scholarly journals Factors associated with birth preparedness and complication readiness in Southern Ethiopia: a community based cross-sectional study

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Eshetu Andarge ◽  
Aderajew Nigussie ◽  
Mekitie Wondafrash
2019 ◽  
Author(s):  
Dereje Haile ◽  
Mekdes Kondale ◽  
Eshetu Andarge ◽  
Abayneh Tunje ◽  
Teshale Fikadu ◽  
...  

ABSTRACTBackgroundCompletion along continuum of care for maternal and newborn health(MNH) service like antenatal care, skilled birth attendance and postnatal care services is one of the currently recommended strategies to reduce both maternal and neonatal mortality to achieve the global target of ending preventable maternal and under five children’s mortality. Although studies on factors affecting each segment of MNH services were well documented in Ethiopia, there is a dearth of evidence on the level of continuum of care and factors associated with it. Thus, this study tries to fill this gap in the country in general and in the study area in particular.MethodsA community-based cross sectional study was conducted among 438 postnatal women who gave births in the last one year in Arba Minch Health and Demographic Surveillance Site. The sample women were selected by using computer generated random numbers from the list of women who gone at least six-weeks after birth. A pre-tested structured interviewer-administered questionnaire was used for data collection. Data was entered and coded in Epi-data and analysed using SPSS software version 23. Binary logistic regression model was fitted to identify factors associated with the outcome variable.ResultsThe overall completion along the continuum of care was 42(9.7%). The factors significantly associated with continuum of care completion were early antenatal booking (before 16 weeks) [AOR: 10.751, CI (5.095, 22.688], birth preparedness and complication readiness [AOR: 2.934, CI (1.414, 6.087), pre-pregnancy contraception utilization [AOR: 3.963, CI: 1.429,10.990], employed women [AOR: 2.586, CI: ((1.245, 5.371))], and planned pregnancy [AOR: 3.494 CI :(1.068, 11.425)].ConclusionCompletion along continuum of care was low in the study area. Thus, efforts in improving completion of the cares should focus on early booking during antenatal period, reducing unplanned pregnancy, and improvement on birth preparedness and complication readiness interventions.


Author(s):  
Monali Kar ◽  
Nivedita Karmee ◽  
Durga M. Satapathy

Background: Globally approximately 830 women die from pregnancy and child birth every day. Most of deaths can be prevented by proper planning like birth preparedness and complication readiness (BPCR). The aim of study was to assess awareness and practice regarding BPCR among pregnant women and recently delivered women and to identify socio-demographic factors affecting it.Methods: A community based cross sectional study was conducted from September to December 2018 in villages of Chhatrapur block of Ganjam District among pregnant women (completed 24 weeks) and recently delivered women (12 months) regardless of newborn outcome. Sample size was calculated to be 96. Multi stage random sampling was adopted and PPS (Probability proportional to size) method was used. A questionnaire was used which contained socio-demographic information and set of 11 indicators to determine BPCR index. All data were analysed in SPSS.Results: BPCR index was 44.6% and it was higher (61%) in recently delivered women. 26% can be said to be well prepared and 45.8%, 27%, 32.3%, 37.5% knew at least one key danger sign in pregnancy, delivery, post partum and about new born respectively. A significant association was found between maternal education, age and pregnancy with awareness regarding BPCR.Conclusions: BPCR index in study area was low and a low proportion of participants were well prepared. Awareness about danger signs was quite low. So health workers at grassroots level should be encouraged to explain BPCR components to women and educational activities should be carried out to promote women to make plan a priori.


Author(s):  
Namita Deshmukh ◽  
Avinash Borkar ◽  
Mrityunjay Rathore

Background: Neonatal and maternal mortality are the major concerns in the country mainly due to the “three delays” in seeking, reaching, and obtaining appropriate care. Birth preparedness and complication readiness (BPACR) is one of the most important tools to assess these delays. BPACR is the process of planning for normal birth and anticipating the actions needed in case of an emergency. The current study was undertaken to assess the status of BPACR among pregnant women in rural area of Kharsiya block in Raigarh district.Methods: A community-based, cross-sectional study was conducted among 110 pregnant women in rural area of Kharsiya during January-June 2017. All the pregnant females were interviewed using a pretested and structured questionnaire. Knowledge about danger signs, planning for transport, place and delivery by skilled birth attendant, financial management were assessed. BPACR index was also calculated.Results: The BPACR index was found to be very low (27.79%). About 73.65% women identified a skilled birth attendant for delivery but, only 10% women saved money and only 2.7% women had identified a blood donor for emergency. Nearly 74.54% women had no knowledge about danger or warning signs during pregnancy while 89.09% were unaware of complications during labour and 97.27% women did not know about puerperal complications.Conclusions: BPACR index in this rural area was very low. Vast majority of women were not knowledgeable about birth preparedness and complication readiness.


2019 ◽  
Author(s):  
Tsegaye Alemu Alemu Gute ◽  
Tigist Yakob Hankore

Abstract Abstract Background: Anemia is the most common nutritional problem in adolescent girls and it has negative consequence on cognition, work performance and economic productivity. However, in the developing world there is limited evidence regarding the magnitude and determinants of anemia among adolescent girls. The current study highlights the burden of and factors associated with anemia in adolescent girls in Hadero district, Southern Ethiopia. Methods: A community based cross-sectional study was conducted in January, 2016 among adolescent girls 10-19 years old. A total of 407 subjects were selected using multistage cluster sampling technique. Hemoglobin level was determined from capillary blood using the HemoCue method. Factors associated with anemia (give the operational definition in bracket) were identified using bivariate and multivariate binary logistic regression analysis. The outputs of analyses are presented using adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI). Result: The mean (±SD) of hemoglobin concentration adjusted for altitude was 13.7 + 1.2and ranged from 8 to 16.6g/dl. The overall prevalence of anemia was 15.2% (95%CI: 11.68%, 18.72%). Out of the total 400 adolescent girls 13.7% [95% CI: 10.33%, 17.06%] and 1.5% [95%CI: 0.3%, 2.7%] had mild and moderate anemia, respectively. low dietary diversity, (AOR=3.6, 95 % CI: 1.7, 7.7), long menstrual duration (AOR=6.4, 95%CI: 1.55, 27.0), malaria attack history (AOR=3.2, 95%CI: 1.4, 7.2) and over loaded physical work load (AOR=4.0, 95%CI: 1.7, 9.5), large family size (AOR=0.37,95% CI:0.16, 0.92) and low altitude (AOR=3.2, 95%CI: 1.23, 8.3) were significantly associated with anemia. Furthermore, prevalence of stunting and thinness were 21.3% and 16.5 % respectively. Conclusion : Anemia is a mild public health problem in the study area; increasing dietary diversity, Insecticide Treated Bed nets (ITNs) utilization and adolescent nutrition education are important strategies to reduce the burden of anemia.


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