scholarly journals Level of completion along continuum of care for maternal and child health services and factors associated with it among women in Arba Minch Zuria Woreda, Gamo Zone, Southern Ethiopia: a community based cross-sectional study

2019 ◽  
Author(s):  
Dereje Haile ◽  
Mekdes Kondale ◽  
Eshetu Andarge ◽  
Abayneh Tunje ◽  
Teshale Fikadu ◽  
...  
Keyword(s):  
Continuum Of Care ◽  
Cross Sectional Study ◽  
Child Health Services ◽  
Outcome Variable ◽  
Birth Preparedness ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Complication Readiness ◽  
Factors Associated

ABSTRACTBackgroundCompletion along continuum of care for maternal and newborn health(MNH) service like antenatal care, skilled birth attendance and postnatal care services is one of the currently recommended strategies to reduce both maternal and neonatal mortality to achieve the global target of ending preventable maternal and under five children’s mortality. Although studies on factors affecting each segment of MNH services were well documented in Ethiopia, there is a dearth of evidence on the level of continuum of care and factors associated with it. Thus, this study tries to fill this gap in the country in general and in the study area in particular.MethodsA community-based cross sectional study was conducted among 438 postnatal women who gave births in the last one year in Arba Minch Health and Demographic Surveillance Site. The sample women were selected by using computer generated random numbers from the list of women who gone at least six-weeks after birth. A pre-tested structured interviewer-administered questionnaire was used for data collection. Data was entered and coded in Epi-data and analysed using SPSS software version 23. Binary logistic regression model was fitted to identify factors associated with the outcome variable.ResultsThe overall completion along the continuum of care was 42(9.7%). The factors significantly associated with continuum of care completion were early antenatal booking (before 16 weeks) [AOR: 10.751, CI (5.095, 22.688], birth preparedness and complication readiness [AOR: 2.934, CI (1.414, 6.087), pre-pregnancy contraception utilization [AOR: 3.963, CI: 1.429,10.990], employed women [AOR: 2.586, CI: ((1.245, 5.371))], and planned pregnancy [AOR: 3.494 CI :(1.068, 11.425)].ConclusionCompletion along continuum of care was low in the study area. Thus, efforts in improving completion of the cares should focus on early booking during antenatal period, reducing unplanned pregnancy, and improvement on birth preparedness and complication readiness interventions.

scholarly journals Assessment of birth preparedness and complication readiness among pregnant women in rural area of Chhattisgarh: a community based cross-sectional study

2019 ◽  
Vol 6 (4) ◽  
pp. 1634
Author(s):  
Namita Deshmukh ◽  
Avinash Borkar ◽  
Mrityunjay Rathore
Keyword(s):  
Pregnant Women ◽  
Rural Area ◽  
Skilled Birth Attendant ◽  
Cross Sectional Study ◽  
Warning Signs ◽  
Birth Preparedness ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Complication Readiness

Background: Neonatal and maternal mortality are the major concerns in the country mainly due to the “three delays” in seeking, reaching, and obtaining appropriate care. Birth preparedness and complication readiness (BPACR) is one of the most important tools to assess these delays. BPACR is the process of planning for normal birth and anticipating the actions needed in case of an emergency. The current study was undertaken to assess the status of BPACR among pregnant women in rural area of Kharsiya block in Raigarh district.Methods: A community-based, cross-sectional study was conducted among 110 pregnant women in rural area of Kharsiya during January-June 2017. All the pregnant females were interviewed using a pretested and structured questionnaire. Knowledge about danger signs, planning for transport, place and delivery by skilled birth attendant, financial management were assessed. BPACR index was also calculated.Results: The BPACR index was found to be very low (27.79%). About 73.65% women identified a skilled birth attendant for delivery but, only 10% women saved money and only 2.7% women had identified a blood donor for emergency. Nearly 74.54% women had no knowledge about danger or warning signs during pregnancy while 89.09% were unaware of complications during labour and 97.27% women did not know about puerperal complications.Conclusions: BPACR index in this rural area was very low. Vast majority of women were not knowledgeable about birth preparedness and complication readiness.

