Magnitude, Trends, and Determinants of Institutional Delivery Among Reproductive Age Women in Kersa Health and Demographic Surveillance System Site, Eastern Ethiopia: A Multilevel Analysis

Raru, Temam Beshir; Ayana, Galana Mamo; Yuya, Mohammed; Merga, Bedasa Taye; Kure, Mohammed Abdurke; Negash, Belay; Birhanu, Abdi; Alemu, Addisu; Dessie, Yadeta; Dheresa, Merga

doi:10.3389/fgwh.2022.821858

Cited by 5 publications

(4 citation statements)

References 60 publications

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“…Although in recent years, there have been improvements in rates of institutional delivery across low-income settings, including Malawi (91% in 2015-6 up from 55% in 2000), Bangladesh (37% in 2014 up from 12% in 2004), Uganda (73% in 2016 up from 57% in 2011) and Ethiopia (26% in 2016 up from 10% in 2011) [5, 6]. These improvements in access to care have not been accompanied by improvements in quality, and institutional maternal and neonatal mortality remain very high.…”

Section: Introductionmentioning

confidence: 99%

Do Networks facilitate innovation, learning and sharing? An evaluation of the Quality-of-Care Network (QCN) in Bangladesh, Ethiopia, Malawi, and Uganda

Mwandira,

Lemma,

Dube

et al. 2023

Preprint

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The Quality-of-Care Network (QCN), launched by WHO and partners, links global and national actors across several countries to improve maternal and newborn health. We examine if QCN facilitated learning, sharing and innovations within and between network countries.We evaluated the QCN in Bangladesh, Ethiopia, Malawi and Uganda. We conducted a total 227 qualitative interviews with QCN actors iteratively across a 3-year period from October 2019 to March 2022. We also reviewed all accessible QCN documents.Sharing and learning opportunities were evident through a number of virtual and in-person platforms such as meetings, conferences, webinars, and websites. Conferences and webinars have been hosted on online resource libraries such as the quality-of-care network website. These provided access to materials on strategies and approaches shared by different countries and actors. Innovations were also evident in some countries like Ethiopia. Innovative software applications aimed at boosting the capacity of service providers were developed and these were adopted by countries such as Bangladesh. Locally, there had been strengthening of learning collaborative meetings, coaching and mentorship. Regular meetings such as Stakeholder Coordination Meetings and Learning Collaborative Sessions provided an opportunity for stakeholders to strategize, as well as share and learn approaches within the network.The network has promoted coordination among stakeholders. Similar approaches to sharing and learning such as Learning Collaborative Sessions were evident across the study countries. Innovations were not as apparent across countries and most of the learning and sharing approaches were similar to those from broader, pre-existing maternal health approaches, adopted from an era preceding the QCN. There was evidence that the introduction of the QCN improved the functionality and visibility of learning and sharing platforms.

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Section: Introductionmentioning

confidence: 99%

Do Networks facilitate innovation, learning and sharing? An evaluation of the Quality-of-Care Network (QCN) in Bangladesh, Ethiopia, Malawi, and Uganda

Mwandira,

Lemma,

Dube

et al. 2023

Preprint

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“…The low rate of institutional delivery among pastoralists is primarily influenced by factors such as distance to health facilities, low coverage of antenatal care, and limited awareness about ANC follow-up and institutional delivery services [5,21,28,[32][33][34][35][36][37][38][39][40][41]. Additionally, factors such as previous history of stillbirth, adequate knowledge about pregnancy and childbirth, involvement of the husband in decision-making, socioeconomic status (measured by wealth index), educational attainment of mothers, type of health care facility, perceived quality of service, health insurance coverage, information about birth preparedness plans, respect for women's modesty, delivering babies while naked, and sepa-ration from family during delivery were found to be associated with delivery service utilization [5,6,21,28,[32][33][34][35][36][37][38][39][40][41][42][43][44][45].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Place of Delivery and Associated Factors among Pastoralists in Ethiopia: A Systematic Review and Meta-Analysis Evaluation

