A community survey on maternal and child health services utilization in rural Ethiopia

Abstract

A household health interview survey on MCH services utilization was carried out in 22 villages of a rural district of Arsi region, Ethiopia, before the launching of an integrated MCH programme. Coverage of antenatal services was 26%, and 61% of the women who received antenatal care reported having had 3 or more visits. Antenatal care was positively associated with living within 10 km of the Health Centre. Twenty-eight percent of the mothers attended the under-5 clinic and most returned for 3 or more visits. In addition, 99% reported having breast-fed their last child but more than 25% started weaning only after the seventh month of age. Differences in practice of treating diarrhoea according to knowledge of ORS were found. Of the 33% of those with knowledge of ORS, almost 90% reported use of ORS for treating child's diarrhoea, showing a positive attitude towards modern health care. The proportion of women using family planning was 5%, with no difference found between Christians and Muslims. Results on EPI coverage validated data from routine reporting. Integration of MCH services including out-reach activities may increase access and coverage of MCH services.

Antenatal Care Utilization and It’s Associated Factors in East Wollega Zone, Ethiopia

“…Among the women who had not utilized ANC in this study, the major reasons reported for not utilizing ANC were absence of illness during pregnancy, lack of awareness about ANC, distance from health facility being too far and being too busy. These reasons are in agreement with the findings of other studies from Ethiopia [19][20][21][22][23][24].…”

Study of utilization of antenatal care services iin tribal area of Thane district

“…Only 5 women were registered during third trimester, similar findings seen by (5.38%) C. S. Metgud et al 9 Only 22.9% of expected antenatal mothers were registered in a study by Loveleen et al 10 Almost 100% of women had at least one ANC visit during pregnancy a finding similar to that of Toan K. Tran et al 11 and higher as compared to findings by (87%) Emilia Goland et al 12 While 50.8% women never had antenatal check-ups in a study by Rajesh Gupta et al 13 In present study, 93% respondents received 3 or more antenatal check-ups. This is higher compared to, (42.8%) NFHS-3 data, 7 (80.4%) DLHS-3 Thane district data, 5 (58.4%) S. P. Zodpey et al, 8 (61%) E. Materia et al, 14 (41.46%) Sahni B et al 15 75% study subjects received and consumed IFA tablets for 3 or more months duration. This is fairly higher as compared to (30.5%) NFHS-3 and state figures, (35.7%) S. P. Zodpey et al, 8 (32.62%) Sahni B et al, 15 (63%) Bbaale E et al 16 80%women received IFA tablets in a study by Toan K. Tran et al 11 99% women received inj.…”

Determinants of Choice of Care Providers During Childbirth in Rural West Bengal, India

“…There are several other studies which corroborated these factors (characteristics of the disorder and perception, characteristics of predisposing factors, characteristics of services or enabling factors) with evidence: Characteristics of the disorder and their perception (need, risk factors or complications) affect utilization (Ellencweig, Ritter, Olavsky, & Tamir, 1990; McCormick, Brooks-Gunn, Shorter, Holmes, & Heagarty, 1989). Characteristics of the subject or predisposing factors are as follows: (a) family characteristics: age, gender, family size and marital status; (b) social structure: education, employment and ethnicity; (c) culture, regional identity, women’s autonomy; (d) assets and affordability of households: assets, income, insurance coverage (Agarwal, Singh, & Garg, 2007; Bloom, Wypij, & Das Gupta, 2001; Bogg, Wang, & Diwan, 2002; Clair, Smeriglio, Alexander, & Celentano, 1989; Ellencweig & Grafstein, 1989; Ellencweig et al, 1990; Falkingham, 2003; Furuta & Salway, 2006; Handler, Rosenberg, Raube, & Kelley, 1998; Koenig et al, 2007; Kravdal, 2004; Materia et al, 1993; Matsumura & Gubhaju, 2001; Short & Zhang, 2004; Trakroo, 1993). Characteristics of the services or the enabling factors are as follows: (a) availability of health facilities (manpower, plant, equipment, drugs, bed, pharmaceuticals, doctors and specialists); (b) accessibility of healthcare (distance, area coverage of health centres (CHCs), distance of referral units, expenditure, transportation) (Bogg et al, 2002; Ellencweig et al, 1990; Koenig et al, 2007); (c) quality of care (cleanliness, water supply, doctor-patient relationship, mechanism to encourage continuity of medical care, patients’ perception, waiting area structure and waiting time) (Agarwal et al, 2007; Ellencweig & Grafstein, 1989; Ellencweig et al, 1990; Falkingham, 2003; Handler et al, 1998; Koenig et al, 2007; Mikhail, 2000) and (d) cost of care (doctors fee, hospital admission fee, cost of drugs, cost of medical test, cost of surgery as direct cost, cost of special diet, cost of drug, cost of transportation, tips, rituals, monetary loss of earnings of patient, loss of earning of person accompanying the patient) (Falkingham, 2003; Koenig et al, 2007).…”

“…Characteristics of the subject or predisposing factors are as follows: (a) family characteristics: age, gender, family size and marital status; (b) social structure: education, employment and ethnicity; (c) culture, regional identity, women’s autonomy; (d) assets and affordability of households: assets, income, insurance coverage (Agarwal, Singh, & Garg, 2007; Bloom, Wypij, & Das Gupta, 2001; Bogg, Wang, & Diwan, 2002; Clair, Smeriglio, Alexander, & Celentano, 1989; Ellencweig & Grafstein, 1989; Ellencweig et al, 1990; Falkingham, 2003; Furuta & Salway, 2006; Handler, Rosenberg, Raube, & Kelley, 1998; Koenig et al, 2007; Kravdal, 2004; Materia et al, 1993; Matsumura & Gubhaju, 2001; Short & Zhang, 2004; Trakroo, 1993).…”