scholarly journals Factors affecting institutional delivery in rural Chitwan district of Nepal: a community-based cross-sectional study

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Rajani Shah ◽  
Eva A Rehfuess ◽  
Mahesh K Maskey ◽  
Rainald Fischer ◽  
Prem B Bhandari ◽  
...  
Keyword(s):  
Institutional Delivery ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Factors Affecting

scholarly journals Effect of attending pregnant women’s conference on institutional delivery, Northwest Ethiopia: comparative cross-sectional study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Melash Belachew Asresie ◽  
Gizachew Worku Dagnew
Keyword(s):  
Institutional Delivery ◽  
Statistical Significance ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Danger Signs

Abstract Background Institutional delivery is the cornerstone reducing maternal mortality. Community-based behavioral change interventions are increasing institutional delivery in developing countries. Yet, there is a dearth of information on the effect of attending pregnant women’s conferences in improving institutional delivery in Ethiopian. Therefore, this study was aimed to assess the effect of attending pregnant women’s conference on institutional delivery, Northwest Ethiopia. Methods Community-based comparative cross-sectional study was conducted in 2017 among 871 women who gave birth within the last 12 months (435: pregnant women’s conference attendants and 436: pregnant women’s conference non-attendants). Participants were selected by using a multistage-simple random sampling technique and a structured interviewer-administered questionnaire was used for data collection. Both descriptive and logistic regression analyses were performed using SPSS V.23. A P-value less than or equal to 0.05 at 95% confidence interval was set to test statistical significance. Results Institutional delivery among women who attended pregnant women’s conferences was 54.3%, higher compared with 39.9% of women who didn’t attend the conference. Likewise, the level of well-preparedness for birth was higher among women who attended the conference (38.9%) compared with their counterparts (25.7%). Being knowledgeable on childbirth (AOR = 1.7, 95%CI: 1.2, 2.8) and postpartum danger signs (AOR = 14.0, 95%CI: 4.6, 40.0), and discussed with partners/families about the place of birth (AOR = 7.7, 95%CI: 3.6, 16.4) were more likely to institutional delivery among women who attended pregnant women’s conference. Whereas, among women who didn’t attend the pregnant women’s conference, being knowledgeable about pregnancy danger signs (AOR = 3.6, 95%CI: 1.6, 8.1) were more likely to institutional delivery. In addition, the nearest health facility within 1 h of walking and well-preparedness for birth and its complication were found positively associated with institutional delivery in both groups. Conclusion Institutional delivery was low in both groups compared to the national plan, but was higher among women who attended the conference. Similarly, women’s knowledge of obstetric danger signs and preparation for birth and its complication was higher among women who attended the conference. Therefore, encouraging women to attend the pregnant women’s conference and discuss with their families about the place of delivery should be strengthened.

scholarly journals Effect of Community-Based Intervention (Pregnant Women’s Conference) on Institutional Delivery in Ethiopia

2021 ◽  
Author(s):  
Melash Belachew Asresie ◽  
Gizachew Worku Dagnew
Keyword(s):  
Random Sampling ◽  
Institutional Delivery ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Danger Signs ◽  
The Government

Institutional delivery is the foundation for diminishing maternal mortality. Evidence showed that community-based behavioral change interventions are increasing institutional delivery in developing countries. By understanding this, the government of Ethiopia launched a community-based intervention called “pregnant women’s conferences” to improve institutional delivery. This study was conducted to assess its effectiveness on institutional delivery among 871 women who gave birth within the last 12 months (435: pregnant women’s conference attendants and 436: pregnant women’s conference non-attendants) in 2017. It was a community-based comparative cross-sectional study and participants were selected using a multistage-simple random sampling technique. A structured interviewer-administered questionnaire was used for data collection. The result showed that institutional delivery among women who attended pregnant women’s conferences was 54.3% (95%CI: 49.9–59.1), higher compared with 39.9% (95%CI: 35.3%- 44.7%) of women who did not attend the conference. Likewise, the level of well-preparedness for birth was higher among women who attended the conference (P = 38.9%, 95%CI: 33.8–43.7), compared with their counterparts (P = 25.7%, 95% CI: 22.2–29.4). Similarly, women’s knowledge of obstetric danger signs was higher among women who attended the conference. Therefore, encouraging pregnant women to attend the conference should be strengthened.

scholarly journals Delayed breast feeding initiation increases the odds of colostrum avoidance among mothers in Northwest Ethiopia: a community-based cross-sectional study

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Maezu G/slassie ◽  
Zelalem Nigussie Azene ◽  
Abuhay Mulunesh ◽  
Tesfa Sewunet Alamneh
Keyword(s):  
Breast Feeding ◽  
Associated Factors ◽  
Institutional Delivery ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Timely Initiation ◽  
Colostrum Feeding