Tenaw,

Kumsa,

Arage

et al. 2023

Journal of Pregnancy

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Background. Pastoralist communities rely on their livestock for at least 50% of their food supply and source of income. Home births raise the risk of maternal morbidity and death, whereas institutional births lessen the likelihood of difficulties during labor. Around 70% of labors in pastoralist regions of Ethiopia were assisted by traditional birth attendants. Methods. Studies done from January 2004 to January 2023, accessed in PubMed, EMBASE, Medline, and other search engines, were included. PRISMA guidelines and JBI critical appraisal checklist were used to assure the quality of the review. Ten articles were included in this review. Data were extracted with Excel and exported to STATA 16 for analysis. Heterogeneity of literatures was evaluated using I 2 statistics and publication bias using the Egger regression asymmetry test and the Duval and Tweedie trim-fill analysis. Statistical significance was declared at p value less than 0.05. Result. The pooled estimate of institutional delivery among the pastoralist community in Ethiopia is 21.2% (95% CI: 16.2-26.1). Husbands who were involved to decide place of delivery ( OR = 3.47 ; 95% CI: 1.61, 7.50), women with good knowledge of MCH services ( OR = 2.283 ; 95% CI: 1.51, 3.44), women who had a positive attitude towards MCH services ( OR = 1.69 ; 95% CI: 0.79, 3.6), availability of health institutions ( OR = 2.6 ; 95% CI: 0.95, 7.20), and women who had an ANC follow-up ( OR = 2.78 ; 95% CI: 2.07, 3.73) were higher institutional delivery prevalence among pastoralist women. Moreover, institutional delivery among women who were educated above the college level was more than two times ( OR = 2.56 ; 95% CI: 1.985, 3.304) higher than among women who were not educated. Conclusion. Pastoralist women in Ethiopia were found to be a disadvantaged group for institutional delivery at national level. Husband involvement, educational level, ANC visit, knowledge and attitude for MCH service, and health facility distance were identified to have significant association with institutional delivery.

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“…Despite the high prevalence of direct obstetric complications with high maternal death, and great government effort to increase skilled obstetric care (4, 7), there is low institutional delivery and it has shown a decreasing trend over time in Ethiopia (8,9). From the 2019 Ethiopian Mini Demographic and Health Survey analysis, the prevalence of institution/facility delivery was 48.58% in the survey (8).…”

Section: Introductionmentioning

confidence: 99%

“…Different factors affect institutional delivery in Ethiopia. The higher women's educational level, having antenatal care follow-up, being urban residents, community media exposure, community antenatal care coverage, lower parity, and better educational status of the husband had higher odds of delivery at a health facility (7)(8)(9)12). Based on these and related evidence, recommendations were being forwarded to increase institutional delivery so that contribute to saving the life of the women and newborns.…”

Section: Introductionmentioning

confidence: 99%

Complication Experience during Pregnancy and Place of Delivery among Pregnant Women: A Cross-sectional Study

Teka

Abdulahi

Tsega

et al. 2022

Preprint

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Background Unlike other causes such as abortion, obstetric complications like hemorrhage, and hypertensive disorders of pregnancy, which are difficult to resolve for women who give birth out of health facilities are persisted or increased to be the cause of maternal mortality in Ethiopia. Direct obstetric complications resulted in the crude direct obstetric case fatality rate in Ethiopia. This study aimed to assess the relationship between Complication Experience during Pregnancy and Place of Delivery among Pregnant Women. Method A community-based cross-sectional study was conducted to assess the baseline information as a part of a randomized control trial study. The sample size that was calculated for the cohort study with the assumptions to detect an increase in a minimum acceptable diet from 11 to 31%, with 95% CIs and 80% power, an intra-cluster correlation coefficient of 0·2 for a cluster size of 10 was used for this study. Statistical analysis was done using SPSS version 22. Result The prevalence of self-reported pregnancy-related complications and home delivery were 79(15.9%, CI; 12.7–19.1) and 46.90%( 95%CI; 42.5–51.1) respectively. Women who did not face vaginal bleeding were five times AOR 5.28 (95% CI: 1.79–15.56) more like to give birth at home than those who faced this problem. Women who did not face severe headache were nearly three AOR 2.45(95%CI:1.01–5.97) times more like to give birth at home. Conclusion This study concluded that home delivery was high among the study participants whereas pregnancy-related complications such as vaginal bleeding and severe headache were identified as protective factors for facility delivery. Hence, the researchers recommended the incorporation of “storytelling” into the existing health extension program packages to improve facility delivery which shall be applied after the approval of its effectiveness by research.

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Magnitude, Trends, and Determinants of Institutional Delivery Among Reproductive Age Women in Kersa Health and Demographic Surveillance System Site, Eastern Ethiopia: A Multilevel Analysis

Cited by 5 publications

References 60 publications

Do Networks facilitate innovation, learning and sharing? An evaluation of the Quality-of-Care Network (QCN) in Bangladesh, Ethiopia, Malawi, and Uganda

Do Networks facilitate innovation, learning and sharing? An evaluation of the Quality-of-Care Network (QCN) in Bangladesh, Ethiopia, Malawi, and Uganda

Assessment of Place of Delivery and Associated Factors among Pastoralists in Ethiopia: A Systematic Review and Meta-Analysis Evaluation

Complication Experience during Pregnancy and Place of Delivery among Pregnant Women: A Cross-sectional Study

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