scholarly journals The dropout rate and associated factors of the continuum of maternal health care services before and during Covid-19 Pandemic among women who gave birth in the last two years in Addis Ababa, Ethiopia, 2021. A comparative cross-sectional study design

2021 ◽  
Author(s):  
Dawit Zenamarkos Desta ◽  
Adane Kebede ◽  
Mehari Woldemariam Merid ◽  
Wubshet Debebe Negash ◽  
Desale Bihonegn Asmamaw
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Associated Factors ◽  
Addis Ababa ◽  
Dropout Rate ◽  
Continuum Of Care ◽  
Maternal Health Care ◽  
Birth Preparedness ◽  
Complication Readiness ◽  
The Continuum

Abstract Background A continuum of maternal health care is the continuity of care during pregnancy, delivery, and post-delivery period. However, the dropout rate of the continuum care and factors associated with it during the COVID-19 pandemic were not well documented in the study setting. Hence, this study was used to assess the dropout rate and associated factors of the continuum of care before and during the COVID-19 pandemic. Methods A community-based comparative cross-sectional study was conducted among 630 women who gave birth in the last two years in Addis Ababa. An interviewer-administered questionnaires were used to collect the data. The Epi data version 4.6 and STATA version 14 statistical Softwares were used for data entry and analysis, respectively. Binary logistic regression model was used to identify associated factors of the dropout rate of a continuum of care. Result The dropout rate of the continuum of maternal healthcare was 58.39% (95% CI: 52.56-64.00) and 73.24% (95% CI: 67.91-77.98) before and during the covid-19 pandemic respectively. Women who had no information about PNC (AOR =1.88, 95% CI: 1.01-3.50), not received appropriate care (AOR = 3.92, 95% CI: 1.84-8.37), no information about maternal health care (AOR=2.57, 95% CI: 1.28-5.16), birth preparedness and complication readiness (AOR=0.47, 95% CI: 0.26-0.86), and had history of pregnancy-related complications (AOR=2.07, 95% CI: 1.17-3.68), were dropped out from continuum of care during the covid-19 pandemic. whereas, unplanned pregnancy (AOR= 3.35, 95% CI: 1.60-7.04), not know postpartum danger signs (AOR=1.79,95% CI: 1.03-3.12), and no information about maternal health care (AOR= 1.85, 95% CI: 1.06-3.23) were dropped out from continuum of care before covid-19 pandemic. Conclusion This study underscores nearly three fourth and more than half of women during and before the covid-19 pandemic dropped out from the continuum of care, respectively. Information about maternal health care, birth preparedness and complication readiness, information about PNC, and knowing postpartum danger signs were significantly associated with the dropout rate of the continuum of care. Thus, adapting policy that supports service delivery modification during such pandemic, promoting birth preparedness and complication readiness is very crucial.

Continuum of maternal health care services and its impact on child immunization in India: an application of the propensity score matching approach

2020 ◽  
pp. 1-20
Author(s):  
Mohd Usman ◽  
Enu Anand ◽  
Laeek Siddiqui ◽  
Sayeed Unisa
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Care Services ◽  
Continuum Of Care ◽  
Maternal Health Care ◽  
Child Immunization ◽  
Care Services ◽  
Care Approach ◽  
Maternal Health Care Services ◽  
The Continuum

Abstract Continuum of care throughout pregnancy, delivery and post-delivery has proved to be a critical health intervention for improving the health of mothers and their newborn children. Using data from the fourth wave of the National Family Health Survey (NFHS-4) conducted in 2015–16, this study examined the correlates of utilization of maternal health care services and child immunization following the continuum of care approach in India. The study also assessed whether the continuity in utilizing maternal health care services affects the immunization of children. A total of 33,422 survey women aged 15–49 were included in the analysis of maternal health care indicators, and 8246 children aged 12–23 months for the analysis of child immunization. The results indicated that about 19% of the women had completed the maternal health continuum, i.e. received full antenatal care, had an institutional delivery and received postnatal care. Women with a higher level of education and of higher economic status were more likely to have complete continuum of care. Continuity of maternal health care was found to be associated with an increase in the immunization level of children. It was observed that 76% of the children whose mothers had complete continuum of care were fully immunized. Furthermore, the results from propensity score matching revealed that if mothers received continuum of care, the chance of their child being fully immunized increased by 17 percentage points. The results suggest that promotion of the continuum of maternal health care approach could help reduce not only the burden of maternal deaths in India, but also that of child deaths by increasing the immunization level of children.

