Birth preparedness and complication readiness among women of reproductive age in Kenya and Tanzania: a community-based cross-sectional survey

BMC Pregnancy and Childbirth

Sofia Jadavji¹  Rachel Pell¹  Michael A. Mugerwa²  Edna Selestine²  Sharon Brownie³  Lucy Nyaga⁴  Marleen Temmerman⁵  James Orwa⁶  Michaela Mantel⁷  Stanley Luchters⁸  Leonard Subi⁹  Secilia Mrema^1,10  Kahabi Isangula^1,11  Columba Mbekenga^1,11  Loveluck Mwasha^1,11  Grace Edwards^1,12  Samwel Maina Gatimu^1,13 

[1] Aga Khan Foundation, Ottawa, Canada;Aga Khan Health Services, Dar es Salaam, Tanzania;Centre for Health & Social Practice, Waikato Institute of Technology (Wintec), Hamilton, New Zealand;School of Medicine, Griffith University, Brisbane, QLD, Australia;Green Templeton College, Oxford University, Oxford, UK;Centre of Excellence Women and Child Health/MERL, Aga Khan University, P. O. Box 30270–00010, Nairobi, Kenya;Centre of Excellence Women and Child Health/MERL, Aga Khan University, P. O. Box 30270–00010, Nairobi, Kenya;Department of Obstetrics and Gynaecology, Aga Khan University, Nairobi, Kenya;Department of Public Health and Primary Care, Ghent University, Ghent, Belgium;Centre of Excellence Women and Child Health/MERL, Aga Khan University, P. O. Box 30270–00010, Nairobi, Kenya;Department of Population Health, Aga Khan University, Nairobi, Kenya;Centre of Excellence Women and Child Health/MERL, Aga Khan University, P. O. Box 30270–00010, Nairobi, Kenya;Department of Population Health, Aga Khan University, Nairobi, Kenya;Department of Obstetrics and Gynaecology, Aga Khan University, Nairobi, Kenya;Department of Population Health, Aga Khan University, Nairobi, Kenya;Department of Public Health and Primary Care, Ghent University, Ghent, Belgium;Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia;Burnet Institute, Melbourne, Australia;Ministry of Health, Community Development, Gender, Elderly and Children, Dar es Salaam, Tanzania;Regional Reproductive and Child Health Office, Region, Mwanza, Tanzania;School of Nursing and Midwifery, Aga Khan University, Dar es Salaam, Tanzania;School of Nursing and Midwifery, Aga Khan University, Kampala, Uganda;School of Nursing and Midwifery, Aga Khan University, Nairobi, Kenya;

关键词: Birth preparedness;    Complications readiness;    Obstetric danger signs;    Pregnancy;    Kenya;    Tanzania;    Eastern Africa;    BPCR;    Safe motherhood;    Maternal health;   

DOI  :  10.1186/s12884-020-03329-5

来源: Springer

【 摘 要 】

BackgroundDelayed health-seeking continues to contribute to preventable maternal and neonatal deaths in low resource countries. Some of the strategies to avoid the delay include early preparation for the birth and detection of danger signs. We aimed to assess the level of practice and factors associated with birth preparedness and complication readiness (BPCR) in Kenya and Tanzania.MethodsWe conducted community-based multi-stage cross-sectional surveys in Kilifi and Kisii counties in Kenya and Mwanza region in Tanzania and included women who delivered two years preceding the survey (2016–2017). A woman who mentioned at least three out of five BPCR components was considered well-prepared. Bivariate and multivariable proportional odds model were used to determine the factors associated with the BPCR. The STROBE guidelines for cross-sectional studies informed the design and reporting of this study.ResultsOnly 11.4% (59/519) and 7.6% (31/409) of women were well-prepared for birth and its complications in Kenya and Tanzania, respectively, while 39.7 and 30.6% were unprepared, respectively. Level of education (primary: adjusted odds ratio (aOR): 1.59, 95% CI: 1.14–2.20, secondary: aOR: 2.24, 95% CI: 1.39–3.59), delivery within health facility (aOR: 1.63, 95% CI: 1.15–2.29), good knowledge of danger signs during pregnancy (aOR: 1.28, 95% CI: 0.80–2.04), labour and childbirth (aOR: 1.57, 95% CI: 0.93–2.67), postpartum (aOR: 2.69, 95% CI: 1.24–5.79), and antenatal care were associated with BPCR (aOR: 1.42, 95% CI: 1.13–1.78).ConclusionOverall, most pregnant women were not prepared for birth and its complications in Kilifi, Kisii and Mwanza region. Improving level of education, creating awareness on danger signs during preconception, pregnancy, childbirth, and postpartum period, and encouraging antenatal care and skilled birth care among women and their male partners/families are recommended strategies to promote BPCR practices and contribute to improved pregnancy outcomes in women and newborns.

【 授权许可】

CC BY