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Cultural malpractice during pregnancy, childbirth, and the postnatal period and its associated factors among women who gave birth once in Dire Dawa city administration, Eastern Ethiopia, in 2021

BACKGROUND: Cultural practices are any experiences or beliefs that are socially shared views and behaviors practiced in a certain society at a certain time. Cultural malpractices are defined as socially shared views and traditionally accepted behaviors experienced in a certain society that harm mate...

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Autores principales: Hailu, Mickiale, Mohammed, Aminu, Sintayehu, Yitagesu, Tadesse, Daniel, Abera, Legesse, Abdurashid, Neil, Solomon, Milkiyas, Ali, Momina, Mellese, Dawit, Weldeamaniel, Tadesse, Mengesha, Teshale, Hailemariyam, Tekelebirhan, Amsalu, Sewmehon, Dejene, Yesuneh, Girma, Meklit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10469776/
https://www.ncbi.nlm.nih.gov/pubmed/37664420
http://dx.doi.org/10.3389/fgwh.2023.1131626
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author Hailu, Mickiale
Mohammed, Aminu
Sintayehu, Yitagesu
Tadesse, Daniel
Abera, Legesse
Abdurashid, Neil
Solomon, Milkiyas
Ali, Momina
Mellese, Dawit
Weldeamaniel, Tadesse
Mengesha, Teshale
Hailemariyam, Tekelebirhan
Amsalu, Sewmehon
Dejene, Yesuneh
Girma, Meklit
author_facet Hailu, Mickiale
Mohammed, Aminu
Sintayehu, Yitagesu
Tadesse, Daniel
Abera, Legesse
Abdurashid, Neil
Solomon, Milkiyas
Ali, Momina
Mellese, Dawit
Weldeamaniel, Tadesse
Mengesha, Teshale
Hailemariyam, Tekelebirhan
Amsalu, Sewmehon
Dejene, Yesuneh
Girma, Meklit
author_sort Hailu, Mickiale
collection PubMed
description BACKGROUND: Cultural practices are any experiences or beliefs that are socially shared views and behaviors practiced in a certain society at a certain time. Cultural malpractices are defined as socially shared views and traditionally accepted behaviors experienced in a certain society that harm maternal health. Worldwide, the period of pregnancy, labor, and delivery is embedded with different beliefs, customs, and rituals in different societies that contribute a lot to maternal death. They are responsible for the annual deaths of 303,000 mothers and 2.7 million newborns globally. In developing countries, it accounts for approximately 5%–15% of maternal deaths. In Ethiopia, approximately 18% of infant deaths occur due to cultural malpractice, and 52% of pregnant mothers give birth at home following cultural customs in Dire Dawa city. The objective of this study was to assess cultural malpractices during pregnancy, childbirth, and the postnatal period and its associated factors among women who gave birth once in Dire Dawa City in 2021. METHODS: Community-based mixed study was conducted. A total of 624 study participants were selected through a systematic random sampling technique, and a purposive sampling method was used for qualitative data. The study was conducted in the randomly selected Kebeles of Dire Dawa City, Eastern Ethiopia, from November 1 to December 30, 2021. Data were entered into Epi Data version 4.1 and exported to SPSS version 24 for analysis. Bivariate and multivariate analyses were done, and the degree of association was measured by using the odds ratio with 95% CI and significance was declared at a p-value of <0.05. The qualitative data were analyzed thematically using ATLAS-ti version 7. RESULTS: The overall prevalence of cultural malpractice during pregnancy, childbirth, and the postnatal period was 74.6% [95% CI: 70.59%, 77.49%]. Women over the age of 35 were two times more likely [AOR 2.61, 95% CI, 1.45–4.72] to commit cultural malpractice than women aged 15–24 and 25–34. Those with no antenatal care (ANC) follow-up were three times more likely to commit cultural malpractice [AOR 3.57, 95% CI, 1.72–7.40], those who were absent from health education were nearly two times more likely to commit cultural malpractice [AOR 1.83, 95%CI, 1.25–2.67], and women whose culture allows harmful traditional practices were nearly two times more likely to commit cultural malpractices than their counterparts [AOR 1.69, 95%CI, 1.29–2.54]. CONCLUSION: In this study, nearly three-fourths of participants were involved in cultural malpractices. Therefore, strengthening community education and behavioral change messages on the importance of ANC and avoiding unhealthy care during pregnancy, childbirth, postnatal and neonatal periods, especially with pregnancy at old age (age > 35), may help to reduce cultural malpractices.
