Birth preparedness and complication readiness among pregnant women in resource-limited setting in rural Northern Ghana

Kassim, Alex Bapula; Newton, Sam; Dormechele, William; Rahinatu, Beatrice Baah; Otupiri, Easmon

doi:10.11604/pamj-oh.2021.6.9.26900

Cited by 4 publications

(5 citation statements)

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“…As a result, the ndings apply to all women in similar study settings, and they are critical in formulating suitable policy measures for an e cient and successful promotion of ANC and HFD utilization. Research from Nigeria [29,30,33] and Ghana [34] also reported consistent ndings, indicating that this conclusion might also hold for developing nations at comparable levels of socioeconomic development, cultural context, and access to healthcare services. For the scalability and sustainability of the intervention, we strengthened the existing community structure of WDTs rather than establishing additional structures.…”

Section: Discussionmentioning

confidence: 73%

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Community-based health education led by women’s groups significantly improved maternal health service utilization in southern Ethiopia: A cluster randomized controlled trial

Yoseph,

Teklesilasie,

Guillen-Grima

et al. 2024

Preprint

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Introduction: Maternal health service utilization (MHSU) is cost-effective to reduce maternal mortality. One of the methods to increase its utilization is via health education intervention (HEI). Yet, the impact of HEI on MHSU had not been comprehensively investigated, and previous studies reported controversial findings. Thus, this study aimed to evaluate the effect of HEI on MHSU in southern Ethiopia. Methods: From January 10 to August 1, 2023, a community-based, two-arm, parallel-group cRCT was conducted among pregnant mothers in the Northern Zone of Sidama National Regional State, Ethiopia. Pregnant mothers < 12 weeks of gestation were eligible for this study. The pregnant women in treatment clusters (kebeles) received standard and pre-prepared audio-based HEI led by women development team leaders, whereas comparator clusters received routine HEI for six months. Six months later, MHSU was assessed in both groups by data collectors who were masked from treatment allocation. The results of the two groups were compared using the intention-to-treat analysis. We utilized multilevel mixed-effects modified Poisson regression with robust variance to control for the effects of clustering and potential confounders. The level of significance was adjusted for multiple comparisons. Results: The overall utilization of at least one antenatal care (ANC) visit was 90.2% in the treatment group and 59.5% in the comparator group (c2 = 89.22, df =1, p < 0.001). Health facility delivery (HFD) utilization was considerably different between the treatment group (74.3%) and the comparator group (50.8%) (c2 = 70.50, df =1, p < 0.001). HEI significantly increased ANC utilization (adjusted risk ratio [ARR]: 1.32; 99% CI: 1.12-1.56) and HFD utilization (ARR: 1.24; 99% CI: 1.06-1.46). The utilization of at least one postnatal care (PNC) was 65.4% in the treatment group and 52.1% in the comparator group (c2 = 19.51, df =1, p = 0.01). However, after controlling for the effects of confounders and clustering, the impact of HEI on PNC utilization was insignificant between the two groups (ARR: 1.15; 99% CI: 0.89-1.48). Conclusion: A community-based HEI significantly increased ANC and HFD utilization but did not increase PNC utilization. Expanding the HEI with certain modifications will have a superior effect on improving MHSU. Trial registration number: NCT05865873.

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Section: Discussionmentioning

confidence: 73%

“…On the other hand, the ndings from Kwaraand Sokoto State of Nigeria reported that the HEI positively affected the utilization of SBA and PNC services [29,30,32,34]. On the contrary, the study conducted in Latin America found no signi cant effect of the HEI on the utilization of health facility services [35].…”

Section: Introductionmentioning

confidence: 93%

Community-based health education led by women’s groups significantly improved maternal health service utilization in southern Ethiopia: A cluster randomized controlled trial

Yoseph,

Teklesilasie,

Guillen-Grima

et al. 2024

Preprint

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“…However, some studies reported that less than 50.0% of respondents were well prepared for birth and its complications. Some of these studies conducted in Nigeria, Uganda, Ethiopia, India, Tanzania, and Ghana reported 48.4%, 18 35.0%, 22 27.5%, 23 47.8%, 24 58.4% 25 and 46.5% 26 respectively.…”

Section: Discussionmentioning

confidence: 99%

Comparative assessment of birth preparedness and complication readiness among couples in rural and urban communities of Ekiti State, Southwestern Nigeria

