Birth preparedness and complication readiness in Robe Woreda, Arsi Zone, Oromia Region, Central Ethiopia: a cross-sectional study

Reproductive Health

Mesfin Addisse¹  Muhammedawel Kaso² 

[1] School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia;College of Medicine and Health Sciences, Madawalabu University, Bale-Goba, Ethiopia

关键词: Antenatal care;    Arsi zone;    Skilled attendant;    Place of delivery;    Complication readiness;    Birth preparedness;   

Others  :  1146308
DOI  :  10.1186/1742-4755-11-55

 received in 2013-07-25, accepted in 2014-07-08,  发布年份 2014

【 摘 要 】

Background

Globally, an estimated 287 000 maternal deaths occurred in 2010 annually as a result of complications of pregnancy and childbirth. Sub-Saharan Africa and Southern Asia were accounted for 85% of the global burden (245 000 maternal deaths) including Ethiopia. Obstetric related complications cannot be reliably predicted. Hence, insignificant decline of maternal mortality ratio might be due to the non use of birth preparedness and complication readiness strategies. Therefore, this paper aimed to assess knowledge and practices towards birth preparedness and complication readiness and associated factors among women of reproductive age group (15–49) in Robe Woreda, Arsi Zone, Oromia Region, Ethiopia.

Method

Community-based cross-sectional study supplemented by qualitative design was conducted in January, 2012. A total of 575 women from 5 kebeles were selected after proportionally allocated to population size and interviewed using structured and semi-structured, pre-tested questionnaires. Univariate and bivariate analysis was performed. Multiple logistic regression analysis was also done to control for possible confounding variables.

Results

Taking into account place of delivery identification, means of transportation, skilled attendant identification and saving money, about 16.5% of the respondents were prepared for birth and its complications. Preparation for birth and its complication was higher among educated mothers (AOR = 6.23, 95% CI = 1.5, 25.87). Monthly income of >716 Ethiopian birr (AOR = 1.94, 95% CI = 1.01, 3.87), ANC visit (AOR = 5.68, 95% CI = 1.27, 25.4), knowledge of obstetric complications (AOR = 2.94, 95% CI = 1.61, 5.37) and those who had given birth at health facility before their last delivery (AOR = 3.9, 95% CI = 2.04, 7.46) were also significantly associated with birth preparedness and complication readiness.

Conclusion

The study identified very low magnitude of birth preparedness and complication readiness in the study area and poor knowledge and practices of preparation for birth and its complication. Community education about preparation for birth and its complication and empowerment of women through expansion of educational opportunities are important steps in improving birth preparedness. In all health facilities during antenatal care emphasis should given to preparation for birth and its complication and provide information and education to all pregnant women.

