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Spatial variations of women’s home delivery after antenatal care visits at lay Gayint District, Northwest Ethiopia

BACKGROUND: Home delivery is the most frequent childbirth practice in Ethiopia and brings health risks for many mothers and their babies which in turn affecting the whole families. Characterizing the spatial variations and the associated factors of home deliveries after antenatal care visit is neces...

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Autores principales: Nigatu, Araya Mesfin, Gelaye, Kassahun Alemu, Degefie, Degefie Tibebe, Birhanu, Abraham Yeneneh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6545631/
https://www.ncbi.nlm.nih.gov/pubmed/31159775
http://dx.doi.org/10.1186/s12889-019-7050-4
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author Nigatu, Araya Mesfin
Gelaye, Kassahun Alemu
Degefie, Degefie Tibebe
Birhanu, Abraham Yeneneh
author_facet Nigatu, Araya Mesfin
Gelaye, Kassahun Alemu
Degefie, Degefie Tibebe
Birhanu, Abraham Yeneneh
author_sort Nigatu, Araya Mesfin
collection PubMed
description BACKGROUND: Home delivery is the most frequent childbirth practice in Ethiopia and brings health risks for many mothers and their babies which in turn affecting the whole families. Characterizing the spatial variations and the associated factors of home deliveries after antenatal care visit is necessary to prioritize risks and facilitate geographically based interventions. METHOD: A community-based cross-sectional study design was carried out between February and March 2016. A total of 528 women who had just given birth were interviewed face-to-face using a questionnaire. Geo-referenced data were collected using a handheld global positioning system (GPS). The Bernoulli model was applied using the SatScan ™ software to analyze the purely spatial clusters of home deliveries. ArcGIS version 10.1 was used to visualize clusters of home delivery. RESULTS: The overall proportion of home deliveries was 278(52.7%), and home deliveries had spatial variations. A primary cluster [LLR = 14.54, p < 0.001] was detected in village of Safida Giorgis. Secondary clusters were detected in Checheho [LLR = 9.17, p < 0.05] and ZurAmba [LLR = 8.51, p < 0.05]. Predictors for home delivery included the distance between the health extension worker’s and mother’s house [AOR = 2.2, 95% CI: 1.1, 4.3], residence [AOR = 3.8, 95% CI: 1.3, 10.9], source of information for ANC [AOR = 0.3, 95% CI: 0.13, 0.7], ANC visits [AOR = 6.1, 95% CI:1.9, 19.3], health education [AOR = 3.4, 95% CI: 1.5, 7.4], decision on place of delivery [AOR = 0.3, 95% CI: 0.1, 0.8], and knowledge on place of delivery [AOR = 0.04, 95% CI: 0.0, 0.1]. CONCLUSION: The proportion of home delivery after ANC visit was decreasing compared to other studies conducted in the region. In addition, spatial variations of home delivery were observed in the study area. Promoting women’s education and behavioral change communication at the grass root level, provision of the services both at home and health facilities and improving the quality and capacity of the health providers are some of the recommendations forwarded.
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spelling pubmed-65456312019-06-06 Spatial variations of women’s home delivery after antenatal care visits at lay Gayint District, Northwest Ethiopia Nigatu, Araya Mesfin Gelaye, Kassahun Alemu Degefie, Degefie Tibebe Birhanu, Abraham Yeneneh BMC Public Health Research Article BACKGROUND: Home delivery is the most frequent childbirth practice in Ethiopia and brings health risks for many mothers and their babies which in turn affecting the whole families. Characterizing the spatial variations and the associated factors of home deliveries after antenatal care visit is necessary to prioritize risks and facilitate geographically based interventions. METHOD: A community-based cross-sectional study design was carried out between February and March 2016. A total of 528 women who had just given birth were interviewed face-to-face using a questionnaire. Geo-referenced data were collected using a handheld global positioning system (GPS). The Bernoulli model was applied using the SatScan ™ software to analyze the purely spatial clusters of home deliveries. ArcGIS version 10.1 was used to visualize clusters of home delivery. RESULTS: The overall proportion of home deliveries was 278(52.7%), and home deliveries had spatial variations. A primary cluster [LLR = 14.54, p < 0.001] was detected in village of Safida Giorgis. Secondary clusters were detected in Checheho [LLR = 9.17, p < 0.05] and ZurAmba [LLR = 8.51, p < 0.05]. Predictors for home delivery included the distance between the health extension worker’s and mother’s house [AOR = 2.2, 95% CI: 1.1, 4.3], residence [AOR = 3.8, 95% CI: 1.3, 10.9], source of information for ANC [AOR = 0.3, 95% CI: 0.13, 0.7], ANC visits [AOR = 6.1, 95% CI:1.9, 19.3], health education [AOR = 3.4, 95% CI: 1.5, 7.4], decision on place of delivery [AOR = 0.3, 95% CI: 0.1, 0.8], and knowledge on place of delivery [AOR = 0.04, 95% CI: 0.0, 0.1]. CONCLUSION: The proportion of home delivery after ANC visit was decreasing compared to other studies conducted in the region. In addition, spatial variations of home delivery were observed in the study area. Promoting women’s education and behavioral change communication at the grass root level, provision of the services both at home and health facilities and improving the quality and capacity of the health providers are some of the recommendations forwarded. BioMed Central 2019-06-03 /pmc/articles/PMC6545631/ /pubmed/31159775 http://dx.doi.org/10.1186/s12889-019-7050-4 Text en © The Author(s). 2019 Open Access This 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
Nigatu, Araya Mesfin
Gelaye, Kassahun Alemu
Degefie, Degefie Tibebe
Birhanu, Abraham Yeneneh
Spatial variations of women’s home delivery after antenatal care visits at lay Gayint District, Northwest Ethiopia
title Spatial variations of women’s home delivery after antenatal care visits at lay Gayint District, Northwest Ethiopia
title_full Spatial variations of women’s home delivery after antenatal care visits at lay Gayint District, Northwest Ethiopia
title_fullStr Spatial variations of women’s home delivery after antenatal care visits at lay Gayint District, Northwest Ethiopia
title_full_unstemmed Spatial variations of women’s home delivery after antenatal care visits at lay Gayint District, Northwest Ethiopia
title_short Spatial variations of women’s home delivery after antenatal care visits at lay Gayint District, Northwest Ethiopia
title_sort spatial variations of women’s home delivery after antenatal care visits at lay gayint district, northwest ethiopia
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6545631/
https://www.ncbi.nlm.nih.gov/pubmed/31159775
http://dx.doi.org/10.1186/s12889-019-7050-4
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