Adetona,

E. Elegbede,

O. Odu

et al. 2024

gmj

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Objectives: To assess and compare the level of Birth Preparedness and Complications Readiness (BPCR) and determine the predicting effect of socio-demographic factors on it among couples in rural and urban communities of Ekiti State.Design: A community-based comparative cross-sectional study.Setting: The study was conducted in twelve rural and twelve urban communities in Ekiti State.Participants: Couples from rural and urban communities. Female partners were women of reproductive age group (15-49 years) who gave birth within twelve months before the survey.Main outcome measures: Proportion of couples that were well prepared for birth and obstetric emergencies, and its socio-demographic determinants.Results: The proportion of couples that were well prepared for birth and its complications was significantly higher in urban (60.5%) than rural (48.4%) communities. The study also revealed that living above poverty line (95% CI=1.01– 3.79), parity and spousal age difference less than five years (95% CI=1.09 – 2.40) were positive predictors of BPCR among respondents.Conclusions: Urban residents were better prepared than their rural counterparts. Living above poverty line, parity, and spousal age difference less than five years were positive predictors of BPCR. There is a need to emphasize on educating couples on the importance of identifying blood donors as a vital component of BPCR.

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“…The trained enumerators were well-versed in ethical research practices, effective questioning techniques, and accurate response summarisation, as recommended by Kassim et al [62]. An interviewer administered the questionnaires to avoid potential biases or misunderstandings.…”

Section: Data Collectionmentioning

confidence: 99%

Uptake and Level of Use of Climate-Smart Agricultural Practices by Small-Scale Urban Crop Farmers in eThekwini Municipality

Khumalo,

Mdoda,

Sibanda

2024

Sustainability

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Climate fluctuations significantly impact small-scale farmers’ farm welfare (food, nutrition and income). This situation highlights an urgent need to invest in climate-smart agriculture (CSA) practices. Climate-smart agriculture has prospects for enhancing agricultural productivity and resilience. Therefore, this study addresses the knowledge gap concerning the uptake and level of use of CSA practices by small-scale urban crop (SSUC) farmers, which is critical to enhancing food and income security in urban settings. The relatively low adoption and uptake of CSA practices among small-scale farmers warrants an investigation of the factors influencing its adoption and level of use, especially in urban agriculture (UA) settings. Using a multi-stage sampling technique, this study collected data from 412 SSUC farmers through a semi-structured questionnaire. Descriptive analysis, the composite score index (CSI), and an ordered probit model (OPM) were utilised for the analysis. The results reveal that most (74%) are aware of CSA practices. Despite the high awareness of CSA practices by SSUC farmers, many (66%) are medium users of CSA practices, suggesting a moderate CSA practices level of use in eThekwini Municipality. The top five preferred CSA practices include crop diversification (with a CSI of 3.694), followed by crop rotation (3.619), mulching (3.608), drought tolerant crops (3.459) and organic manure (3.442). The popularity of these CSA practices in eThekwini Municipality suggests their immediate benefits when implemented or their lesser complexity in terms of implementation. Age, gender (being male), and household size exhibit a statistically significant negative influence on the CSA practices’ level of use, increasing the likelihood of being in the lower user category. Yet, education, group membership and farming experience promote a higher level of use of CSA practices. The results show that while awareness is critical, socio-economic factors should not be ignored when upscaling the adoption of widespread CSA practices. Therefore, targeted and tailored socio-economic programmes that are age-directed, gender-sensitive, educational, emphasise collective action and leverage the experiences of urban farmers would be paramount in promoting effective CSA practices adoption and uptake by SSUC farmers in eThekwini Municipality, thus enhancing UA resilience against climate change reparations.

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Birth preparedness and complication readiness among pregnant women in resource-limited setting in rural Northern Ghana

Cited by 4 publications

References 0 publications

Community-based health education led by women’s groups significantly improved maternal health service utilization in southern Ethiopia: A cluster randomized controlled trial

Community-based health education led by women’s groups significantly improved maternal health service utilization in southern Ethiopia: A cluster randomized controlled trial

Comparative assessment of birth preparedness and complication readiness among couples in rural and urban communities of Ekiti State, Southwestern Nigeria

Uptake and Level of Use of Climate-Smart Agricultural Practices by Small-Scale Urban Crop Farmers in eThekwini Municipality

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