Increasing institutional deliveries among antenatal clients: effect of birth preparedness counselling

Soubeiga, Dieudonné; Sia, Drissa; Gauvin, Lise

doi:10.1093/heapol/czt089

Cited by 22 publications

(17 citation statements)

References 21 publications

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“…It indicates that bicycles are more common as the means of transport compared to motorbikes among women seeking healthcare during pregnancy and childbirth in Burkina Faso. On this topic, a study conducted in north-western Burkina Faso showed a positive correlation between the availability of a motorbike in the woman’s household and their use of a health facility for delivery [23]. Further studies are needed to explore how a mode of transport correlates with the utilization of maternal healthcare in Burkina Faso.…”

Section: Discussionmentioning

confidence: 99%

“…In addition to the distance to health facilities, we analyzed if the availability of means of transport at the community-level was associated with the use of maternal healthcare. DHS did not include information on public transport, but asked questions about whether or not the household owned a bicycle and motorbike, which are the popular means of transport in Burkina Faso even among women in seeking healthcare during pregnancy and childbirth [23]. We thus calculated the ownership rates of bicycles and motorbikes per cluster and used them as proxy variables for the community-level availability of means of transport.…”

Section: Methodsmentioning

confidence: 99%

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Assessing the impact of geographical access to health facilities on maternal healthcare utilization: evidence from the Burkina Faso demographic and health survey 2010

Tanou

Kamiya

2019

BMC Public Health

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Background Improving maternal and child health (MCH) remains a serious challenge for many developing countries. Geographical accessibility from a residence to the nearest health facility is suspected to be an important obstacle hampering the use of appropriate services for MCH especially in Sub-Sharan African countries. In Burkina Faso, a landlocked country in the Sahel region of West Africa, women’s use of proper healthcare services during pregnancy and childbirth is still low. This study therefore assessed the impact of geographical access to health facilities on maternal healthcare utilization in Burkina Faso. Methods We used the Burkina Faso demographic and health survey (DHS) 2010 dataset, with its sample of 10,364 mothers aged 15–49 years. Distance from residential areas to the closest health facility was measured by merging the DHS dataset with Geographic Information System data on the location of health centers in Burkina Faso. Multivariate logistic regressions were conducted to estimate the effects of distance on maternal healthcare utilization. Results Regression results revealed that the longer the distance to the closest health center, the less likely it is that a woman will receive appropriate maternal healthcare services. The estimates show that one kilometer increase in distance to the closest health center reduces the odds that a woman will receive four or more antenatal care by 0.05 and reduces by 0.267 the odds that she will deliver her baby with the assistance of a skilled birth attendant. Conclusions Improving geographical access to health facilities increases the use of appropriate healthcare services during pregnancy and childbirth. Investment in transport infrastructure should be a prioritized target for further improvement in MCH in Burkina Faso.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Assessing the impact of geographical access to health facilities on maternal healthcare utilization: evidence from the Burkina Faso demographic and health survey 2010

Tanou

Kamiya

2019

BMC Public Health

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“…Although Birth Preparedness or Complication readiness (BPCR) is a broad and integrative strategy, lack of evidence exists in relation to its comprehensive and holistic application. However, components of the BPCR matrix have been employed and assessed in many settings [10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Effects of maternal education on birth preparedness and complication readiness among Ethiopian pregnant women: a systematic review and meta-analysis

