Maternal and newborn health services utilization in Jimma Zone, Southwest Ethiopia: a community based cross-sectional study

Autor: Esayas Kebede Gudina, Tasew Berhanu, Muluemabet Abera, Lelisa Sena Dadi, Masrie Getnet, Yusuf Ahmed, Kyung Hwan Kim, Melkamu Berhane
Rok vydání: 2019
Předmět:
Adult
Postnatal Care
medicine.medical_specialty
Adolescent
Maternal-Child Health Services
Cross-sectional study
Reproductive medicine
Mothers
Antenatal care
Logistic regression
lcsh:Gynecology and obstetrics
Young Adult
03 medical and health sciences
Health services
0302 clinical medicine
Pregnancy
Surveys and Questionnaires
Environmental health
Odds Ratio
medicine
Humans
030212 general & internal medicine
lcsh:RG1-991
Home Childbirth
Response rate (survey)
030219 obstetrics & reproductive medicine
business.industry
Infant
Newborn
Attendance
Obstetrics and Gynecology
Prenatal Care
Odds ratio
Patient Acceptance of Health Care
Delivery
Obstetric
Delivery services
Cross-Sectional Studies
Logistic Models
Jimma/Ethiopia
Female
Ethiopia
Health Facilities
business
Facilities and Services Utilization
Research Article
Zdroj: BMC Pregnancy and Childbirth
BMC Pregnancy and Childbirth, Vol 19, Iss 1, Pp 1-13 (2019)
ISSN: 1471-2393
DOI: 10.1186/s12884-019-2335-2
Popis: Background Majority of causes of maternal and newborn mortalities are preventable. However, poor access to and low utilization of health services remain major barriers to optimum health of the mothers and newborns. The objectives of this study were to assess maternal and newborn health services utilization and factors affecting mothers’ health service utilization. Methods A community based cross-sectional survey was carried out on randomly selected mothers who gave birth within a year preceding the survey. The survey was supplemented with key informant interviews of experts/health professionals. Multivariable logistic model was used to identify factors associated with service utilization. Adjusted odds ratios (AORs) were used to assess the strength of the associations at p-value ≤0.05. The qualitative data were summarized thematically. Results A total of 789 (99.1% response rate) mothers participated in the study. The proportion of the mothers who got at least one antennal care (ANC) visit, institutional delivery and postnatal care (PNC) were 93.3, 77.4 and 92.0%, respectively. Three-forth (74.2%) of the mothers started ANC lately and only 47.5% of them completed ANC4+ visits. Medium (4–6) family size (AOR: 2.3; 95% CI: 1.1, 4.9), decision on ANC visits with husband (AOR: 30.9; 95% CI: 8.3, 115.4) or husband only (AOR: 15.3; 95%CI: 3.8, 62.3) and listening to radio (AOR: 2.5; 95%CI: 1.1, 5.6) were associated with ANC attendance. Mothers whose husbands read/write (AOR: 1.6; 95% CI: 1.1, 2.), attended formal education (AOR: 2.8; 95% CI: 1.1, 6.8), have positive attitudes (AOR: 10.2; 95% CI: 25.9), living in small (AOR: 3.0; 95% CI: 1.2, 7.6) and medium size family (AOR: 2.3; 95% CI: 1.2, 4.1) were more likely to give birth in-health facilities. The proportion of PNC checkups among mothers who delivered in health facilities and at home were 92.0 and 32.5%, respectively. The key informants mentioned that home delivery, delayed arrival of the mothers, unsafe delivery settings, shortage of skilled personnel and supplies were major obstacles to maternal health services utilization. Conclusions Health information communication targeting husbands may improve maternal and newborn health services utilization. In service training of personnel and equipping health facilities with essential supplies can improve the provider side barriers. Electronic supplementary material The online version of this article (10.1186/s12884-019-2335-2) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE
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