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Reasons for low level of skilled birth attendance in Afar pastoralist community, North East Ethiopia: a qualitative exploration
INTRODUCTION: Ethiopia has expanded the number of health facilities that offer maternal health services during the last two decades. However, the utilization of skilled birth attendants in health facilities is still very low especially among the pastoralist regions of the country. This study explore...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The African Field Epidemiology Network
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6125395/ https://www.ncbi.nlm.nih.gov/pubmed/30197742 http://dx.doi.org/10.11604/pamj.2018.30.51.14420 |
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author | Ibrhim, Mohammed Ahmed Demissie, Meaza Medhanyie, Araya Abrha Worku, Alemayehu Berhane, Yemane |
author_facet | Ibrhim, Mohammed Ahmed Demissie, Meaza Medhanyie, Araya Abrha Worku, Alemayehu Berhane, Yemane |
author_sort | Ibrhim, Mohammed Ahmed |
collection | PubMed |
description | INTRODUCTION: Ethiopia has expanded the number of health facilities that offer maternal health services during the last two decades. However, the utilization of skilled birth attendants in health facilities is still very low especially among the pastoralist regions of the country. This study explored why women in the pastoralist region of Afar, Ethiopia still prefer to give birth at home. METHODS: A qualitative study approach was used to collect information from October to December 2015. A total of eighteen focus group discussions and twenty-four key informant interviews were conducted. Focus group discussions were separately conducted with mothers and male tribal or religious leaders. Key informant interviews were conducted with heads of Women's Affairs Bureau, district health office heads and traditional birth attendants. Data were coded and categorized using open code software for qualitative data management and analyzed based on a thematic approach. RESULTS: Women preferred to deliver at home due to lack of awareness about the benefits of maternity health facilities, their nomadic lifestyle, lack of confidence and trust in health workers and their close affinity and easy access to traditional birth attendants. Supply-side barriers included distant health facilities, lack of transportation and poor health care. CONCLUSION: Demand and supply related factors were identified as barriers to utilization of skilled birth attendants. Increasing awareness, bringing the service closer, arranging maternity waiting area around health facilities, and creating client-friendly service were found critical. Future research to define and improve services and approaches suitable for pastoralist population is warranted. |
format | Online Article Text |
id | pubmed-6125395 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | The African Field Epidemiology Network |
record_format | MEDLINE/PubMed |
spelling | pubmed-61253952018-09-07 Reasons for low level of skilled birth attendance in Afar pastoralist community, North East Ethiopia: a qualitative exploration Ibrhim, Mohammed Ahmed Demissie, Meaza Medhanyie, Araya Abrha Worku, Alemayehu Berhane, Yemane Pan Afr Med J Research INTRODUCTION: Ethiopia has expanded the number of health facilities that offer maternal health services during the last two decades. However, the utilization of skilled birth attendants in health facilities is still very low especially among the pastoralist regions of the country. This study explored why women in the pastoralist region of Afar, Ethiopia still prefer to give birth at home. METHODS: A qualitative study approach was used to collect information from October to December 2015. A total of eighteen focus group discussions and twenty-four key informant interviews were conducted. Focus group discussions were separately conducted with mothers and male tribal or religious leaders. Key informant interviews were conducted with heads of Women's Affairs Bureau, district health office heads and traditional birth attendants. Data were coded and categorized using open code software for qualitative data management and analyzed based on a thematic approach. RESULTS: Women preferred to deliver at home due to lack of awareness about the benefits of maternity health facilities, their nomadic lifestyle, lack of confidence and trust in health workers and their close affinity and easy access to traditional birth attendants. Supply-side barriers included distant health facilities, lack of transportation and poor health care. CONCLUSION: Demand and supply related factors were identified as barriers to utilization of skilled birth attendants. Increasing awareness, bringing the service closer, arranging maternity waiting area around health facilities, and creating client-friendly service were found critical. Future research to define and improve services and approaches suitable for pastoralist population is warranted. The African Field Epidemiology Network 2018-05-21 /pmc/articles/PMC6125395/ /pubmed/30197742 http://dx.doi.org/10.11604/pamj.2018.30.51.14420 Text en © Mohammed Ahmed Ibrhim et al. http://creativecommons.org/licenses/by/2.0/ The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Ibrhim, Mohammed Ahmed Demissie, Meaza Medhanyie, Araya Abrha Worku, Alemayehu Berhane, Yemane Reasons for low level of skilled birth attendance in Afar pastoralist community, North East Ethiopia: a qualitative exploration |
title | Reasons for low level of skilled birth attendance in Afar pastoralist community, North East Ethiopia: a qualitative exploration |
title_full | Reasons for low level of skilled birth attendance in Afar pastoralist community, North East Ethiopia: a qualitative exploration |
title_fullStr | Reasons for low level of skilled birth attendance in Afar pastoralist community, North East Ethiopia: a qualitative exploration |
title_full_unstemmed | Reasons for low level of skilled birth attendance in Afar pastoralist community, North East Ethiopia: a qualitative exploration |
title_short | Reasons for low level of skilled birth attendance in Afar pastoralist community, North East Ethiopia: a qualitative exploration |
title_sort | reasons for low level of skilled birth attendance in afar pastoralist community, north east ethiopia: a qualitative exploration |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6125395/ https://www.ncbi.nlm.nih.gov/pubmed/30197742 http://dx.doi.org/10.11604/pamj.2018.30.51.14420 |
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