Ketema

Leshargie

Kibret

et al. 2020

BMC Pregnancy Childbirth

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Background: Birth preparedness and complication readiness are broadly endorsed by governments and international agencies to reduce maternal and neonatal health threats in low income countries. Maternal education is broadly positioned to positively affect the mother's and her children's health and nutrition in low income countries. Thus, this systematic review and meta-analysis aims to estimate the effect of maternal education on birth preparedness and complication readiness. Methods: This review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis. We conducted an electronic based search using data bases of PubMed /MEDLINE, Science direct and google scholar. STATA™ Version 14.1 was used to analyze the data, and forest plots were used to present the findings. I 2 test statistics and Egger's test were used to assess heterogeneity and publication bias. Pooled prevalence and pooled odd ratios with 95% confidence intervals were computed. Finally, Duval and Tweedie's nonparametric trim and fill analysis using random-effects meta-analysis was conducted to account for publication bias. Results: In this meta-analysis, 20 studies involving 13,744 pregnant women meeting the inclusion criteria were included, of which 15 studies reported effects of maternal education on birth preparedness and complication readiness. Overall estimated level of birth preparedness and complication readiness was 25.2% (95% CI 20.0, 30.6%). This meta-analysis found that maternal education and level of birth preparedness and complication readiness were positively associated. Pregnant mothers whose level of education was primary and above were more likely to prepare for birth and obstetric emergencies (OR = 2.4, 95% CI: 1.9, 3.1) than non-educated mothers. Conclusion: In Ethiopia, the proportion of women prepared for birth and related complications remained low. Maternal education has a positive effect on the level of birth preparedness and complication readiness. Therefore, it is imperative to launch programs at national and regional levels to uplift women's educational status to enhance the likelihood of maternal health services utilization.

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“…Villar [9] in a multicenter study that involved 12,568 women in the new model arm and 11,958 in the standard care arm showed that there was really no statistically significant difference in adverse maternal and foetal outcomes in women who received traditional care and focused antenatal care. However, the focused antenatal care model has been shown to increase utilization of skilled attendance at birth and it is also cost effective [15][16][17].…”

Section: Introductionmentioning

confidence: 99%

Acceptability of focused antenatal care by antenatal clinic attendees in Obio Cottage Hospital, Port Harcourt, Nigeria

Ekott¹,

Edet²,

Ovwigho³

et al. 2017

Res J of Womens Health

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Introduction: Focused antenatal care (FANC), based on fewer goal-oriented visits, is the WHO's recommended care for pregnant women. The objectives of the study were to assess the acceptability of FANC and barriers to its implementation at the hospital. Methodology: This was a cross-sectional study conducted among antenatal clinic attendees between January and March 2011 at Obio Cottage Hospital, Port Harcourt Nigeria. Women were recruited by systematic sampling technique into the study. Questionnaires which sought demographic data, acceptability or rejection of fewer antenatal visits and reasons for decisions were administered to them. Data analysis was performed using Stata 10. Logistic regression analysis was performed to determine associations between demographic parameters and acceptance of FANC. Significance level was set at P<0.05. Results: The analysis was based on 456 out of 500 completed questionnaires. The mean age and parity of the women were 28.6±4.2 and 1±1 respectively. The mean number of preferred visits was 13.4±6.9 visits, (IQR 9-18). Reduced visits were acceptable to 75% of the women. The main reason for accepting reduced visits was to save time 164 (40.6%). The main reasons for rejecting reduced visits were for better monitoring of pregnancy (35.1%) and early detection of problems (21.6%). The likelihood of accepting fewer visits increased with age. OR=1.04; 95% CI (1.09-1.10), P=0.01. Conclusion: Focused antenatal care was acceptable to most women in the clinic. The concern it would compromise monitoring of pregnancy should be addressed during health education.

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Increasing institutional deliveries among antenatal clients: effect of birth preparedness counselling

Cited by 22 publications

References 21 publications

Assessing the impact of geographical access to health facilities on maternal healthcare utilization: evidence from the Burkina Faso demographic and health survey 2010

Assessing the impact of geographical access to health facilities on maternal healthcare utilization: evidence from the Burkina Faso demographic and health survey 2010

Effects of maternal education on birth preparedness and complication readiness among Ethiopian pregnant women: a systematic review and meta-analysis

Acceptability of focused antenatal care by antenatal clinic attendees in Obio Cottage Hospital, Port Harcourt, Nigeria

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