Level of Awareness on Danger Signs During Pregnancy and Associated Factors, among Pregnant Mothers, Dire Dawa Administrative Public Health Facilities, Eastern Ethiopia

Abstract

Background: Raising awareness of women on danger signs during pregnancy is crucial for safe motherhood. In Ethiopia a country where maternal morbidity and mortality is high where little is known about awareness level of pregnant women on danger signs of pregnancy is used to enhance utilization of skilled care in low-income countries like Ethiopia. Objective: To determine level of awareness on danger signs of pregnancy and associated factors among ANC attendant mother in urban and rural health centres, in Diredawa, eastern Ethiopia. Methods and materials: Facility based cross-sectional study design was used to collect data. The study was conducted among a sample of 502 pregnant women in Diredawa administration town in selected health centres from Jan 1-Mar 30/2017. Sample size was determined by using double population proportion formulas. Simple random sampling technique was used to select six health centres, three from each urban and rural resident. Then systematic random sampling technique was used to select study subjects by considering both the inclusion and exclusion criteria. Pregnant mothers were interviewed face to face using pre-tested structured questionnaire. Data was checked for completeness, consistency and coded before data entry. Data entered, cleaned and analyzed using SPSS for windows version 20.0. Bivariate, multivariable logistic regression model were used to demonstrate the difference between study subjects' characteristics (independent variables) and level of awareness of danger sign of pregnancy. Results: Of all 502 (100%) respondents interviewed 121 (24.1%) mothers had good awareness of danger signs of pregnancy. Maternal age, educational status, place of most recent delivery, residents and danger sign causes problem or death to the mother were independently associated with awareness of women about danger sign of pregnancy. Conclusion: Three fourth of study subjects didn't have awareness about DSP. Maternal age, maternal education, place of most recent delivery, residents and danger sign causes problem or death to the mother were independently associated with awareness of women about danger sign of pregnancy. Thus, provision of information, education and communication targeting women, family and the general community on danger signs of pregnancy and associated factors was recommended.

Assessment of knowledge of obstetric danger signs among pregnant women attending a teaching hospital

“…[10] On the contrary, studies carried out in countries like Ethiopia, Tansania and Jordan reported the awareness of danger signs in pregnancy to be ranging from 15-30%. [1112131415161718] This finding was in concordance with the results of studies. [910] This could be attributed to the fact that all the study participants in the present study were literates, with 74.70% being educated up to grade 10 and 25.30% being educated beyond grade 10.…”

“…[5] In few other studies, vaginal bleeding was found to be the most commonly cited danger sign. [121314]…”

KAP on Obstetrics Danger Signs of Pregnancy Among ANC Attending Pregnant Mother in Gununno Health Center, Gununo Town, Wolaita Zone, Southern Ethiopia April: 2019

“…The cross section study conducted in Kenya stated that the mother included under study only (4.7%) know about Obstetric danger which was Vaginal bleeding and the same study conducted in Uganada stated that (52%) as well as study conducted in Ethiopia in Adama city stated 44% and the same study conducted Ethiopia in Dire Dawa stated 24.4 knew about Obstetric danger signs, it's low when compare to this study [16,[18][19][20][21]. It due to educational status and Age of the mothers during that time.…”

“…Based on this study from those who were enrolled for the study of obstetric danger signs 71.56% identified severe vaginal bleeding at any time during pregnancy which is higher than the findings in Aleta Wondo district (45.9%) [15]. And comparable to findings in yirgacheffe (75.4%) [8,16,17]. This difference might be due to socio-cultural difference and difference of sample size used.…”

Level of awareness of risk factors and danger signs of pregnancy among pregnant women attending antenatal care in PHC, Nandagudi

“…In other studies, 74.3%,[ 21 ] Debark town north west 66.8%,[ 22 ] Debra Birhan town 45.4%[ 23 ] Southeast Nigeria 67%[ 24 ] Lagos, Nigeria 48.4%[ 25 ] subjects mentioned vaginal bleeding as one of the danger signs of pregnancy.…”