Birth preparedness and complication readiness among recently delivered women in chamwino district, central Tanzania: a cross sectional study

Reproductive Health

Rose N.M Mpembeni¹  Peter Wasswa³  Janneth Mghamba⁴  Mohamed A. Mohamed⁴  Deogratius Bintabara² 

[1] Muhimbili University of Health and Allied Sciences, Dar Es, Salaam, Tanzania;College of Health and Allied Sciences, University of Dodoma, Dodoma, Tanzania;African Field Epidemiology Network (AFENET), Kampala, Uganda;Ministry of Health and Social Welfare, Dar Es Salaam, Tanzania

关键词: Tanzania;    Chamwino;    Obstetric danger signs;    Complication readiness;    Birth preparedness;   

Others  :  1210979
DOI  :  10.1186/s12978-015-0041-8

 received in 2015-02-07, accepted in 2015-05-09,  发布年份 2015

【 摘 要 】

Background

Unacceptably high maternal mortality rates remain a challenge in developing countries such as Tanzania. Birth Preparedness and Complication Readiness is among the key interventions that can reduce maternal mortality. Despite this, its status in Tanzania is not well documented. We assessed the practice and determinants of Birth preparedness and complication readiness among recently delivered women in Chamwino district, Central Tanzania.

Methods

A community based cross-sectional study was conducted to women who delivered two years prior to survey in January 2014 at Chamwino district, Tanzania. Woman was considered as prepared for birth and its complication if she reported at least three of these; know expected date of delivery, saved money, identified a skilled birth attendant/health facility, mode of transport and Identified two compatible blood donors. Descriptive, bivariate and multivariable logistic regression analyses were performed at P value < 0.05 level of significance.

Results

We interviewed 428 women whose median age (IQR) was 26.5 (22–33) years. About 249 (58.2 %) of the respondents were considered as prepared for birth and its complications. After controlling for confounding and clustering effect, significant determinants of birth preparedness and complication readiness were found to be maternal education (AOR = 2.26, 95 % CI; 1.39, 3.67), spouse employment (AOR = 2.18, 95 % CI; 1.46, 3.25), booking at ANC (AOR = 2.03, 95 % CI; 1.11, 3.72), Four or more antenatal visits, (AOR = 1.94, 95 % CI; 1.17, 3.21) and knowledge of key danger signs (AOR = 4.16, 95 % CI; 2.32, 7.45). Prepared for birth was found to be associated with institutional delivery (AOR = 2.45, 95 % CI; 1.12, 5.34).

Conclusion

The proportion of women who prepared for birth and its complications were found to be low. District reproductive and child health coordinator should emphasis on early and frequent antenatal care visits, since they were among predictors of birth preparedness and complication readiness.

【 授权许可】

   
2015 Bintabara et al.; licensee BioMed Central.

【 图 表 】

Fig. 1.

