of 22 Kebeles were selected using probability proportional to size sampling method. Seven hundred and forty-five mothers were selected randomly from the sampling frame, generated from family folders obtained from health posts. Data was collected using pretested questionnaire by face-to-face interview. Data was entered into EpiData version 3.1 database and analyzed by SPSS version 16. Result. Out of 745 sampled mothers 728 (97.7%) participated in the study. One hundred and twelve (15.4%) and 128 (17.6%) mothers got skilled birth attendance and received postpartum checkups for their last child, respectively. Birth preparedness, educational status of women and their husbands, and antenatal care visits of mothers were found to be predictor of skilled birth attendance and postpartum checkups. Mothers well prepared for child birth were 6.7 times more likely to attend skilled birth attendance [AOR = 6.7 (2.7–16.4)] and 3 times more likely to follow postpartum checkups [AOR = 3.0 (1.5–5.9)] than poorly prepared mothers, respectively. Travel time to reach the nearest health facility was found as predictor for postpartum checkups of mothers; mothers who travel ≤ 2 hours were three times more likely to follow postpartum checkups than mothers who travel > 2 hours (AOR (95% CI) = 3.4 (1.5–7.9)). Conclusion and Recommendation. Skilled birth attendance and postpartum checkups were low. Encouraging women to attend recommended antenatal care visits and providing advice and education on birth preparedness and obstetric danger signs are important interventions to increase skilled birth attendance and postpartum checkups.

scholarly journals Home delivery practice and its predictors in South Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0254696
Author(s):  
Dejene Hailu ◽  
Henok Tadele ◽  
Birkneh Tilahun Tadesse ◽  
Akalewold Alemayehu ◽  
Teshome Abuka ◽  
...  
Keyword(s):  
Maternal Education ◽  
Institutional Delivery ◽  
Significant Proportion ◽  
Home Delivery ◽  
Southern Ethiopia ◽  
Cross Sectional Survey ◽  
Place Of Delivery ◽  
The Past ◽  
Employed Women ◽  
At Home

Background Institutional delivery is one of the key interventions to reduce maternal death. It ensures safe birth, reduces both actual and potential complications, and decreases maternal and newborn death. However, a significant proportion of deliveries in developing countries like Ethiopia are home deliveries and are not attended by skilled birth attendants. We investigated the prevalence and determinants of home delivery in three districts in Sidama administration, Southern Ethiopia. Methods Between 15–29 October 2018, a cross sectional survey of 507 women who gave birth within the past 12 months was conducted using multi-stage sampling. Sociodemographic and childbirth related data were collected using structured, interviewer administered tools. Univariate and backward stepwise multivariate logistic regression models were run to assess independent predictors of home delivery. Results The response rate was 97.6% (495). In the past year, 22.8% (113), 95% confidence interval (CI) (19%, 27%) gave birth at home. Rural residence, adjusted odds ratio (aOR) = 13.68 (95%CI:4.29–43.68); no maternal education, aOR = 20.73(95%CI:6.56–65.54) or completed only elementary school, aOR = 7.62(95% CI: 2.58–22.51); unknown expected date of delivery, aOR = 1.81(95% CI: 1.03–3.18); being employed women (those working for wage and self-employed), aOR = 2.79 (95%CI:1.41–5.52) and not planning place of delivery, aOR = 26.27, (95%CI: 2.59–266.89) were independently associated with place of delivery. Conclusion The prevalence of institutional delivery in the study area has improved from the 2016 Ethiopian Demography Health Survey report of 26%. Uneducated, rural and employed women were more likely to deliver at home. Strategies should be designed to expand access to and utilization of institutional delivery services among the risky groups.

Determinants of Skilled Birth Attendance Utilization Among Mothers Who Gave Birth In The Past 24 Months In Kembata Tembaro Zone

2021 ◽  
Author(s):  
Eyassu Mathewos ◽  
Belete Kassa
Keyword(s):  
Decision Maker ◽  
Maternal Education ◽  
Skilled Birth Attendance ◽  
Final Decision ◽  
Place Of Residence ◽  
Place Of Delivery ◽  
Birth Attendance ◽  
History Of ◽  
Maternal Occupation ◽  
Study Participants

Abstract Background: Skilled delivery is encouraged as a single most important strategy in preventing maternal and neonatal morbidity and mortality. It ensures safe birth, reduce both actual and potential complications and increase the survival of most mothers and newborns. Little is known on current factors that affect utilization of skilled birth attendance in the study area. Therefore this study was aimed identify determinants of skilled birth attendance utilization among women who gave birth in the last 24 months preceding the studyMethods: A community based cross-sectional study was employed among women who gave birth in the last 24 months prior to the survey in Kembata Tembaro zone from April 1 to 30, 2020. 624 study participants were recruited for the study as eligible study participants. Multi-stage stratified sampling was used to select three districts and one town administrative unit of the study area. The data were collected and verified for their completeness, edited, and coded. Multivariate analysis was performed using the back ward LR method to identify factors independently associated with dependent variable. Statistical significance was declared at p-value of less than 0.05 and the strength of statistical association was measured by adjusted odds ratios and 95% confidence intervals.Results: In this study, 375(61.8%) women gave their last birth at health institutions being attended by skilled birth attendants. Place of residence [AOR (95% CI)=0.33(0.215, 0.582)], age at interview [AOR (95% CI=3.41(1.572, 5.449)], maternal education [AOR (95% CI)=1.50(1.336, 4.193)], history of still birth [AOR (95% CI)=3.85(2.144, 6.905)], maternal occupation [AOR (95% CI)=3.35(1.793,6.274)], husband occupation [AOR (95% CI)=2.69(1.701,7.986)], ANC visit [AOR (95% CI) =4.62(3.124, 7.324)], knowledge about obstetric complications [AOR (95% CI) =3.10(1.371,5.214)] and final decision maker about place of delivery [AOR (95% CI)= 3.64(1.701,7.986)] were significant with utilization of skill birth attendance.Conclusion: In this study, about two fifth of the respondents were delivering in the home without using unskilled delivery attendant. Place of residence, age at interview, maternal education, history of still birth, maternal occupation, husband occupation, ANC visit, knowledge about obstetric complications and final decision maker about place of delivery were determinants of utilization of skilled attendant delivery.

