scholarly journals Assessment of birth preparedness & complication readiness and associated factors among ANC attendant pregnant mothers in Arba Minch Town Governmental Institutions, Arba Minch, Southern Ethiopia

2019 ◽  
pp. 001-006
Author(s):  
Dessu S ◽  
Dawit Z ◽  
Bojola F
2020 ◽  
Author(s):  
Molalegn Mesele Gesese ◽  
Walellign Anmut Tirfe

Abstract Background: Birth preparedness and complication readiness is an approach that inspires pregnant women, their families and individuals to successfully design strategy for childbirths and deal with emergencies. In developing countries, world health organization estimates that more than 300 million women suffer from short-term and long-term complications related to pregnancy and child birth. In Ethiopia only 32% women have birth preparedness. The aim of this study is to assess practice and Associated factors of birth preparedness and complication readiness among Women Yirgalem General Hospital, Sidama Zone, Southern Ethiopia, 2019Methods: Facility based cross-sectional study was conducted from September 1st to 30th, 2019. A total of 422 pregnant women were randomly selected and interviewed by using pretested structured questionnaire. Data was entered by Epi-data version 3.1 and the analysis was done by SPSS version 21. Bivariate and multivariable logistic regression was performed to identify factors associated with birth preparedness and complication readiness.Result: From 422 study participants, 356(48.6%) (95% CI: 46.9%, 49.8%) have birth preparedness and complication readiness practice. Age of respondent ≥ 37 years (AOR =4.2, 95% C.I =1.23, 14.24) and between 25 to 30 (AOR=2.35, 95% C.I =1.1, 5.1); level of education College and above(AOR=5.59, 95% C.I 2.8, 11.2)and secondary school (AOR=9.5, 95% C.I 3.99-22); previous history of ANC follow up (AOR=4.33, 95% C.I = 2.46, 7.61) and history of birth at health facility (AOR=3.09, 95% C.I= 1.72, 5.56) where factors associated with birth preparedness and complication readiness practice. Conclusion: Relatively higher birth preparedness and complication readiness practice was observed in this study when compared with previous studies. Health extension workers and health care provider should encouraged women to actively utilize the health services and the governments with other stakeholders should works on antenatal care and institutional delivery by focusing on women those has no formal education.


2019 ◽  
Author(s):  
Zinash Tantu ◽  
Teklemariam Gultie ◽  
Wubshet Estifanos ◽  
Negussie Boti Sidemao

Abstract Background Birth-preparedness and complication-readiness (BPCR) is the process of planning for normal birth and anticipating the actions needed in case of an emergency. The involvement of husband during pregnancy and its complication helps an expectant mother to make timely decisions to avoid delays. Therefore, this study aims to assess the level of husband involvement in birth preparedness and complication readiness and associated factors in Kucha District, Gamo Zone, Southern Ethiopia.Methods Community-based cross-sectional study was conducted 421 among husbands with a wife who gave birth within the last 12 months at Kucha District. A simple random sampling technique was used to select the study subjects. Data were collected using a pretested interviewer-administered questionnaire by trained data collectors. Binary and multivariable logistic regression with odds ratios along with the 95% confidence interval analysis were employed to find factors associated with the dependent variable. A p-value <0.05 with 95% confidence level were used to declare statistical significance.Result Data collected from 421 husbands. One hundred twenty-seven (30.2%) husband involved in birth preparedness and complication readiness plan. Husbands who attend secondary and higher level of school (AOR=3.1, CI (1.84-5.23)), husbands whose wives had antenatal care follow up four and above (AOR=4.91, CI (2.36-10.2)), and husbands whose reside more than 5 km from health care facility (AOR=2.35, CI=1.40-3.96)), were significantly associated with husband involvement in birth preparedness and complication readiness.Conclusion Husbands involvement during birth preparedness and complication readiness was 30.2%. Educational level, the frequency of antenatal care, and the distance to the health facility were factors significantly affect the husbands’ involvement.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Gizachew Sime Ayele ◽  
Abulie Takele Melku ◽  
Semere Sileshi Belda

Abstract Background Maternal morbidity and mortality continued to be major issues in many countries. Globally a total of 10.7 million women have died between 1990 and 2015 due to maternal causes where sub-Saharan Africa alone accounts for 66% of maternal death. Since most maternal deaths are avoidable; skilled attendance during pregnancy, childbirth, and the postpartum is among the most critical interventions for improving maternal and neonatal survival. The study aimed to assess the magnitude and associated factors of utilization of skilled birth attendant at birth among women who gave birth in the last 24 months preceding the study in Gura Dhamole Woreda, Bale Zone Southeast Ethiopia, 2017. Methods Community based cross-sectional study was implemented from March 25 to April 24, 2017 in Gura Dhamole Woreda on total of 402 study subjects who were selected by Multi-stage sampling technique. The data were collected using pre-tested structured questionnaire and data was coded, entered, cleaned and analyzed using Statistical Package for Social Service (SPSS) Version 20. Odds ratio with 95% Confidence Interval (CI) was used to assess associations the dependent and independent variables. Logistic regression model was employed to identify independent predictors and variables were declared statistically significant at P value < 0.05. Result In this study only 29.2% of women were assisted by Skilled Birth Attendance (SBA) during their child birth. Place of residence, mother education, travel time, joint decision on the place of delivery, ANC visit frequency, birth preparedness and complication readiness status, knowledge on obstetric danger signs after delivery and knowledge of presence of maternity waiting homes were significantly associated with SBA utilization. Conclusion Skilled birth attendant utilization in the study area was low. Strategies that improve attendance of antenatal care utilization and attention to birth preparedness and complication readiness and counseling on danger signs are recommended.