【 参考文献 】

• [1]Sullivan TR, Hirst JE. Reducing maternal mortality: a review of progress and evidence-based strategies to achieve millennium development goal 5. Health Care Women Int. 2011; 32(10):901-16.
• [2]The World Bank. Trends in Maternal Mortality: 1990 to 2010 [Internet]. Hamel G, Heene A, editors. Organization. World Health Organization; 2010.32(5):1–55. Available from: http://whqlibdoc.who.int/publications/2010/9789241500265_eng.pdf.
• [3]The millennium development goals report 2012. New York United Nations 2012. 2012.35.
• [4]Tanzania demographic and health survey [internet]. national bureau of statistics Dar es salaam, Tanzania ICF macro Calverton, Maryland, USA. 2010.
• [5]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.
• [6]Bergsjø P, Villar J. Scientific basis for the content of routine antenatal care. II. Power to eliminate or alleviate adverse newborn outcomes; some special conditions and examinations. Acta Obstet Gynecol Scand. 1997; 76(1):15-25.
• [7]Koblinsky MA, Campbell O, Heichelheim J. Organizing delivery care: what works for safe motherhood? Bull World Health Organ. 1999; 77(5):399-406.
• [8]Markos D, Bogale D. Birth preparedness and complication readiness among women of child bearing age group in Goba woreda, Oromia region. Ethiopia. 2014; 14(1):1-9.
• [9]Monitoring birth preparedness and complication readiness: tools and indicators for maternal and newborn health. JHPIEGO, BaltimoreMD; 2004.
• [10]Ministry of health and social welfare. focused, antenatal care, malaria and syphilis in pregnancy: orientation package for service providers. 2002.
• [11]Tanzania demographic and health survey 2004–05 final report [internet]. National Bureau of Statistics Dar es Salaam, Tanzania ICF Macro Calverton, Maryland, USA; 2005.
• [12]Berhan Y, Abdela A, Ethiopian Public Health Association. Emergency obstetric performance with emphasis on operative delivery outcome: does it reflect the quality of care? Ethiop J Heal Dev. 2005;18. http://www.ajol.info/index.php/ejhd/article/view/9944.
• [13]Maternal and Neonatal Health Programme Birth Preparedness and Complication Readiness: A Matrix of Shared Responsibilities (Original BP/CR Matrix Poster Published in 2001.English Introductory Text Revised in 2004). JHPIEGO, Baltimore, MD; 2004.
• [14]Kaso M, Addisse M. Birth preparedness and complication readiness in Robe Woreda, Arsi zone, Oromia region. Central Ethiopia : a cross-sectional study. 2014; 11(1):1-12.
• [15]Kabakyenga JK, Östergren P-O, Turyakira E, Pettersson KO. Knowledge of obstetric danger signs and birth preparedness practices among women in rural Uganda. Reprod Health. 2011; 8(1):33.
• [16]Prime minister’s office, regional administration and local government, chamwino district council, comprehensive council health plan for the year July 2013 – June 2014. 2013.
• [17]Census general report,population distribution by administrative areas, national bureau of statistics ministry of finance Dar es salaam. 2013.
• [18]Designing household survey samples: practical guidelines [INTERNET]. Available from: http://unstats.un.org/unsd/demographic/sources/surveys/Handbook23June05.pdf . Available from: [http://unstats.un.org/unsd/demographic/sources/surveys/Handbook23June05.pdf] webcite Studies in methods. United nations statistics division; 2005.
• [19]Urassa DP, Pembe AB, Mganga F. Birth preparedness and complication readiness among women in Mpwapwa district, Tanzania. Tanzan J Health Res [Internet]. National Institute for Medical Research; 2012 Jan 25 [cited 2013 Jun 24];14(1). Available from: http://www.ajol.info/index.php/thrb/article/view/68564
• [20]Mulogo EM, Witte K, Bajunirwe F, Nabukera SK, Muchunguzi C, Batwala VK et al.. Birth plans and health facility based delivery in rural Uganda. East Afr Med J. 2006; 83(3):74-83.
• [21]Agarwal S, Sethi V, Srivastava K. Birth preparedness and complication readiness among slum women in Indore city, India. J Heal Popul Nutr. 2010; 28(4):383-91.
• [22]Mutiso SM, Qureshi Z, Kinuthia J. Birth preparedness among antenatal clients. East Afr Med J. 2008; 85(6):275-83.
• [23]Moran AC, Sangli G, Dineen R, Rawlins B, Yaméogo M, Baya B. Birth-preparedness for maternal health: findings from Koupéla District, Burkina Faso. J Health Popul Nutr. 2006; 24(4):489-97.
• [24]Kuteyi EA, Kuku J, Lateef I, Ogundipe J, Mogbeyteren T, Banjo M. Birth Preparedness and Complication Readiness of Pregnant Women Attending the Three Levels of Health Facilities in Ife Central Local Government, Nigeria. Journal of Community Medicine and Primary Health Care. Association of Community Physicians of Nigeria. 2013; 23(1-2):41-54.
• [25]Hiluf M, Fantahun M. Birth preparedness and complication readiness among women in Adigrat town, north Ethiopia. Ethiop J Heal Dev. 2008; 22(1):14-20.
• [26]Nawal D, Goli S. Birth Preparedness and Its Effect on Place of Delivery and Post-Natal Check-Ups in Nepal. PLoS One. 2013; 8(5):e60957.
• [27]Mother-baby package: implementing safe motherhood in countries. 1994.
• [28]Kakaire O, Kaye DK, Osinde MO. Male involvement in birth preparedness and complication readiness for emergency obstetric referrals in rural Uganda. Reprod Health. 2013; 8(1):12.
• [29]Gross K, Alba S, Glass TR, Schellenberg J, Obrist B. Timing of antenatal care for adolescent and adult pregnant women in south-eastern Tanzania. BMC Pregnancy Childbirth. 2012; 12(1):16. BioMed Central Full Text