scholarly journals Two-fifths of women are not autonomous in maternal health service utilization: A community-based cross-sectional study

2021 ◽  
Author(s):  
Asmamaw Kassahun ◽  
Asrat Zewdie
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Maternal Health ◽  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Maternal Health Care ◽  
Maternal Health Service ◽  
Health Care Decision ◽  
Care Decision

Abstract Background: Autonomy of women in health care decision-making is tremendously crucial for improved maternal health outcomes and women’s empowerment. Women with greater freedom of movement are more likely to receive maternal health services. However, little has been investigated about women’s autonomy in maternal health care decision-making and contributing factors in Ethiopia. The aim of this study was to assess decision-making autonomy on maternal health care services utilization and associated factors among women.Methods: A community-based cross-sectional study was conducted in Mettu rural Woreda, Ilu Aba Bor zone, southwest Ethiopia from June 19 to August 20, 2021. Data was collected using a pretested interviewer-administered questionnaire from 541 randomly selected women. The collected data was entered into Epi-Data version 3.1 and exported to SPSS version 22 for analysis. Bivariate and multivariate logistic regression was used to identify factors associated with women's decision-making autonomy on maternal health service utilization. The significance of association was declared by using the odds ratio with a 95% confidence interval and a p-value less than 0.05 in the multivariable model.Results: Out of 522 women included in the analysis, 322 (60.5%) (95% CI: 56.2%-64.7%) were found to be autonomous on maternal health service utilization. Age category from 30-39 years, AOR=4.27 (95%CI: 1.59-11.43), attending primary education and above, AOR=3.87 (95%CI: 2.15-6.99), greater than five family size, AOR=0.25 (95%CI: 0.15-0.41), and distance from the health facility, AOR=5.33 (95%CI: 2.50-11.33) were significantly associated with women's decision-making autonomy on maternal health care services utilization.Conclusion: Even though every woman has the right to participate in her own health care decision-making, around two fifths of them have no role in making health care decisions about their own health. Socio-demographic factors like age and education were found to influence women’s autonomy. Special attention has to be given to women living in rural areas in order to reduce their dependency through education.

scholarly journals Women’s Decision-Making Autonomy In Maternal Health Service Utilization And Associated Factors Among Reproductive Age Women In Southern, Ethiopia

2021 ◽  
Author(s):  
Kirubel Eshetu ◽  
Belete Gelaw ◽  
Tadele Lankrew ◽  
Andualem Assefa ◽  
Tsegaye Demeke
Keyword(s):  
Decision Making ◽  
Maternal Health ◽  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Statistical Tests ◽  
Reproductive Age ◽  
Maternal Health Service ◽  
Southern Ethiopia ◽  
P Value

Abstract Background: Women autonomy is the ability of women to make self-regulating decisions to meet their requirements without any one initiation. Women who can autonomously decide about their health utilized maternal health care is poor, even though a lot of effort has been made. Only less than 32% of developing countries, women have decision making power to visit maternal health service. Objective: To assess the women’s decision making autonomy in their maternal health service utilization and its associated factors among reproductive age group women in southern Ethiopia, from March1, 2019 to March 30, 2019.Methods and material: A cross-sectional study design was conducted. Data were analysed using descriptive statistical tests and binary logistic regression was used. All independent variables with p- value of < 0.25 at bivariate analysis were included in multivariate models to determine the predictors of the outcome variable, and to control the confounding factors. For all statistical tests, a P value of <0.05 was a cut off point for statistical significant. Results: Prevalence of women decision making autonomy in their maternal health service utilization was 58.2% [(AOR= 58.2% (95 %CI (54.2 – 62.0). Number of family size 2.2 [AOR (95% CI) =2.2, 95% CI (1.3-3.72)], occupation, 4.3 [AOR (95% CI) =4.3 95% CI (1.10-9.3)] economic status, 2.2[AOR (95% CI) =2.2, 95% CI (1.3-.3.72)] respondent age above 35 4.8[AOR(95%CI=4.8,95%CI(2.3-10)] were the factors significantly associated with decision making autonomy. Conclusion: prevalence of women’s decision making autonomy in their maternal health service utilization was 58.2% which were found to be low. Decision making autonomy was more common with low income, large family size, respondent age and lack women occupation. Improved the women’s decision making by giving Health education on the importance of maternal health services and gender equality recommended to reduce the problem.

scholarly journals Factors affecting the initiation and continuation of maternal health service utilization among women who delivered in the past one year in Enemay district, East Gojjam, Ethiopia

