Prevalence of completion of maternity continuum of care and its associated factors in Ethiopia: a systematic review and meta-analysis

Mose, Ayenew; Haile, Kassahun; Timerga, Abebe

doi:10.1136/bmjopen-2022-062461

Cited by 5 publications

(8 citation statements)

References 44 publications

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“…12 It indicates an improvement in the maternal continuum of care and availability of emergency obstetric care in Ethiopia. 33 , 34 In contrast, this implies an increase in primary and lower uterine segment CS. 35 Moreover, it is vital to achieve SDG-3 36 by decreasing maternal morbidity and mortality related to repeated CS.…”

Section: Discussionmentioning

confidence: 99%

Trend, prevalence and predictors of successful vaginal birth after caesarean section in Ethiopia: a systematic review and meta-analysis

Balis

Bekele

Hunde³

et al. 2023

International Health

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Background Vaginal birth after caesarean section (VBAC) is an alternative to a caesarean section (CS) in the absence of repeat or new indications for primary CS. There is a knowledge gap regarding the trend and successful VBAC in Ethiopia. Therefore this systematic review and meta-analysis aimed to assess the trend, pooled prevalence of successful VBAC and its predictors in Ethiopia. Methods Electronic databases (SCOPUS, CINAHL, Embase, PubMed and Web of Science), Google Scholar and lists of references were used to search works of literature in Ethiopia. Stata version 14 was used for analysis and the odds ratios of the outcome variable were determined using the random effects model. Heterogeneity among the studies was assessed by computing values for I2 and p-values. Also, sensitivity analyses and funnel plots were done to assess the stability of pooled values to outliers and publication bias, respectively. Results A total of 12 studies with a sample size of 2080 were included in this study. The overall success rate of VBAC was 52% (95% confidence interval 42 to 65). Cervical dilatation ≥4 cm at admission, having a prior successful vaginal delivery and VBAC were the predictors of successful VBAC. Conclusions Meta-analyses and sensitivity analyses showed the stability of the pooled odds ratios and the funnel plots did not show publication bias. The pooled prevalence of successful VBAC was relatively low compared with existing evidence. However, the rate was increasing over the last 3 decades, which implies it needs more strengthening and focus to decrease maternal morbidity and mortality by CS complications. Promoting VBAC by emphasizing factors favourable for its success during counselling mothers who previously delivered by CS to enhance the prevalence of VBAC.

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Section: Discussionmentioning

confidence: 99%

Trend, prevalence and predictors of successful vaginal birth after caesarean section in Ethiopia: a systematic review and meta-analysis

Balis

Bekele

Hunde³

et al. 2023

International Health

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“…According to ndings in Ethiopia, the prevalence of completion of maternity CoC was 25.82% (22). Another similar study reported that the pooled prevalence of maternal healthcare service utilization on a complete continuum was 25.51% (23).…”

Section: Introductionmentioning

confidence: 98%

“…Studies have shown that sociodemographic factors are signi cantly associated with all elements of the continuum of maternal health care (36). The mothers age (19,21), residence (9,15,19,22,27), educational status (9,11,12,15,16,20,21,23,27,29,34), marital status (20,25), socioeconomic status (17, 19-22, 25, 27), employment status (23)(24)(25)(26), and exposure to media (9, 11, 15, 20-22, 25, 28, 34) and mothers' autonomy in decision-making (11,12,15,22,24,27,29) signi cantly contributed to the utilization of a continuum of maternal health care services. The maternal and child health continuum of care was determined by different maternal and child health service-related factors.…”

Section: Introductionmentioning

confidence: 99%

“…The maternal and child health continuum of care was determined by different maternal and child health service-related factors. Previous studies revealed that distance to the health facility (11,12,15,19,20,22,25,28,34), previous health provider counseling (19), maternal health service provision during pregnancy (21,24,37), newborn immunization (37), pregnancy complication status (12,24,25,27,29) and health insurance coverage (11,20,24,34) also affect the continuity of care. Moreover, obstetric-related factors such as early initiation of antenatal care visits (11,12,16,22,23,(26)(27)(28)(29)38), a history of pregnancy termination (12), maternal complications during pregnancy (17,20,21,25,27,39), parity and birth order (20,21,27) and complicated delivery (19) also affect the continuum of care.…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies revealed that distance to the health facility (11,12,15,19,20,22,25,28,34), previous health provider counseling (19), maternal health service provision during pregnancy (21,24,37), newborn immunization (37), pregnancy complication status (12,24,25,27,29) and health insurance coverage (11,20,24,34) also affect the continuity of care. Moreover, obstetric-related factors such as early initiation of antenatal care visits (11,12,16,22,23,(26)(27)(28)(29)38), a history of pregnancy termination (12), maternal complications during pregnancy (17,20,21,25,27,39), parity and birth order (20,21,27) and complicated delivery (19) also affect the continuum of care. Prepregnancy contraceptive utilization, birth preparedness and complication readiness, and having a planned pregnancy were signi cantly associated with the completion of maternity continuum care in Ethiopia (22,23,<...…”

Section: Introductionmentioning

confidence: 99%

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Completion of Maternal and Child Health Continuum of Care and Associated Factors in West Gondar Zone, North West Ethiopia, 2023: A Community Based Cross Sectional Study

