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Maternal and newborn health services utilization in Jimma Zone, Southwest Ethiopia: a community based cross-sectional study
BACKGROUND: Majority of causes of maternal and newborn mortalities are preventable. However, poor access to and low utilization of health services remain major barriers to optimum health of the mothers and newborns. The objectives of this study were to assess maternal and newborn health services uti...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6530050/ https://www.ncbi.nlm.nih.gov/pubmed/31113407 http://dx.doi.org/10.1186/s12884-019-2335-2 |
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author | Dadi, Lelisa Sena Berhane, Melkamu Ahmed, Yusuf Gudina, Esayas Kebede Berhanu, Tasew Kim, Kyung Hwan Getnet, Masrie Abera, Muluemabet |
author_facet | Dadi, Lelisa Sena Berhane, Melkamu Ahmed, Yusuf Gudina, Esayas Kebede Berhanu, Tasew Kim, Kyung Hwan Getnet, Masrie Abera, Muluemabet |
author_sort | Dadi, Lelisa Sena |
collection | PubMed |
description | BACKGROUND: Majority of causes of maternal and newborn mortalities are preventable. However, poor access to and low utilization of health services remain major barriers to optimum health of the mothers and newborns. The objectives of this study were to assess maternal and newborn health services utilization and factors affecting mothers’ health service utilization. METHODS: A community based cross-sectional survey was carried out on randomly selected mothers who gave birth within a year preceding the survey. The survey was supplemented with key informant interviews of experts/health professionals. Multivariable logistic model was used to identify factors associated with service utilization. Adjusted odds ratios (AORs) were used to assess the strength of the associations at p-value ≤0.05. The qualitative data were summarized thematically. RESULTS: A total of 789 (99.1% response rate) mothers participated in the study. The proportion of the mothers who got at least one antennal care (ANC) visit, institutional delivery and postnatal care (PNC) were 93.3, 77.4 and 92.0%, respectively. Three-forth (74.2%) of the mothers started ANC lately and only 47.5% of them completed ANC(4)+ visits. Medium (4–6) family size (AOR: 2.3; 95% CI: 1.1, 4.9), decision on ANC visits with husband (AOR: 30.9; 95% CI: 8.3, 115.4) or husband only (AOR: 15.3; 95%CI: 3.8, 62.3) and listening to radio (AOR: 2.5; 95%CI: 1.1, 5.6) were associated with ANC attendance. Mothers whose husbands read/write (AOR: 1.6; 95% CI: 1.1, 2.), attended formal education (AOR: 2.8; 95% CI: 1.1, 6.8), have positive attitudes (AOR: 10.2; 95% CI: 25.9), living in small (AOR: 3.0; 95% CI: 1.2, 7.6) and medium size family (AOR: 2.3; 95% CI: 1.2, 4.1) were more likely to give birth in-health facilities. The proportion of PNC checkups among mothers who delivered in health facilities and at home were 92.0 and 32.5%, respectively. The key informants mentioned that home delivery, delayed arrival of the mothers, unsafe delivery settings, shortage of skilled personnel and supplies were major obstacles to maternal health services utilization. CONCLUSIONS: Health information communication targeting husbands may improve maternal and newborn health services utilization. In service training of personnel and equipping health facilities with essential supplies can improve the provider side barriers. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12884-019-2335-2) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-6530050 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-65300502019-05-28 Maternal and newborn health services utilization in Jimma Zone, Southwest Ethiopia: a community based cross-sectional study Dadi, Lelisa Sena Berhane, Melkamu Ahmed, Yusuf Gudina, Esayas Kebede Berhanu, Tasew Kim, Kyung Hwan Getnet, Masrie Abera, Muluemabet BMC Pregnancy Childbirth Research Article BACKGROUND: Majority of causes of maternal and newborn mortalities are preventable. However, poor access to and low utilization of health services remain major barriers to optimum health of the mothers and newborns. The objectives of this study were to assess maternal and newborn health services utilization and factors affecting mothers’ health service utilization. METHODS: A community based cross-sectional survey was carried out on randomly selected mothers who gave birth within a year preceding the survey. The survey was supplemented with key informant interviews of experts/health professionals. Multivariable logistic model was used to identify factors associated with service utilization. Adjusted odds ratios (AORs) were used to assess the strength of the associations at p-value ≤0.05. The qualitative data were summarized thematically. RESULTS: A total of 789 (99.1% response rate) mothers participated in the study. The proportion of the mothers who got at least one antennal care (ANC) visit, institutional delivery and postnatal care (PNC) were 93.3, 77.4 and 92.0%, respectively. Three-forth (74.2%) of the mothers started ANC lately and only 47.5% of them completed ANC(4)+ visits. Medium (4–6) family size (AOR: 2.3; 95% CI: 1.1, 4.9), decision on ANC visits with husband (AOR: 30.9; 95% CI: 8.3, 115.4) or husband only (AOR: 15.3; 95%CI: 3.8, 62.3) and listening to radio (AOR: 2.5; 95%CI: 1.1, 5.6) were associated with ANC attendance. Mothers whose husbands read/write (AOR: 1.6; 95% CI: 1.1, 2.), attended formal education (AOR: 2.8; 95% CI: 1.1, 6.8), have positive attitudes (AOR: 10.2; 95% CI: 25.9), living in small (AOR: 3.0; 95% CI: 1.2, 7.6) and medium size family (AOR: 2.3; 95% CI: 1.2, 4.1) were more likely to give birth in-health facilities. The proportion of PNC checkups among mothers who delivered in health facilities and at home were 92.0 and 32.5%, respectively. The key informants mentioned that home delivery, delayed arrival of the mothers, unsafe delivery settings, shortage of skilled personnel and supplies were major obstacles to maternal health services utilization. CONCLUSIONS: Health information communication targeting husbands may improve maternal and newborn health services utilization. In service training of personnel and equipping health facilities with essential supplies can improve the provider side barriers. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12884-019-2335-2) contains supplementary material, which is available to authorized users. BioMed Central 2019-05-22 /pmc/articles/PMC6530050/ /pubmed/31113407 http://dx.doi.org/10.1186/s12884-019-2335-2 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Dadi, Lelisa Sena Berhane, Melkamu Ahmed, Yusuf Gudina, Esayas Kebede Berhanu, Tasew Kim, Kyung Hwan Getnet, Masrie Abera, Muluemabet Maternal and newborn health services utilization in Jimma Zone, Southwest Ethiopia: a community based cross-sectional study |
title | Maternal and newborn health services utilization in Jimma Zone, Southwest Ethiopia: a community based cross-sectional study |
title_full | Maternal and newborn health services utilization in Jimma Zone, Southwest Ethiopia: a community based cross-sectional study |
title_fullStr | Maternal and newborn health services utilization in Jimma Zone, Southwest Ethiopia: a community based cross-sectional study |
title_full_unstemmed | Maternal and newborn health services utilization in Jimma Zone, Southwest Ethiopia: a community based cross-sectional study |
title_short | Maternal and newborn health services utilization in Jimma Zone, Southwest Ethiopia: a community based cross-sectional study |
title_sort | maternal and newborn health services utilization in jimma zone, southwest ethiopia: a community based cross-sectional study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6530050/ https://www.ncbi.nlm.nih.gov/pubmed/31113407 http://dx.doi.org/10.1186/s12884-019-2335-2 |
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