scholarly journals Maternal Continuum of Care as Independent Determinants for Timely Initiation of Modern Contraceptive Methods Utilization Among Postnatal Women in Arba Minch Zuria District, Southern Ethiopia

2021 ◽  
Vol 5 (2) ◽  
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Maternal Health ◽  
Continuum Of Care ◽  
Maternal Health Care ◽  
Southern Ethiopia ◽  
Care Utilization ◽  
Modern Contraceptive ◽  
Contraceptive Methods ◽  
Timely Initiation

Background: Initiation of family planning use during the postpartum period is crucial for both maternal and child health. Moreover, this period is the extension of maternal health care and its level of uptake is built up on the level of continuum of care of maternal health care utilization. Continuum of maternal health care including, antenatal care, skilled delivery and postnatal care is crucial for women’s reproductive health. Despite that, there was no data regarding with the importance of continuum of care of maternal health care on the postpartum modern contraceptive utilization. Thus, the aim of this study was to assess the association of the continuum of maternal care on subsequent timely use of postpartum family planning. Methods: a community based cross sectional study was employed on 828 women. A multistage sampling technique was used to enroll the study participants. The data were collected by a semi-structured and pretested, face-toface, interviewer administered questionnaire. Data were entered into EpiData 3.1 and analyzed by using SPSS 23 software. Bivariate and multivariable logistic regression analyses were used to declare the association between dependent and independent variables. Odds ratio, its 95% confidence interval (CI) and P-value <0.05 were used to determine the significance level. Results: the prevalence of timely initiation of postpartum contraceptive methods was 16.1%. Having of postpartum care (AOR: 2.0(95%CI: 1.2, 3.2)), completion of delivery level continuum of care (AOR: 2.9(95%CI: 1.4, 6.1)), and completion of postnatal level continuum of care (AOR: 4.0(95%CI: 2.0, 7.8)) were factors of timely intuition of postpartum contraceptive methods. Conclusion and recommendation: The prevalence of timely initiation of postpartum contraceptive methods was low. The finding of this study implies that the need of strengthening the connection between maternal continuum of care and reproductive components of continuum of care.

scholarly journals Analysis of dropout across the continuum of maternal health care in Tanzania: findings from a cross-sectional household survey

2017 ◽  
Vol 32 (6) ◽  
pp. 791-799 ◽  
Author(s):  
Diwakar Mohan ◽  
Amnesty E LeFevre ◽  
Asha George ◽  
Rose Mpembeni ◽  
Eva Bazant ◽  
...  
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Household Survey ◽  
Maternal Health Care ◽  
Cross Sectional ◽  
The Continuum

scholarly journals Effects of health education on spousal knowledge and participation in birth preparedness in Farafenni Regional Hospital, The Gambia: a randomized trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Haddy Tunkara- Bah ◽  
Florence O. Adeyemo ◽  
Friday E. Okonofua
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Education ◽  
Test Data ◽  
Comparison Group ◽  
Intervention Group ◽  
Maternal Health Care ◽  
Birth Preparedness ◽  
Unit Increase ◽  
Comparison Groups