【 授权许可】

   
2014 Kaso and Addisse; licensee BioMed Central Ltd.

【 参考文献 】

• [1]JHPIEGO: Maternal and Neonatal Health. Monitoring Birth Preparedness and Complication Readiness, Tools and Indicators for Maternal and Newborn Health. Johns Hopkins Bloomberg, school of Public Health. Center for communication programs, Family Care International; 2004. Available at: http://pdf.usaid.gov/pdf_docs/pnada619.pdf webcite
• [2]JHPIEGO: Birth Preparedness and Complication Readiness: A Matrix of Shared Responsibility. Maternal and Neonatal Health (MNH) Program. 2001.
• [3]Trends in Maternal Mortality: WHO, UNICEF, UNFPA and the World Bank Estimate, 1990 to 2010. World Health Organization; 2012. Available at: http://www.who.int/about/licensing/copyright_form/en/index.html webcite
• [4]United Nations: The Millennium Development Goals Report; World Health Organization (WHO) and UN Development Programme (UNDP). 2010. UN MDG Database (mdgs.un.org); MDG Monitor Website (http://www.mdgmonitor.org webcite)
• [5]WHO/UNICEF: Antenatal Care in Developing Countries: Promises, Achievements and Missed Opportunities. Analysis of Trends, Levels and Differentials 1990–2001. Geneva: WHO; 2003.
• [6]PATH: Outlook. Maternal and new born health special issue. 2001., 19(3) Available at http://www.path.org/resources/pub_outlook.htm webcite
• [7]Central Statistical Agency: Ethiopia, Demographic and Health Survey 2011. Maryland, USA: Addis Ababa, Ethiopia, ICF International, Calverton; 2012.
• [8]Bank W: Safe Motherhood and the World Bank: Lessons from 10 Years’ Experience. Washington DC: The World Bank; 1999.
• [9]JHPIEGO: The Maternal and Neonatal Health Program’s. Champions for Change: Improving Maternal and Newborn Survival. Meeting Proceedings. Accra, Ghana; 2004.
• [10]Hiluf M, Fantahun M: Birth preparedness and complication readiness among women in Adigrat Town, North Ethiopia. Ethiop J Health Dev 2007, 22(1):14-20.
• [11]Iliyasu Z, Abubakar I, Galadanci H, Aliyu M: Birth preparedness, complication readiness and fathers’ participation in maternity care in a Northern Nigerian Community. Afr J Reprod Health 2010, 14(1):21-32.
• [12]Hailu M, Gebremariam A, Alemseged F, Deribe K: birth preparedness and complication readiness among pregnant women in Southern Ethiopia. PLoS One 2011, 6(6):e21432. doi:10.1371/journal.pone.0021432
• [13]Soubeiga D, Gauvin L, Hatem M, Johri M: Birth preparedness and complication readiness interventions to reduce maternal and neonatal mortality in developing countries: systematic review and meta-analysis. BMC Pregnancy Childbirth 2014, 14:129.
• [14]Bloom S, Lippeveld T, Wypij D: Does antenatal care make a difference to safe delivery? a study in urban Uttar Pradesh. India Health Policy Plan 1999, 14(1):38-48.
• [15]Magoma M, Requejo J, MR Campbell O, Cousens S, Filippi V: High ANC coverage and low skilled attendance in rural Tanzanian district: a case for implementing a birth plan intervention. BMC Pregnancy Childbirth 2010, 10:13.
• [16]Wiegers TA, Boerma WGW, Haan O: Maternity care and birth preparedness in rural Kyrgyzstan and Tajikistan. Sex Reprod Healthc 2010, 1(4):189-194.
• [17]Nigussie M, Haile Mariam D, Mitike G: Assessment of safe delivery service utilization among women of child bearing age in North Gondar Zone, North West Ethiopia. Ethiop J Heath Dev 2004, 18(3):145-152.
• [18]D’Ambruoso L, Abbey M, Hussein J: Please understand when cry out in pain: women’s accounts of maternity services during labor and delivery in Ghana. BMC Public Health 2005, 5:140.
• [19]Sarita PT, Tuominen R: Use of health care services in two rural communities in Tanzania. Community Dent Oral Epidemiol 1993, 21(3):133-139.
• [20]Abeje G, Azage M, Setegn T: Factors associated with Institutional delivery service utilization among mothers in Bahir Dar City administration. Amhara region: a community based cross sectional study. Reprod Health 2014, 11:22.
• [21]Titaley RC, Hunter LC, Dibley JM, Heywood P: Why do some women still prefer traditional birth attendants and home delivery? A qualitative study on delivery care services in West Java Province, Indonesia. BMC Pregnancy Childbirth 2010, 10:43.
• [22]Mazumdar R, Mukhopadhyay DK, Kole S, Mallik D, Sinhababu A: Status of birth preparedness and complication readiness in a rural community: a study from West Bengal. India Al Ameen J Med Sci 2014, 7(1):52-57.
• [23]Deoki N, Kushwah SS, Dubey DK, Singh G, Shivdasani S, Adhish V: A Study for Assessing Birth Preparedness and Complication Readiness Intervention in Rewa District of Madhya Pradesh Chief Investigator, India. Department of Community Medicine, S.S. Medical College, Rewa, M.P; 2008–09
• [24]Sugathan KS, Mishra V, Retherford RD: Promoting Institutional Deliveries in rural India: The Role of Antenatal-Care Services, National Family Health Subject Reports Number 20. Hawaii: Mumbai; East–west Center Population and Health Studies; International Institute of Population Sciences; 2001.
• [25]Ekabua JE, Ekabua KJ, Odusolu P, Agan T, Iklaki C, Etokidem A: Awareness of birth preparedness and complication readiness in Southeastern Nigeria. ISRN Obstet GynecolVolume 2011. Article ID 560641, doi:10.5402/2011/560641, 6 pages
• [26]Fantahun M, Olwit G, Shamebo D: A determinant of antenatal care attendance and preference of site of delivery in Addis Ababa. Ethiop J Health Dev 1992, 1(2):17-22.
• [27]Mesfin M, Farrow J: Determinants of antenatal care utilization in Arsi Zone. Central Ethiopia Ethiop J Health Dev 1996, 10(3):171-178.
• [28]Agarwal J, Sethi V, Srivastava KK, Jha P, Baqui A: Birth preparedness and complication readiness among slum women in Indore City. India Siddharth J Health Popul Nutr 2010, 28(4):383-391.
• [29]Mutiso SM, Qureshi Z, Kinuthia J: Birth preparedness among antenatal clients. East Afr Med J 2008, 85(6):275-283.