Factors associated with birth preparedness and complication readiness in Southern Ethiopia: a community based cross-sectional study

Abstract

BackgroundBirth preparedness and complication readiness (BP/CR) is a strategy to promote use of skilled maternal and neonatal care so that they can get timely skilled care, particularly during child birth. There is minimal evidence on the factors associated with BP/CR among pregnant women in Ethiopia. Hence, this study aimed to assess the factors influencing BP/CR among pregnant women in Southern Ethiopia for the purpose of improving utilization of skilled attendant at birth.MethodsA community based cross-sectional study was conducted among 707 pregnant women in Southern Ethiopia in March 2015. Both quantitative and qualitative methods of data collection were used. For the quantitative study, the study subjects were included in the study by employing multi-stage sampling. Data was entered into Epidata version 3.1 and analyzed using IBM SPSS statistics 20. Level of statistical significance was declared at a p- value of <0.05. For the qualitative study, six FGDs were conducted and analyzed based on the thematic areas.ResultThe prevalence of BP /CR in Arba Minch Zuria Woreda was found to be 30%. The odds of being prepared for birth and its complications was higher among women from high economic class (AOR = 2.29, 95% CI = 1.16, 4.54), with frequency of antenatal care(ANC) > = 4 (AOR = 4.52, 95% CI = 2.26, 9.02), who received advice on BP &CR (AOR = 1.84, 95% CI = 1.13, 3.01),and who were knowledgeable on labor and delivery(LAD) danger signs (AOR = 1.85, 95% CI = 1.01, 3.44). However, it was lower among women with parity of 2 - 4(AOR = .0.51, 95% CI = 0.31, 0.84) and >4 (AOR = 0.51, 95% CI = 0.31, 0.84) than primiparous women. It was also lower among women from food insecure households (AOR = 0.26, 95% CI = 0.16, 0.42) than their counterparts. Lack of awareness on BP/CR, privacy and respect in health institutions were mentioned by the FGD discussants as barriers to women’s preparation for birth.ConclusionsThe study showed that BP/CR is inadequate among pregnant women in the study area. Improving socio-economic and food security status of women, strengthening community-based education on complete attendance of ANC, and conforming to professional ethical standards were recommended.Electronic supplementary materialThe online version of this article (10.1186/s12884-017-1582-3) contains supplementary material, which is available to authorized users.

Level of completion along continuum of care for maternal and child health services and factors associated with it among women in Arba Minch Zuria Woreda, Gamo Zone, Southern Ethiopia: a community based cross-sectional study

“…Despite its greater implication in this study, 62(56.9%) of women who had ANC4+, 108(53.5%) who gave birth at health facilities and 107(60.8%) of who attended postnatal checkup were with less prepared for birth and its complications. A previous study in the same setting has also showed a lower practice of BPCR among pregnant women [41]. This results call for a further attention on improvements of women knowledge and practice on BPCR.…”

“…This finding is a novel addition of this study and has a policy implication as BPCR is one of twelve WHO recommendations for health promotion in order to increase the use of skilled care at birth and to increase the timely use of facility care for obstetric and newborn complication during postnatal period [39]. Women who were well prepared for birth and its complications were likely to be educated, from socio-economic households and having a better knowledge on pregnancy, labor and delivery and postnatal newborn and maternal danger signs and thus in favor to complete the CoC for MNH services [27,28,40,41]. Despite its greater implication in this study, 62(56.9%) of women who had ANC4+, 108(53.5%) who gave birth at health facilities and 107(60.8%) of who attended postnatal checkup were with less prepared for birth and its complications.…”

<p>Maternal Delays for Institutional Delivery and Associated Factors Among Postnatal Mothers at Public Health Facilities of Gamo Zone, Southern Ethiopia</p>

“…13 Also, it was adapted from published relevant literature. 6,9,17,18,19 Initially it was prepared in English. The English version of the questionnaire was translated to the local language (Gammotho) and back-translated to English by language experts to check for its original meaning.…”

“…Ethiopia, the causes of maternal morbidity and morbidity are similar to many developing. 5,6 Maternal delays contributing not only for maternal and neonatal mortality but also maternal morbidities like vaginal/uterine prolapse or puerperal psychosis can cause unwanted physical, mental, social, and economic consequences for respective families. 7 There are variations in the magnitude of the three maternal delays for utilizing institutional delivery from deciding to seek emergency care to start in receiving of first healthcare.…”

Maternity waiting homes as component of birth preparedness and complication readiness for rural women in hard-to-reach areas in Ethiopia

“…This study, therefore, considers birth preparedness practice as a factor which may affect stay at MWHs. Although MWH intervention has been promoted in the study area to decrease delays in access to maternal care, previous studies have reported that only 9.7% of the women completed the continuum of care [25] and 18.5% of births were assisted by skilled birth attendants [22,26], with about 30% prevalence of birth preparedness plans [27].…”