scholarly journals Birth preparedness and complication readiness among pregnant and recently delivered women in villages of a block of Ganjam, Odisha, India: a community based cross-sectional study

2019 ◽  
Vol 8 (5) ◽  
pp. 2003
Author(s):  
Monali Kar ◽  
Nivedita Karmee ◽  
Durga M. Satapathy
Keyword(s):  
Pregnant Women ◽  
Maternal Education ◽  
Health Workers ◽  
Post Partum ◽  
Cross Sectional Study ◽  
Birth Preparedness ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Complication Readiness

Background: Globally approximately 830 women die from pregnancy and child birth every day. Most of deaths can be prevented by proper planning like birth preparedness and complication readiness (BPCR). The aim of study was to assess awareness and practice regarding BPCR among pregnant women and recently delivered women and to identify socio-demographic factors affecting it.Methods: A community based cross sectional study was conducted from September to December 2018 in villages of Chhatrapur block of Ganjam District among pregnant women (completed 24 weeks) and recently delivered women (12 months) regardless of newborn outcome. Sample size was calculated to be 96. Multi stage random sampling was adopted and PPS (Probability proportional to size) method was used. A questionnaire was used which contained socio-demographic information and set of 11 indicators to determine BPCR index. All data were analysed in SPSS.Results: BPCR index was 44.6% and it was higher (61%) in recently delivered women. 26% can be said to be well prepared and 45.8%, 27%, 32.3%, 37.5% knew at least one key danger sign in pregnancy, delivery, post partum and about new born respectively. A significant association was found between maternal education, age and pregnancy with awareness regarding BPCR.Conclusions: BPCR index in study area was low and a low proportion of participants were well prepared. Awareness about danger signs was quite low. So health workers at grassroots level should be encouraged to explain BPCR components to women and educational activities should be carried out to promote women to make plan a priori.

scholarly journals Difference in factors associated with continuum of care completion rate from pregnancy to postpartum period in rural Nepal: a community-based, cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e044928
Author(s):  
Ram Chandra Silwal ◽  
Akira Shibanuma ◽  
Amod Kumar Poudyal ◽  
Subaru Ikeda ◽  
Masamine Jimba
Keyword(s):  
Decision Making ◽  
Health Facility ◽  
Associated Factors ◽  
Continuum Of Care ◽  
Cross Sectional Study ◽  
Completion Rate ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Factors Associated

ObjectivesThis study aimed to investigate the continuum of care (CoC) completion rate in maternal, neonatal and child health and its associated factors among mothers in two ecological regions in Nepal.DesignThis was a community-based, cross-sectional study, for which data were collected through face-to-face interviews using a structured questionnaire. Multiple logistic regression analyses were conducted to determine the associated factors.SettingThis was carried out in two rural districts of Nepal, in different regions: one in the hills (Dhading) and another in the flatlands called Terai (Nawalparasi). The data were collected between July and December 2016.ParticipantsMothers who gave birth within a year before this study were included as participants. In total, there were 1803 participants.An outcome measureThe outcome of this study was measured by the CoC completion rate when a mother completes four antenatal check-ups, deliver at a health facility and receives postnatal care within 24 hours of delivery.ResultsThe CoC completion rates were 41% in Dhading and 28% in Nawalparasi. In Dhading, shorter travel time to a health facility and higher wealth quintiles were associated with a better CoC completion rate. In Nawalparasi, the CoC completion rate was affected by parity and decision-making for pregnancy care.ConclusionsThe CoC completion rate was low in both districts in Nepal. However, factors associated with the CoC completion rate varied by district. Differences in these factors might be reflected by geographical and socioeconomic conditions and the characteristics of household decision making in these districts.

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