Factors influencing knowledge and practice of birth preparedness and complication readiness in sub-saharan Africa: a narrative review of cross-sectional studies

Sumankuuro, Joshua; Crockett, Judith; Wang, Shaoyu

doi:10.18203/2394-6040.ijcmph20164251

Cited by 19 publications

(21 citation statements)

References 17 publications

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“…In most of these studies, the possible reasons provided for the increased likelihood of home delivery among these cohorts of pregnant women is financial and geographical barriers to accessing health facility deliveries. Other studies have also asserted that women who have no formal education, those whose partners have no formal education, those who are poor and live in rural areas may not have adequate knowledge about the risks associated with home delivery and hence may see no need to go and deliver at the health facility in the midst of their poor socio-economic status [ 12 , 51 , 52 ]. Findings on the association between socio-economic status and home delivery implies that enhancing health facility delivery will depend on improving the socio-economic status of pregnant women.…”

Section: Discussionmentioning

confidence: 99%

Non-utilization of health facility delivery and its correlates among childbearing women: a cross-sectional analysis of the 2018 Guinea demographic and health survey data

Ahinkorah

2020

BMC Health Serv Res

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Background Many childbearing women in sub-Saharan African countries like Guinea still face challenges accessing and utilizing health facility delivery services and opt to deliver at home. This study examined the non-utilization of health facility delivery and its associated factors among childbearing women in Guinea. Methods Data from the 2018 Guinea Demographic and Health Survey was used in this study. Data of 5406 childbearing women were analysed using STATA version 14.2 by employing a multilevel logistic regression approach. The results were presented using adjusted odds ratios (aOR) at 95% confidence interval (CI). Results More than three-quarters (47.6%) of childbearing women in Guinea did not deliver at health facilities. Women who had no formal education (aOR = 1.52, 95% CI = 1.09–2.12), those whose partners had no formal education (aOR = 1.25, 95% CI =1.01–1.56), those whose pregnancies were unintended (aOR = 1.40, 95% CI =1.13–1.74) and those who were Muslims (aOR = 2.87, 95% CI =1.17–7.08) were more likely to deliver at home. Furthermore, women with parity four or more (aOR = 1.78, 95% CI =1.34–2.37), those who listened to radio less than once a week (aOR = 5.05, 95% CI =1.83–13.89), those who never watched television (aOR = 1.46, 95% CI =1.12–1.91), those with poorest wealth quintile (aOR = 4.29, 95% CI =2.79–6.60), women in female-headed households (aOR = 1.38, 95% CI =1.08–1.78) and rural dwellers (aOR = 3.86, 95% CI =2.66–5.60) were more likely to deliver at home. Conclusion This study has identified low socio-economic status, inadequate exposure to media, having an unplanned pregnancy and religious disparities as key predictors of home delivery among childbearing women in Guinea. The findings call for the need to enhance advocacy and educational strategies like focus group discussions, peer teaching, mentor-mentee programmes at both national and community levels for women to encourage health facility delivery. There is also the need to improve maternal healthcare services utilization policies to promote access to health facility delivery by reducing costs and making health facilities available in communities.

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Section: Discussionmentioning

confidence: 99%

Non-utilization of health facility delivery and its correlates among childbearing women: a cross-sectional analysis of the 2018 Guinea demographic and health survey data

Ahinkorah

2020

BMC Health Serv Res

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“…For example, in Tigray Zone, Ethiopia, many expectant mothers had no knowledge of the benefits they would derive from utilising skilled maternity care; this lack of health literacy, combined with mockery, shame and stigmatisation from the family and community if they sought ANC, resulted in the absence of ANC uptake[ 12 , 13 ]. In some communities of the Upper West Region (UWR) the expectant mother had to gain approval from the husband (and in some locations, permission from the community) before seeking ANC at a health facility [ 14 , 15 ], and a man accompanying their wife to ANC was seen as a violation of cultural norms [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

“…In another region of rural Ghana, it was observed that women who patronised ANC services were more likely to have the support of their husbands, and were more likely to be prepared and ready for birth and emergencies [ 13 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

The use of antenatal care in two rural districts of Upper West Region, Ghana

2017

Self Cite

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BackgroundDespite decades of implementation of maternity healthcare programmes, including a focus on increasing the use of antenatal care (ANC) and concomitant birth preparedness and complication readiness (BPCR), the uptake of ANC continues to be below expectations in many developing countries. This has attendant implications for maternal and infant morbidity and mortality rates. Known barriers to ANC use include cost, distance to health care services and forces of various socio-cultural beliefs and practices. As part of a larger study on BPCR in rural Ghana, this paper reflects on the use of ANC in the study areas from rights-based and maternal engagement theoretical perspectives, with a focus on the barriers to ANC use.MethodsMixed methods approach was adopted to collect data from 8 study communities from individual in-depth interviews with 80 expectant mothers and 13 health care professionals, and 24 focus groups comprising 240 community members. The qualitative data followed a thematic analytical method, while the quantitative data was analysed using descriptive statistics.ResultsThe average number of ANC visits were 3.34±1.292, and the majority of expectant mothers (71.3%) enrolled for ANC at the 8th week or later, with the longest delay recorded at the 6th month of gestation. Traditional norms significantly influenced this delay. Likewise, overall use of ANC during pregnancy was shaped by cultural factors related to perceptions of pregnancy, gender-based roles and responsibilities and concerns that ANC would result in an overweighed baby and culturally inappropriate delivery at a health care facility.ConclusionGreater understanding of the sociocultural barriers to ANC is essential if proposed changes in community-specific health education programs are to facilitate early commencement and increased use of ANC.

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“…Birth preparedness and complication (BP/CR) readiness is the course of action of planning for normal birth and anticipating the action needed in the case of emergency [1][2][3]. It is also an approach to promote utilization of skilled maternal and neonatal care timely, based on the assumption that preparing for child birth and being ready for complications reduces delay in obtaining this care [4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

“…The birth preparedness package promotes active preparation and decision-making for delivery by pregnant women and their families. This emerged from the fact that a pregnant woman faces risk of sudden and unpredictable life threatening complications that could end in death or injury to herself or to her infant [3,[7][8][9][10]. This is because complications such as hemorrhage are unpredictable and highly fatal if timely treatment is not obtained.…”

Section: Introductionmentioning

confidence: 99%

Assessment of Birth Preparedness and Complication Readiness among Pregnant Mothers Attending Ante Natal Care Service in Mizan-Tepi University Teaching Hospital, South West Ethiopia

Begashaw¹,

Tesfaye²,

Zelalem³

et al. 2017

Clinics Mother Child Health

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Factors influencing knowledge and practice of birth preparedness and complication readiness in sub-saharan Africa: a narrative review of cross-sectional studies

Cited by 19 publications

References 17 publications

Non-utilization of health facility delivery and its correlates among childbearing women: a cross-sectional analysis of the 2018 Guinea demographic and health survey data

Non-utilization of health facility delivery and its correlates among childbearing women: a cross-sectional analysis of the 2018 Guinea demographic and health survey data

The use of antenatal care in two rural districts of Upper West Region, Ghana

Assessment of Birth Preparedness and Complication Readiness among Pregnant Mothers Attending Ante Natal Care Service in Mizan-Tepi University Teaching Hospital, South West Ethiopia

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