scholarly journals Utilization of individual birth plan during pregnancy and its determinants in Makueni County, Kenya

2017 ◽  
Vol 5 (1) ◽  
pp. 30 ◽  
Author(s):  
John Kyunguti Ndeto ◽  
Sammy Onyapidi Barasa ◽  
Mary Wanjiru Murigi ◽  
Margaret Nyanchoka Keraka ◽  
Justus O. S. Osero
Keyword(s):  
Group Discussion ◽  
Sampling Technique ◽  
Antenatal Clinic ◽  
Systematic Sampling ◽  
Bivariate Analysis ◽  
Birth Preparedness ◽  
Long Distance ◽  
Cross Sectional ◽  
Care Clinic ◽  
Birth Plan

Background: All pregnant women are required to have an individual birth plan (IBP) to be discussed during each antenatal care clinic (ANC) visit. Birth preparedness increases the likelihood of seeking skilled care which can lead to positive birth outcomes. However, there is paucity of literature on utilization of IBP in rural Kenya. This study aimed at assessing the level of utilization of IBP and it’s determinants in Makueni County, Kenya. Methods: Descriptive cross-sectional design was used to study 326 postnatal mothers in three primary health facilities. Systematic sampling technique was used. We collected data using a researcher-administered structured questionnaire and focused group discussion. Quantitative data analysis was conducted using statistical package for Social Sciences (SPSS) version 20.0 and involved univariate and bivariate analysis. Chi- square were used to test the significance of the association between the dependent and independent variables (p<0.05). Qualitative data was analyzed by thematic content analysis. Results: IBP utilization was low 48.2% (95% CI (42.7%-58.6%) despite high ANC attendance. Identifying a blood donor was the least utilized component (25%). Being middle aged, high education level, attending ANC clinic 4 times and being married were significantly associated with utilization of an IBP, (OR=2.108, p=0.005), (OR=12.828, p<0.001), (OR 30.942 (95% CI 4.128-231.954) p<0.001) and (OR=2.20, p=0.001) respectively. Perceptions of high cost, long distance and disrespect from staff reduced IBP utilization by 65%, 80% and 47% respectively. Conclusions: Birth preparedness is low despite high antenatal clinic attendance. Stakeholders ought to address factors influencing birth preparedness. 

scholarly journals Factors Affecting the Presence of Adequately Iodized Salt at Home in Wolaita, Southern Ethiopia: Community Based Study

2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Wondimagegn Paulos Kumma ◽  
Yusuf Haji ◽  
Junayde Abdurahmen ◽  
Yohannes Mehretie Adinew
Keyword(s):  
Formal Education ◽  
Data Entry ◽  
Sampling Technique ◽  
Iodine Content ◽  
Iodized Salt ◽  
Southern Ethiopia ◽  
Systematic Sampling ◽  
Cross Sectional ◽  
Wolaita Sodo ◽  
At Home

Background. Universal use of iodized salt is a simple and inexpensive method to prevent and eliminate iodine deficiency disorders like mental retardation. However, little is known about the level of adequately iodized salt consumption in the study area. Therefore, the study was aimed at assessing the proportion of households having adequately iodized salt and associated factors in Wolaita Sodo town and its peripheries, Southern Ethiopia. Methods. A cross-sectional study was conducted from May 10 to 20, 2016, in 441 households in Sodo town and its peripheries. Samples were selected using the systematic sampling technique. An iodometric titration method (AOAC, 2000) was used to analyze the iodine content of the salt samples. Data entry and analysis were done using Epi Info version 3.5.1 and SPSS version 16, respectively. Result. The female to male ratio of the respondents was 219. The mean age of the respondents was 30.2 (±7.3 SD). The proportion of households having adequately iodized salt was 37.7%, with 95% CI of 33.2% to 42.2%. Not exposing salt to sunlight with [OR: 3.75; 95% CI: 2.14, 6.57], higher monthly income [OR: 3.71; 95% CI: 1.97–7.01], and formal education of respondents with [OR: 1.75; 95% CI: 1.14, 2.70] were found associated with the presence of adequately iodized salt at home. Conclusion. This study revealed low levels of households having adequately iodized salt in Wolaita Sodo town and its peripheries. The evidence here shows that there is a need to increase the supply of adequately iodized salt to meet the goal for monitoring progress towards sustainable elimination of IDD.

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