Tegegne,

Habitu,

Ferede

et al. 2024

Preprint

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Background The maternal and child health continuum of care encompasses integrated service delivery spanning prepregnancy through childhood, aiming to enhance maternal and child health outcomes. Recognized as pivotal in reducing maternal and newborn mortality rates, it focuses on improving maternal and neonatal health and well-being. Despite its importance, there remains a scarcity of comprehensive studies on maternal and child health continuums of care. This study aimed to assess the completion of the maternal and child health continuum of care and its influencing factors among mothers with index children aged 12–23 months in the West Gondar Zone, Northwest Ethiopia, in 2023. Methods A community-based cross-sectional study was conducted from May 1–30, 2023, by interviewing mothers of 12-23-month-old index children living in the West Gondar zone. A simple random sampling method was used to select 1019 mothers whose index child was 12–23 months old. The data were collected through KoboCollect android v2022 4.4 and imported to Stata version 14.0 for analysis. Binary logistic regression was used to examine the associations between the independent variables and continuum of care. Variables with a p value < 0.2 in the bivariable logistic regression analysis were chosen for the multivariable logistic regression model. Finally, an adjusted odds ratio with a 95% confidence interval and a p value < 0.05 were used to determine the statistical significance of the associations. The Hosmer and Lemeshow goodness-of-fit test was computed. Results The overall rate of completion of the maternal and child health continuum of care was 6.19% (95% CI: 4.69–7.68). Associated factors were first ANC visit before 16 weeks of pregnancy [AOR:4.25(2.14–8.47)], mothers well prepared for birth preparedness and complication readiness [AOR: 3.02(1.41–6.46)], history of modern contraceptive utilization [AOR:2.34 (CI: 1.16–4.73)], intended pregnancy [AOR: 3.25 (CI; 1.63–6.48)], maternal services during their ANC visit [AOR: 2.69(1.07–6.80)] and health facility that took less than an hour from home [AOR: 2.53 (CI; 1.06–6.03)]. Conclusions The maternal and child health continuum of care in West Gondar was low. Birth preparedness and complication readiness, early initiation of ANC visits, planned pregnancy, family planning utilization, nearest health facility and maternal health service provision during ANC were factors affecting mothers’ ability to stay along the path of the MCH continuum of care. Efforts should be focused on those factors to improve the completion of maternal and child health care and to provide appropriate services at each level of the continuum.

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Dropout from Maternity Continuum of Care and Associated Factors Among Mothers Who Gave Birth After War in Adigrat Town, Tigray, Northern Ethiopia 2024

Teka,

Werde,

Kahisay

et al. 2024

AJLS

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Background: Maternity continuum of care is the continuity of maternal health care services given to mothers during antenatal period, child birth and post natal period. It is one of the strategic programs meant to lower the death rates of mothers, newborns, and children. In spite of this, a large number of moms discontinue their participation in maternal continuum care. Dropout from the maternity continuum of care is prevalent public health issue in underdeveloped nations, such as Ethiopia. Methods: Community based quantitative cross-sectional study was carried out among 357 mothers who gave birth in the 12 months in Adigrat town. Systematic sampling method was used to obtain study participants. Data was collected using pretested, semi- structured and face to face interviewer administered questioner. Bivariable and multivariable logistic regression model was fitted. Variables having p-value less than 0.2 in bivariable analysis was entered to multivariable logistic regression model. In multivariable logistic regression adjusted odds ratio with 95% confidence interval was used to determine strength and direction of the association between dependent and independent variables. Results: The overall magnitude of drop out from the maternity continuum of care was 237 (66.4%) [95%CI (61.3-70.9)], 60.6% drop out from ANC visit, 5.6% drop out from skill birth attendant and 58.9% drop out from PNC. Mothers never heard on maternal health care service (AOR=4.179 (1.107, 15.783), service out of health facility (AOR =5.136 (1.988, 13.267) noabortionhistory (AOR=1.424 (1.113, 12.133), unplannedpregnancy (AOR=5.478 (1.902, 15.777), less than 4 ANC visit (AOR= 5.583 (2.598, 11. 997) and mothers attitude (AOR=15.049 (2.489, 32.997) were statically significant factors associated with drop out from maternity continuum of care. Conclusion and discussion: This study showed that magnitude of drop out from maternity continuum of care was high as compared to WHO recommendations. As a result concerned stakeholders and policy makers should initiate more than four ANC visit, create awareness on harmful traditional practice, bad pregnancy history, support mothers to use family planning to prevent unplanned pregnancy, and work on attitude change of the community.

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Prevalence of completion of maternity continuum of care and its associated factors in Ethiopia: a systematic review and meta-analysis

Cited by 5 publications

References 44 publications

Trend, prevalence and predictors of successful vaginal birth after caesarean section in Ethiopia: a systematic review and meta-analysis

Trend, prevalence and predictors of successful vaginal birth after caesarean section in Ethiopia: a systematic review and meta-analysis

Completion of Maternal and Child Health Continuum of Care and Associated Factors in West Gondar Zone, North West Ethiopia, 2023: A Community Based Cross Sectional Study

Dropout from Maternity Continuum of Care and Associated Factors Among Mothers Who Gave Birth After War in Adigrat Town, Tigray, Northern Ethiopia 2024

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