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spelling pubmed-104697762023-09-01 Cultural malpractice during pregnancy, childbirth, and the postnatal period and its associated factors among women who gave birth once in Dire Dawa city administration, Eastern Ethiopia, in 2021 Hailu, Mickiale Mohammed, Aminu Sintayehu, Yitagesu Tadesse, Daniel Abera, Legesse Abdurashid, Neil Solomon, Milkiyas Ali, Momina Mellese, Dawit Weldeamaniel, Tadesse Mengesha, Teshale Hailemariyam, Tekelebirhan Amsalu, Sewmehon Dejene, Yesuneh Girma, Meklit Front Glob Womens Health Global Women's Health BACKGROUND: Cultural practices are any experiences or beliefs that are socially shared views and behaviors practiced in a certain society at a certain time. Cultural malpractices are defined as socially shared views and traditionally accepted behaviors experienced in a certain society that harm maternal health. Worldwide, the period of pregnancy, labor, and delivery is embedded with different beliefs, customs, and rituals in different societies that contribute a lot to maternal death. They are responsible for the annual deaths of 303,000 mothers and 2.7 million newborns globally. In developing countries, it accounts for approximately 5%–15% of maternal deaths. In Ethiopia, approximately 18% of infant deaths occur due to cultural malpractice, and 52% of pregnant mothers give birth at home following cultural customs in Dire Dawa city. The objective of this study was to assess cultural malpractices during pregnancy, childbirth, and the postnatal period and its associated factors among women who gave birth once in Dire Dawa City in 2021. METHODS: Community-based mixed study was conducted. A total of 624 study participants were selected through a systematic random sampling technique, and a purposive sampling method was used for qualitative data. The study was conducted in the randomly selected Kebeles of Dire Dawa City, Eastern Ethiopia, from November 1 to December 30, 2021. Data were entered into Epi Data version 4.1 and exported to SPSS version 24 for analysis. Bivariate and multivariate analyses were done, and the degree of association was measured by using the odds ratio with 95% CI and significance was declared at a p-value of <0.05. The qualitative data were analyzed thematically using ATLAS-ti version 7. RESULTS: The overall prevalence of cultural malpractice during pregnancy, childbirth, and the postnatal period was 74.6% [95% CI: 70.59%, 77.49%]. Women over the age of 35 were two times more likely [AOR 2.61, 95% CI, 1.45–4.72] to commit cultural malpractice than women aged 15–24 and 25–34. Those with no antenatal care (ANC) follow-up were three times more likely to commit cultural malpractice [AOR 3.57, 95% CI, 1.72–7.40], those who were absent from health education were nearly two times more likely to commit cultural malpractice [AOR 1.83, 95%CI, 1.25–2.67], and women whose culture allows harmful traditional practices were nearly two times more likely to commit cultural malpractices than their counterparts [AOR 1.69, 95%CI, 1.29–2.54]. CONCLUSION: In this study, nearly three-fourths of participants were involved in cultural malpractices. Therefore, strengthening community education and behavioral change messages on the importance of ANC and avoiding unhealthy care during pregnancy, childbirth, postnatal and neonatal periods, especially with pregnancy at old age (age > 35), may help to reduce cultural malpractices. Frontiers Media S.A. 2023-08-17 /pmc/articles/PMC10469776/ /pubmed/37664420 http://dx.doi.org/10.3389/fgwh.2023.1131626 Text en © 2023 Hailu, Mohammed, Sintayehu, Tadesse, Abera, Abdurashid, Solomon, Ali, Mellese, Weldeamaniel, Mengesha, Hailemariyam, Amsalu, Dejene and Girma. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Global Women's Health
Hailu, Mickiale
Mohammed, Aminu
Sintayehu, Yitagesu
Tadesse, Daniel
Abera, Legesse
Abdurashid, Neil
Solomon, Milkiyas
Ali, Momina
Mellese, Dawit
Weldeamaniel, Tadesse
Mengesha, Teshale
Hailemariyam, Tekelebirhan
Amsalu, Sewmehon
Dejene, Yesuneh
Girma, Meklit
Cultural malpractice during pregnancy, childbirth, and the postnatal period and its associated factors among women who gave birth once in Dire Dawa city administration, Eastern Ethiopia, in 2021
title Cultural malpractice during pregnancy, childbirth, and the postnatal period and its associated factors among women who gave birth once in Dire Dawa city administration, Eastern Ethiopia, in 2021
title_full Cultural malpractice during pregnancy, childbirth, and the postnatal period and its associated factors among women who gave birth once in Dire Dawa city administration, Eastern Ethiopia, in 2021
title_fullStr Cultural malpractice during pregnancy, childbirth, and the postnatal period and its associated factors among women who gave birth once in Dire Dawa city administration, Eastern Ethiopia, in 2021
title_full_unstemmed Cultural malpractice during pregnancy, childbirth, and the postnatal period and its associated factors among women who gave birth once in Dire Dawa city administration, Eastern Ethiopia, in 2021
title_short Cultural malpractice during pregnancy, childbirth, and the postnatal period and its associated factors among women who gave birth once in Dire Dawa city administration, Eastern Ethiopia, in 2021
title_sort cultural malpractice during pregnancy, childbirth, and the postnatal period and its associated factors among women who gave birth once in dire dawa city administration, eastern ethiopia, in 2021
topic Global Women's Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10469776/
https://www.ncbi.nlm.nih.gov/pubmed/37664420
http://dx.doi.org/10.3389/fgwh.2023.1131626
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