Delay in reaching institutional delivery service utilization among mothers attending Jimma Medical Center, Ethiopia

Awel, Samira; Bagilkar, Vinod V.; Fekecha, Bekana

doi:10.4314/ejhs.v32i4.2

Cited by 3 publications

(2 citation statements)

References 13 publications

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“…In Southern Mozambique, mothers who gave birth in primary-level facilities tended to be more satisfied than those who gave birth in hospitals ( 27 ). This satisfaction might be due to the proximity of the health facility, and mothers who live a long distance from health facilities are more likely to delay reaching the hospitals on time ( 40 ). Another reason is that hospitals provide more services to patients/clients than health centers.…”

Section: Discussionmentioning

confidence: 99%

Maternal Satisfaction on Delivery Service and Its Associated Factors in Public Health Facilities at West Shewa Zone, Ethiopia

Argawu¹,

Erana²

2023

Ethiop J Health Sci

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BACKGROUND: Maternal delivery satisfaction could be assessed to improve the quality and effectiveness. Thus, this study aimed to assess maternal satisfaction with delivery services and associated factors in public health facilities in West Shewa Zone, Ethiopia.METHODS: An institution-based cross-sectional study was conducted on maternal satisfaction delivery services. Systematic and stratified sampling techniques were used to select mothers by using their delivery registration number and to select health facilities. A binary logistic regression model was used to identify associated factors.RESULTS: Among mothers, the overall satisfaction with delivery service was 584 (87%). Shower service availability (39.8%), toilet cleanliness (32.6%), and waiting area cleanliness (31.1%) were significant areas of mothers’ dissatisfaction with delivery services. Uneducated mothers, mothers of 1–6 education level, monthly income of mothers less than 500 Birr, mothers who followed antenatal care, mothers who had actual fetal outcome, mothers who admitted from 6:00 AM to 12:00, and mothers who admitted from 12:00 AM to 6:00 PM were satisfied with delivery services.CONCLUSION: The age of the mother, mother’s education level, monthly income of mother, antenatal care, fetal outcome, place of delivery, and admission time of the mother were significantly associated factors for mothers’ satisfaction with delivery services. Therefore, regional health bureaus and zonal health offices should work collaboratively on maternal care to improve maternal satisfaction during delivery.

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Section: Discussionmentioning

confidence: 99%

Maternal Satisfaction on Delivery Service and Its Associated Factors in Public Health Facilities at West Shewa Zone, Ethiopia

Argawu¹,

Erana²

2023

Ethiop J Health Sci

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“…This is due to the problem of inadequate coverage for the rural population. Studies have reported that residing in rural areas (26), far distance to health facilities (27)(28)(29), and non-availability of experienced staff (30) are significant factors limiting access to and utilization of healthcare services. A limitation of this study is that it is cross-sectional.…”

Section: Discussionmentioning

confidence: 99%

Utilization of Primary Healthcare Centers by Residents of Ido-Ekiti, Nigeria

Oluwadare¹,

Adegbilero-Iwari²,

Fasoro³

et al. 2023

Ethiop J Health Sci

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BACKGROUND፡ Primary health care (PHC) centers help in providing a complete, universal, unbiased, and reasonable healthcare service to all. One major aim of PHC is to reduce health inequality. Most PHC centers in Nigeria cannot deliver fundamental healthcare services due to staffing, equipment distribution, quality infrastructure, and drug supply problems. The objective of this study was to assess the awareness and utilization of PHC services in a rural community in Nigeria.METHODS: The study was carried out in a pastoral area in Ekiti State, Nigeria. A multistage sampling procedure was used to recruit adults aged 18 years and over residing in 361 households. A semi-structured questionnaire was utilized for data compilation. Study data were evaluated using IBM SPSS version 28.0 and reported using descriptive and inferential statistics. Chi-square test and binary logistic regression were used to assess the associated factors and predictors of PHC utilization.RESULTS: The proportion of those who had ever utilized PHC services was 45.7%. Significant predictors of the utilization of PHC centers include knowledge of the location of a PHC center, awareness that PHC centers operate 24 hours every day, and awareness that community members are part of the PHC staff.CONCLUSIONS: Non-availability of medical personnel and ease of access to secondary and tertiary health institutions are potential threats to the use of PHC facilities.

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The three maternal delays in mothers receiving maternal care in Ethiopia: a systematic review and meta-analysis

Geta,

Merkine,

Nigussie

et al. 2023

Preprint

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Background: In low-income countries like Ethiopia, delay in accessing maternal health care is one of the factors contributing to maternal mortality in developing countries. Several individual studies have been conducted on the prevalence of three maternal delays in Ethiopia. However, there is no pooled prevalence of the three maternal delays. Therefore, this systematic review and meta-analysis aimed to assess the overall prevalence of three maternal delays and associated factors in Ethiopian women. Methods and materials Only published articles were included in this review. Medline/PubMed, Web of Science, Google Scholar, Scopus, the Ethiopian University Repository Online, and the Cochrane Library were the primary databases. The review includes cross-sectional studies written in English that meet the eligibility requirements. The pooled prevalence of women’s preference for home delivery was calculated using a random effects model. In addition, the Eggers test and the funnel plot were used to investigate publication bias. STATA version 14 was used to perform all statistical analyses. Result This review includes nine studies with 4,501 participants. In Ethiopia, The estimated pooled prevalence of first, second, and third maternal delays in Ethiopia was 41.00% [95% CI (32.5, 49.49); I2 = 95.3%, P<0.001], 38.68% [95% CI (33.23, 44.01); I2 = 91.1%, P<0.001], and 49.05% [95% CI (30.72, 67.39.49); I2 = 99.3%, P<0.001]. Lack of antenatal follow-up [OR = 14.98 (6.6, 34.1), I2 = 85.3%, p = 0.001], traveling a long distance [OR = 41.7 (3.4, 65.9), I2 = 75.7%, p = 0.042], and an unavailable skilled maternity health care provider [OR = 31.95 (1.07, 95.7], I2 = 79.7%, p = 0.007] were statistically significant with the first, second, and third maternal delays, respectively. Conclusion According to this report, delay in receiving proper maternal care (third delay) was the most common type of delay among mothers in Ethiopia, followed by delay in seeking maternal care (first delay) and delay in reaching a health facility (second delay). Therefore, it is strongly recommended to improve health care in the facility, facilitate access to the health facility, and raise awareness of women, family, or community to avoid the three types of delays and related factors.

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Delay in reaching institutional delivery service utilization among mothers attending Jimma Medical Center, Ethiopia

Cited by 3 publications

References 13 publications

Maternal Satisfaction on Delivery Service and Its Associated Factors in Public Health Facilities at West Shewa Zone, Ethiopia

Maternal Satisfaction on Delivery Service and Its Associated Factors in Public Health Facilities at West Shewa Zone, Ethiopia

Utilization of Primary Healthcare Centers by Residents of Ido-Ekiti, Nigeria

The three maternal delays in mothers receiving maternal care in Ethiopia: a systematic review and meta-analysis

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