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Anguach Shitie ◽  
Zelalem Nigussie Azene
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Maternal Health ◽  
Antenatal Care ◽  
Health Care Services ◽  
Educational Status ◽  
Maternal Health Care ◽  
Health Care Decision ◽  
Maternal Health Care Services ◽  
Care Decision

Abstract Background Maternity continuum of care is the continuity of maternal healthcare services that a woman uses, which includes antenatal care (ANC 4+), skilled birth attendant (SBA), and postnatal care (PNC) within 48 h of delivery. It is one of the essential strategies for reducing maternal and newborn morbidity and mortality. Therefore, this study aimed to assess the prevalence and factors affecting the initiation and continuation of maternal health service utilization among women who delivered in the past one year in Enemay district, East Gojjam zone, Ethiopia. Methods A community-based cross-sectional study was conducted among six hundred twenty-one (621) women who gave birth in the last one year in Enemay district from February 25 to March 10, 2019. A simple random 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 In this study, around 61% of women had antenatal care follow-up. Out of those women having ante natal care follow-up, about 77.5% (95% CI 73, 81.7%) had continued to receiving skilled birth delivery service. Age (AOR = 1.7 95% CI: (1.0, 2.88)), marital status (AOR = 1.6, 95% CI: (1.01, 2.76)), women’s educational status (AOR = 2.9, 95% CI: (1.30, 6.72)), autonomy for health care decision-making (AOR = 3.71, 95%CI: (2.36, 6.02)), exposure to media (AOR = 2.8, 95% CI: (1.78, 4.6)), wanted pregnancy (AOR = 3.6 95% CI: (2.2, 5.95)), and parity (AOR = 0.34, 95%CI: (0.16, 0.71)) were statistically significant variables associated with initiation of antenatal care, whereas educational status of women (AOR = 4.65, 95% CI: (1.37, 15.7)), autonomy for health care decision making (AOR = 2.62, 95% CI:(1.0, 6.82)), and had counseled during antenatal care (AOR = 2.88 95% CI: (1.21, 6.83)) were statistically significant variables associated with the continuation of maternal health care services. Conclusions This study demonstrated that the initiation and continuity of maternal health care services are low in the study area. Age, marital status, residence, women’s educational status, health care decision-making autonomy, exposure to media, wanted pregnancy, and parity were factors significantly affecting the initiation of antenatal care. Whereas, women’s educational status, health care decision-making autonomy, and counseling during antenatal care were predictors influencing the continuation of maternal health care services (antenatal care to skilled birth delivery).

scholarly journals Maternal Health Service Utilization and Associated Factors among Mothers with Children under one Year in Ambo District, West Shoa Zone, Central Ethiopia, 2018

2019 ◽  
Author(s):  
Mulugeta Mekuria Mengistu ◽  
Tesfaye Beyene ◽  
Habtamu oljira Desta ◽  
Adamu Birhanu Bayeta
Keyword(s):  
Decision Making ◽  
Maternal Health ◽  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Associated Factors ◽  
Maternal Health Service ◽  
P Value ◽  
Cross Sectional ◽  
One Year

Abstract Background: Maternal health service is the service provided to mothers during pregnancy, delivery and postpartum. It is a useful indicator in assessing women’s health status and the accessibility, adequacy and effectiveness of a country’s health service system. The aim of this study was to assess the proportion of maternal health service utilization and factors influence it in Ambo district, West Ethiopia.Methods: Community based cross-sectional study design with quantitative and qualitative methods of data collection was employed place from 15 th August to15th October, 2018 at Ambo District among 561 women with children less than one year. Single population proportion formula was utilized to calculate the sample size and simple random sampling technique was employed to select the study subjects. Data were collected by trained data collectors using a pretested structured questionnaire. The data was entered into Epi Data version 3.1 and transported to SPSS version 21 for analysis. Bivariate and multivariate logistic regression was done at 95 % confident interval and variables with P value < 0.05 to shows significant association. Qualitative data was transcribed carefully and analyzed thematically.Result: All 561 study subjects were participated in the survey and considered for analysis. The proportion of mothers who used ANC at least once was 89%., 64% of them delivered at health institutional and 47.2% of the mothers used early postnatal care. Mothers occupation [AOR=0.24(95% CI: 0.08-0.69)] and mother and her husband’s decision making power [AOR=4.12(95% CI: 2.12-8.00)] were significantly associated with ANC use. Mother’s education level [AOR=1.56(95% CI: 1.03-2.38)], time of traveling to health facilities, decision making power [AOR=5.91(95% CI: 3.79-9.22)] of both mother and husband, and having ANC follow up [AOR=14.54(95% CI: 6.23-33.96)] were factors significantly associated to institutional delivery whereas mothers age [AOR=2.65(95% CI: 1.29-5.46)], marital status [AOR=0.14(95% CI: 0.03-0.69)], attending ANC service [AOR=3.51(95% CI: 1.15-10.71)] and place of delivery [AOR=14.98(95% CI: 4.23-52.88)] were significantly associated factors for PNC utilization. Conclusion: The prevalence of maternal health services utilization were far behind the national target to be achieved by the end of 2020. Therefore, much work is expected from stakeholders in order to achieve the national target.