Abstract Background The Gambia is a male-dominant society in which the cultural norms empower husbands to decide when and where their wives seek care, yet they are not always involved in maternal health care services. Therefore, the purpose of this study was to design and measure the effects of antenatal health education on spousal participation in birth preparedness in Farafenni and satellite villages. Methods The study used a quasi-experimental design, and the participants were 300 spouses of pregnant women attending their antenatal care booking at Farafenni Hospital. A multistage sampling method was used to select the study participants who were then equally distributed to the intervention and comparison groups. Pre-test data were collected from both groups. Thereafter, the intervention group was exposed to two health education sessions on obstetric danger signs and birth preparedness. The post-test data were collected immediately before discharge of the participants’ wives after institutional delivery or within 2 weeks post-delivery for those who did not accompany their wives to the health care institution, or whose wives delivered at home. IBM SPSS version 21 software was used to analyze the data. Results The differences between the demographic characteristics of participants in the intervention and comparison groups were not statistically significant except for the highest level of education achieved. After controlling for the demographic variables, the health education administered to the intervention group effectively increased knowledge on birth preparedness among them (F (1, 255) = 376.108, p < .001). Every unit increase in the intervention led to a unit increase in the spouses’ knowledge on birth preparedness (β = 0.789, p <  0.001). Furthermore, the participants in the intervention group had higher mean score (M = 4.4; SD = 0.8) on participation in birth preparedness than those in the comparison group (M = 0.9; SD = 0.8). The spouses in the intervention group were four times more likely to be prepared for the delivery of their wives after being exposed to the health education than those in the comparison group (F (1, 255) = 522.414, p < .001). Conclusion The study provides evidence that educating men on maternal health care can improve their level of participation in birth preparedness. Trial registration Name of Registry: Pan African Clinical Trial Registry (www.pactr.org). Registry Number:PACTR202004752273171. Date of Registration: 19th April 2020. Retrospectively Registered.

scholarly journals Overview of equity in maternal health care coverage by ethnicity

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
N Armenta-Paulino ◽  
M Sandín Vázquez ◽  
F Bolúmar
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Maternal Mortality ◽  
Skilled Birth Attendant ◽  
Maternal Health Care ◽  
Indigenous Women ◽  
Vulnerable Groups ◽  
Cross Sectional ◽  
Health Care Coverage ◽  
The Continuum

Abstract Background Indigenous women are one of the most vulnerable groups in Latin America. They experience substantially worse maternal health outcomes than most of the population and less likely to benefit from services. Therefore, inequities in maternal health care between different ethnic groups should be monitored to identify critical factors that could limit health care coverage. Methods Cross-sectional analysis of the continuum of maternal health care, the indicators covering the continuum of women's care from pregnancy to the puerperium were estimated. We used nationally representative demographic surveys from Bolivia, Guatemala, Mexico, and Peru (2008-2016) to explore the coverage gaps across maternal health care by ethnicity. Women were classified as indigenous through self-identification, and we measured a relative inequality by ethnicity through the estimation of adjusted coverage ratios (CR), CR = 1 means that the coverage is equal between indigenous and non-indigenous. We estimated the CR with Poisson regression models adjusted for sociodemographic variables. Results Indigenous women in all four countries had less coverage than non-indigenous in the continuum of maternal healthcare. The most relevant inequalities occur in the coverage of skilled-birth-attendant and in the use of contraceptives, mainly for Bolivia [CR = 0.64, p &lt; 0.001; CR = 0.91, p &lt; 0.001] and Guatemala [CR = 0.78, p &lt; 0.001; 0.77 (0.73;0.80), p &lt; 0.001]. Peru and Mexico are the countries with the smallest gaps throughout the continuum care and Guatemala with the largest. Conclusions The differences observed reflect the inequities that indigenous women face in the coverage of maternal health care. Therefore, it is useful and necessary to monitor ethnicity inequalities to identify the factors that limit the coverage of care that indigenous women receive to design culturally appropriate programs and policies to reduce the risks of maternal mortality and the inequities in care that indigenous women face. Key messages As long as the inequalities persist, identifying them will be the first step in their elimination. If not reduce the differences in care, it will be difficult to reduce maternal mortality that indigenous women face.

scholarly journals Attitude and Involvement of Male Partner in Maternal Health Care in Addis Ababa, Ethiopia: a Cross-sectional Study

2021 ◽  
Author(s):  
Zeytuna Mohammed Umer ◽  
Endalew Gemechu Sendo
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Maternity Care ◽  
Addis Ababa ◽  
Male Partner ◽  
Cross Sectional Study ◽  
Maternal Health Care ◽  
Cross Sectional ◽  
Male Participation ◽  
Men’S Involvement

