scholarly journals Community participation and maternal health service utilization: lessons from the health extension programme in rural southern Ethiopia

2019 ◽  
Vol 3 ◽  
Author(s):  
Daniel G Datiko ◽  
Elias M Bunte ◽  
Gemeda B Birrie ◽  
Aschenak Z Kea ◽  
Rosie Steege ◽  
...  
Keyword(s):  
Maternal Health ◽  
Health Service ◽  
Community Participation ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Maternal Health Service ◽  
Southern Ethiopia ◽  
Health Extension Programme

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 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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