PLoS ONE ◽  
2011 ◽  
Vol 6 (6) ◽  
pp. e21432 ◽  
Author(s):  
Mesay Hailu ◽  
Abebe Gebremariam ◽  
Fissehaye Alemseged ◽  
Kebede Deribe

2022 ◽  
Author(s):  
Tegegn Tadesse ◽  
Abera Beyamo ◽  
Yilma Markos ◽  
Dawit Sulamo ◽  
Lire Lema ◽  
...  

Abstract Background: Dietary diversity is a good proxy indicator for micronutrient adequacy in pregnant women. Despite some improvements in dietary intake among pregnant mothers, achieving the minimum dietary diversity among them is still a great challenge in Ethiopia. There are no enough studies done on minimum dietary diversity among pregnant women and factors identified were more of local based. Therefore this study determined the prevalence of minimum dietary diversity and its associated factors among pregnant women attending antenatal care in government health facilities of Soro district, Hadiya Zone, Southern Ethiopia.Methods: This is the facility based study conducted in government health facilities of Soro district, Hadiya Zone from Oct. 2020-Jan 2021. Cross sectional study design was undertaken by using systematic sampling on 422 pregnant women attending antenatal care. Both bivariate and multivariable logistic regression analysis were used to assess the association of independent variables with outcome variable.Result: From the total of the 422 study subjects, 416 pregnant women attending antenatal care were participated in the study and making the response rate 98.6 percent. The overall prevalence of pregnant mothers who have met the minimum dietary diversity was only 7.9%. Maternal educational status being grade nine above, eating meal more than three times per day and women being currently not married were factors found to be significantly associated with minimum dietary diversity among pregnant mothers attending antenatal care in government health facilities.Conclusion: The prevalence of the minimum dietary diversity among pregnant women attending ANC in public health facilities of Soro district was very low and far from national and international recommendations to enhance the maternal food diversity. Inter sectoral collaboration is very important to enhance the minimum dietary diversity during pregnancy and should be worked intensively and in an integrated manner.


2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Mekdes Kondale Gurara ◽  
Jean-Pierre Van Geertruyden ◽  
Befikadu Tariku Gutema ◽  
Veerle Draulans ◽  
Yves Jacquemyn

Abstract Background In rural areas of Ethiopia, 57% of births occur at home without the assistance of skilled birth attendants, geographical inaccessibility being one of the main factors that hinder skilled birth attendance. Establishment of maternity waiting homes (MWH) is part of a strategy to improve access to skilled care by bringing pregnant women physically close to health facilities. This study assessed barriers to MWHs in Arba Minch Zuria District, Southern Ethiopia. Methods A community-based cross-sectional study was undertaken from February 01 to 28, 2019. Study participants were selected by computer-generated random numbers from a list of women who gave birth from 2017 to 2018 in Arba Minch Health and Demographic Surveillance System site. Data were collected using a pre-tested and interviewer-administered questionnaire. Stata software version-15 was used for data management and analysis, and variables with p-values ≤ 0.2 in bivariate analysis were considered for multivariable logistic regression analysis. Level of statistical significance was declared at a p-value < 0.05. Qualitative data were analyzed manually based on thematic areas. Results MWH utilization was found to be 8.4%. Wealth index (lowest wealth quintile aOR 7.3; 95% CI 1.2, 42), decisions made jointly with male partners (husbands) for obstetric emergencies (aOR 3.6; 95% CI 1.0, 12), birth preparedness plan practice (aOR 6.5; 95% CI 2.3, 18.2), complications in previous childbirth (aOR 3; 95% 1.0, 9), history of previous institutional childbirth (aOR 12; 95% CI 3.8, 40), residence in areas within two hours walking distance to the nearest health facility (aOR 3.3; 95% CI: 1.4, 7.7), and ease of access to transport in obstetric emergencies (aOR 8.8; 95% CI: 3.9, 19) were factors that showed significant associations with MWH utilization. Conclusions A low proportion of women has ever used MWHs in the study area. To increase MWH utilization, promoting birth preparedness practices, incorporating MWH as part of a personalized birth plan, improving access to health institutions for women living far away and upgrading existing MWHs are highly recommended.


2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Yewondwossen Bitew ◽  
Worku Awoke ◽  
Simachew Chekol

Background. Little is known about birth preparedness and complication readiness (BPCR) plan in resource limited settings to decrease maternal mortality. Therefore, this study was done to assess the status of BPCR and associated factors among pregnant women in South Wollo, Northwest Ethiopia, by involving 819 pregnant women from March to April, 2014. Data were collected by using pretested interviewer administered questionnaire and analyzed using a computer program of SPSS version 20.00. Results. Pregnant women who were prepared for at least three elements of BPCR were 24.1%. Pregnant women knowing at least three key danger signs during pregnancy, delivery, and postnatal period were 23.2%, 22.6%, and 9.6%, respectively. Women having secondary education and higher were 6.20 (95% CI = [1.36, 28.120]) times more likely to be prepared than illiterates. Women having a lifetime history of stillbirth [5.80 (1.13, 29.63)], attending ANC for last child pregnancy [5.44 (2.07, 14.27)], participating in community BPCR group discussion [4.36 (1.17, 16.26)], and having their male partner involved in BPCR counseling during ANC follow-up [4.45 (1.95, 10.16)] were more likely to be prepared. Conclusions. BPCR was very low and should be strengthened through health communication by involving partner in BPCR counseling.


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