Antenatal care and women’s decision making power as determinants of institutional delivery in rural area of Western Ethiopia

Tekelab, Tesfalidet; Yadecha, Birhanu; Melka, Alemu Sufa

doi:10.1186/s13104-015-1708-5

Cited by 50 publications

(66 citation statements)

References 25 publications

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“…In addition to this, some improvements were made to optimize maternal health care services; for example, ambulance services, portage, “5 to 1” team formation to assist pregnant women to ANC attendance, and coffee ceremonies were arranged by the community around the health institution. On the other hand, reports from Denbia Woreda and Goba district, Ethiopia, showed better uptake than our findings, at 69.7% and 47% (Odo & Shifti, ; Tekelab, Yadecha, & Melka, ), respectively. This discrepancy may be related to cultural differences among the 2 communities.…”

Section: Discussioncontrasting

confidence: 93%

Urban‐rural disparity and determinants of delivery care utilization in Oromia region, Ethiopia: Community‐based cross‐sectional study

Kenea

Jisha

2017

Int J of Nursing Practice

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Low delivery care utilization continues to be a public health problem that significantly contributes to maternal morbidity and mortality, especially in developing countries like Ethiopia. The aim of the study is to determine the extent of urban-rural disparity of delivery care utilization and its determinants. A community-based cross-sectional quantitative study supplemented with qualitative data was conducted from February 15 to March 10, 2014. Data were collected from eligible woman using interviewer-guided semistructured questionnaires and focus group discussions. Logistic regression analysis with 95% confidence interval and p-value less than 5% was used to identify potential determinant variables. From 567 women, institutional delivery care was attended by 45.9% (260) respondents of whom 69.3% were urban and 21.3% were rural. Mass media and antenatal care attendance were the major determinants in urban respondents, whereas children ever born, partners' occupation, women's autonomy, and pregnancy-related health problems were statistically significant associations in rural women. The need for maternal health care is not met to the required level. There is a significant disparity in delivery care attendance among urban and rural women of the study area. Women's empowerment and awareness creation should be extensively worked on through mass media and posters or health information.

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Section: Discussioncontrasting

confidence: 93%

Urban‐rural disparity and determinants of delivery care utilization in Oromia region, Ethiopia: Community‐based cross‐sectional study

Kenea

Jisha

2017

Int J of Nursing Practice

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“…The finding of this study revealed that 35.3% (95% CI 30.6%, 40.4%) of mothers attended FANC service. This finding was consistent with EDHS 2011 report on Amhara Region 34% [8] and Kenya 32% [9], but was higher than previous studies done in Ethiopia districts like East Wolega 14.4% [10], Dejen and Aneded 12% [11] and abroad Kenya 27% [12]. The difference might be due to cultural and awareness differences and currently the government of Ethiopia has given attention by making the service as one of the exempted services.…”

Section: Discussionsupporting

confidence: 88%

Focused antenatal care utilization and associated factors in Debre Tabor Town, northwest Ethiopia, 2017

Ayalew

Nigatu

2018

BMC Res Notes

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ObjectiveAttending antenatal care helps to reduce the occurrence of maternal morbidity and mortality by providing chances for health promotion and information about danger signs, birth preparedness and where to seek care for pregnancy complications. Therefore identifying factors affecting the utilization of focused ANC service is of supreme importance.ResultsA total of 317 mothers who had a history of antenatal care for their last birth during the previous 6 months were included in the study from which 112 (35.3%, 95% CI 30.6, 40.4) of mothers attended focused antenatal care services. Age of mother [AOR = 4.7, 95% CI 1.87, 11.88], Educational status [AOR = 2.5, 95% CI 1.00, 6.19], history of still birth [AOR = 13.1, 95% CI 2.14, 80.20] and planned pregnancy [AOR = 3.7, 95% CI 1.23, 11.12] were found to be major predictors for focused ANC service utilization. Proportion of focused antenatal care was low (35.3%). Age of mother, education, history of stillbirth and planned pregnancy were identified as predictors affecting focused antenatal care service utilization. Encouraging women’s educational status, behavioral change communication at grass root level and improving the capacity and quality of ANC service are some of the recommendations forwarded.Electronic supplementary materialThe online version of this article (10.1186/s13104-018-3928-y) contains supplementary material, which is available to authorized users.

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“…Analysis of gender inequities in women's access to reproductive health services between sub-Saharan African and South Asia found that women's abilities to control earnings and influence household decision-making particularly about healthcare are positive predictors for maternal healthcare utilisation [9–11]. Similar observations have also been made in Ethiopia and Tajikistan on the positive effects of women's decision-making autonomy on their physical mobility [11, 12]. …”

Section: Introductionmentioning

confidence: 75%

Women’s Health Decision-Making Autonomy and Skilled Birth Attendance in Ghana

Ameyaw

Tanle

Kissah-Korsah

et al. 2016

International Journal of Reproductive Medicine

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Delivering in health facility under the supervision of skilled birth attendant is an important way of mitigating impacts of delivery complications. Empirical evidence suggests that decision-making autonomy is aligned with holistic wellbeing especially in the aspect of maternal and child health. The objective of this paper was to examine the relationship between women's health decision-making autonomy and place of delivery in Ghana. We extracted data from the 2014 Ghana Demographic and Health Survey. Descriptive and logistic regression techniques were applied. The results indicated that women with health decision-making autonomy have higher tendency of health facility delivery as compared to those who are not autonomous [OR = 1.27, CI = 1.09–1.48]. However, those who have final say on household large purchases [OR = 0.71, CI = 0.59–0.84] and those having final say on visits [OR = 0.86, CI = 0.73–1.01] were less probable to deliver in health facility than those without such decision-making autonomy. Consistent with existing evidence, wealthier, urban, and highly educated women had higher inclination of health facility delivery. This study has stressed the need for interventions aimed at enhancing health facility delivery to target women without health decision-making autonomy and women with low education and wealth status, as this can play essential role in enhancing health facility delivery.

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Antenatal care and women’s decision making power as determinants of institutional delivery in rural area of Western Ethiopia

Cited by 50 publications

References 25 publications

Urban‐rural disparity and determinants of delivery care utilization in Oromia region, Ethiopia: Community‐based cross‐sectional study

Urban‐rural disparity and determinants of delivery care utilization in Oromia region, Ethiopia: Community‐based cross‐sectional study

Focused antenatal care utilization and associated factors in Debre Tabor Town, northwest Ethiopia, 2017

Women’s Health Decision-Making Autonomy and Skilled Birth Attendance in Ghana

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