scholarly journals Women’s Decision-Making Autonomy in Maternal Health Service Utilization and Associated Factors among Reproductive Age Women in Southern, Ethiopia

2021 ◽  
Author(s):  
kirubel eshetu ◽  
Belete Gelaw ◽  
Tadele Lankrew ◽  
Andualem Assefa ◽  
Tsegaye Demeke
Keyword(s):  
Decision Making ◽  
Maternal Health ◽  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Statistical Tests ◽  
Reproductive Age ◽  
Maternal Health Service ◽  
Southern Ethiopia ◽  
P Value

Abstract BackgroundWomen autonomy is ability of women to make self-regulating decision to meet their requirement without any one initiation. Women who can autonomously decide on their health utilized maternal health care is poor, even though a lot of effort has been made. Only less than 32% of developing countries women have decision making power to visit maternal health service.ObjectiveTo assess the women decision making autonomy in their maternal health service utilization and its associated factors among reproductive age group women in southern Ethiopia, from March1, 2019 to March 30, 2019.Methods and materialA cross-sectional study design was conducted. Data were analysed using descriptive statistical tests and binary logistic regression was used. All independent variables with p- value of < 0.25 at bivariate analysis were included in multivariate model to determine the predictors of the outcome variable, and to control the confounding factors. For all statistical tests, a P value of < 0.05 was a cut off point for statistical significant.Resultsprevalence of women decision making autonomy in their maternal health service utilization was 58.2% [(AOR = 58.2% (95 %CI (54.2–62.0). Number of family size 2.2 [AOR (95% CI) = 2.2, 95% CI (1.3–3.72)], occupation, 4.3 [AOR (95% CI) = 4.3 95% CI (1.10–9.3)] economic status, 2.2[AOR (95% CI) = 2.2, 95% CI (1.3-.3.72)] respondent age above 35 4.8[AOR(95%CI = 4.8,95%CI(2.3–10)] were the factors significantly associated with decision making autonomy.Conclusionprevalence of women decision making autonomy in their maternal health service utilization was 58.2% which was found to be low. Decision making autonomy was more common with low income, large family size, respondent age and lack women occupation. Improved the women’s decision making by giving Health education on the importance of maternal health services and gender equality recommended to reducing the problem.

scholarly journals Understanding how distance to facility and quality of care affect maternal health service utilization in Kenya and Haiti: A comparative geographic information system study

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Xing Gao ◽  
David Wayne Kelley
Keyword(s):  
Quality Of Care ◽  
Maternal Health ◽  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Geographic Information ◽  
Maternal Health Service ◽  
Rural Regions ◽  
Urban Regions

In 2000, the United Nations established eight Millennium Development Goals (MDG) to combat worldwide poverty, disease, and lack of primary education. Goal number five aimed to reduce the maternal mortality ratio by three quarters and provide universal access to reproductive healthcare services by 2015. While there has been some progress, MDG 5 fell far short of target goals, highlighting the necessity of further improvement in global maternal health. Using Geographic Information Systems (GIS), this study aims to understand how distance to facility and quality of care, which are components of access, affect maternal service utilization in two of the world’s poorest countries, Haiti and Kenya. Furthermore, this study examines how this relationship may change or hold between urban and rural regions. Data from the United States Agency for International Development Demographic and Health Survey and Service Provision Assessment were linked spatially in a GIS model, drawing comparisons among distance to facility, quality of care, and maternal health service utilization. Results show that in both rural and urban regions, access to maternal health service and maternal health service utilization share a similar spatial pattern. In urban regions, pockets of maternal health disparities exist despite close distance to facility and standard quality of care. In rural regions, there are areas with long distances to facilities and low quality of care, resulting in poor maternal service usage. This study highlights the usefulness of GIS as a tool to evaluate disparities in maternal healthcare provision and usage.

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