Abstract Background Colostrum is a yellowish and sticky breast milk produced in late pregnancy. Annually, 60% of 10.9 million under-five deaths globally are due to malnutrition. Of these, over two-thirds of the deaths are accounted by sub-optimal feeding practices in the first year of life, including colostrum discarding. However, evidence on the magnitude of colostrum avoidance and its associated factors at the community level is very limited in Ethiopia, particularly in the study area. Thus, this study aimed to assess the magnitude of colostrum avoidance and associated factors among mothers who gave birth in the last six months in Gozamen district, northwest Ethiopia, 2019. Methods A community-based cross-sectional study was conducted among 741 (741) mothers who gave birth in the last six months in Gozamen district from August 1 to September 12, 2019. A stratified cluster sampling technique was used to select the study participants. Data were collected by face-to-face interviewer-administered, pretested, and semi-structured questionnaire. Binary logistic regressions (bi-variable and multivariable) were fitted to identify statistically significant variables. Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) was used to declare statistically significant variables on the basis of p-value < 0.05 in the multivariable binary logistic regression. Results This study indicated that the magnitude of colostrum avoidance was 22.1% (95% CI, 19.0, 25.2%). Mothers who did not get counseling on timely initiation of breast feeding (AOR = 3.91[95% CI, 1.98, 7.72]), not participate in pregnant woman forum (AOR = 2.59[95% CI, 1.30, 5.14]), initiate breast-feeding lately (more than 1 h) (AOR 2.27[95% CI, 1.18, 4.34]), and those having unfavorable attitude towards colostrum feeding (AOR = 7.35[95% CI, 3.89, 13.91]) were factors associated with the increased likelihood of colostrum avoidance. However, institutional delivery (AOR; 0.06[95% CI, 0.02, 0.19]) and prelacteal feeding (AOR; 0.10[95% CI, 0.05, 0.21]) were predictors associated with reduced likelihood of colostrum avoidance. Conclusion Colostrum avoidance is a common practice in the study area. Therefore, in order to reduce this practice, strengthening infant feeding counseling, promoting institutional delivery, timely initiation of breastfeeding, health education, and community advocating are recommended interventions. In addition, creating awareness on the benefits of colostrum feeding is very instrumental to tackle the practice of colostrum avoidance.

scholarly journals Utilization of Institutional Delivery Service and Associated Factors among Women of Child Bearing Age in Bule Hora Town, West Guji Zone, Oromia Regional State, Ethiopia. Community Based Cross- Sectional Study Design, 2018

2019 ◽  
Author(s):  
Zelalem Jabessa Wayessa ◽  
Udessa Gamede
Keyword(s):  
Secondary School ◽  
Institutional Delivery ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Delivery Service ◽  
Pregnancy And Childbirth ◽  
Institutional Delivery Service

Abstract Background:-Globally at least 303,000 women died during pregnancy and childbirth and every day approximately 830 women die from preventable causes related to pregnancy and childbirth. Although institutional delivery has been promoted in Ethiopia, still delivery in a health facility is far lower than other neighboring countries. The aim of this study was to assess utilization of institutional delivery service and associated factors among women of childbearing age in Bule Hora town, West Guji zone, Oromia regional state, Ethiopia Methods: - Community-based cross-sectional study design with quantitative methods of data collection was employed from February 01 to March 30/2018. A total of 360 childbearing mothers in the Bule Hora town were involved in the study using a systematic sampling method. The instrument was pre-tested on 5% the sample at Gerba town. The data were analyzed by using binary and multivariable logistic regression and statistical associations were measured using odds ratio and 95%CI. Results: - The prevalence of utilization of institutional delivery services in Bule hora town is 72%. According to this finding age at first pregnancy (AOR: 2.08, 95%CI: 1.768-5.620), educational status of mothers who attended secondary school and above (AOR: 4.613, 95%CI: 1.096-11.912) and primary school attended mothers (AOR:3.18, 95%CI: 2.406-3.443), educational status of husbands who attended secondary school and above (AOR: 4.91, 95%CI: 10.792-30.441)and primary school attended (AOR: 2.13, 95%CI: 8.359-12.616), spousal communication about place of delivery (AOR: 4.27, 95%CI: 1.823-10.004), husbands occupations (AOR: 2.94, 95%CI: 2.734-5.137), current antenatal care (AOR: 46.74, 95%CI: 16.778-30.210), and parity three and less children (AOR: 6.97, 95%CI: 1.305-37.212 were had a strong statistical association with utilization of institutional delivery service. Conclusions: - The finding shows the utilization of institutional delivery service in Bule Hora town is higher than a national figure but lower than the national target of skilled delivery. Policymaker and health institutions should have to strength and create awareness of the community on the importance of institutional delivery and use of ANC service in order to screen and detect early signs of disease, followed by timely intervention.

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