Abstract Background: The participation of men in maternal health care [MHC] is recognized as a crucial strategy to enhance maternal health care. Research assessing male participation in MHC and factors influencing their involvement in Ethiopia is minimal, despite the important role of men in maternity care.Objective: To assess the attitude and involvement of the male partner in maternal health care in Nifas Silk Lafto sub-city, Addis Ababa, Ethiopia.Methods: A community-based cross-sectional study was conducted from April to June 2020. A sample of 411 married men was recruited using a systematic random sampling technique. The data were collected using a structured interviewer-administered questionnaire. Data were entered in Epidata version 4.6 and SPSS version 25 used for analysis. The association between the dependent variable (Male partner involvement in maternal health care) and independent variables was checked using Multivariable logistic regression.Results: A composite score was obtained by adding the level of participation in all three aspects of maternity care together, and the overall level of participation in maternity care was 103 (25.1%) with good participation and 308 (74.9 %) with poor participation. Almost half of the study participants [48.7%] had a positive attitude towards maternal health care.In multivariate analysis, men whose spouse had unplanned pregnancy (AOR = 0.46, 95%, CI: 0.222 - 0.956), who did not reside with their partner (AOR = 0.09, 95 % CI: 0.011- 0.804), who did not obtain information in prenatal and postnatal clinics (AOR = 0.101, 95% CI: 0.056-0.181) were variables significantly correlated with male participation compared to their counterparts. Conclusion: The level of men’s involvement in maternity care was poor. In this study, access to information on men's involvement in maternity care, education, and living conditions were the determinants of men's participation in maternity care. These findings provide a useful guide for targeting future strategies for potential male participation.

scholarly journals Intimate partner violence and utilization of maternal health care services in Addis Ababa, Ethiopia

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Bedru Hussen Mohammed ◽  
Janice Mary Johnston ◽  
Joseph I. Harwell ◽  
Huso Yi ◽  
Katrina Wai-kay Tsang ◽  
...  
Keyword(s):  
Health Care ◽  
Intimate Partner Violence ◽  
Maternal Health ◽  
Partner Violence ◽  
Health Care Services ◽  
Addis Ababa ◽  
Intimate Partner ◽  
Maternal Health Care ◽  
Care Services ◽  
Maternal Health Care Services

scholarly journals Effects Of Health Education On Spousal Knowledge And Participation In Birth Preparedness In Farafenni Regional Hospital, The Gambia: A Randomized Trial

2020 ◽  
Author(s):  
Haddy Tunkara Bah ◽  
Florence O. Adeyemo ◽  
Friday E. Okonofua
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Education ◽  
Test Data ◽  
Comparison Group ◽  
Intervention Group ◽  
Maternal Health Care ◽  
Birth Preparedness ◽  
Unit Increase ◽  
Comparison Groups

Abstract BackgroundThe Gambia is a male-dominant society in which husbands decide when and where their wives seek care, yet they are not involved in maternal health care services. Therefore, the purpose of this study was to design and measure the effects of antenatal health education on spousal participation in birth preparedness in Farafenni and satellite villages.MethodsThe study used a quasi-experimental design, and the participants were 300 spouses of pregnant women attending their antenatal care booking at Farafenni Hospital. A multistage sampling method was used to select the study participants who were then equally distributed to the intervention and comparison groups. Pre-test data were collected from both groups. Thereafter, the intervention group was exposed to two health education sessions on obstetric danger signs and birth preparedness. The post-test data were collected immediately prior to discharge of the participants’ wives after institutional delivery or within two weeks post-delivery for those who did not accompany their wives to the health care institution, or whose wives delivered at home. IBM SPSS version 21 software was used to analyze the data.ResultsThe differences between the demographic characteristics of participants in the intervention and comparison groups were not statistically significant except for highest level of education achieved. After controlling for the demographic variables, the health education administered to the intervention group effectively increased knowledge on birth preparedness among them (F (1, 255) = 376.108, p < .001). Every unit increase in the intervention led to a unit increase in the spouses’ knowledge on birth preparedness (β = 0.789, p < 0.001). Furthermore, the participants in the intervention group had higher mean score (M = 4.4; SD = 0.8) on participation in birth preparedness than those in the comparison group (M = 0.9; SD = 0.8). The spouses in the intervention group were four times more likely to be prepared for the delivery of their wives after being exposed to the health education than those in the comparison group (F (1, 255) = 522.414, p < .001).ConclusionThe study provide evidence that educating men on maternal health care can improve their level of participation in birth preparedness.Name of Registry:Pan African Clinical Trial Registry (www.pactr.org)Registry Number:PACTR202004752273171.Date of Registration:19th April, 2020Retrospectively Registered

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