Cargando…
Uptake of Skilled Maternal Healthcare in Ethiopia: A Positive Deviance Approach
Risk factor approaches are often used when implementing programs aimed at enforcing advantageous health care behaviors. A less frequently-used strategy is to identify and capitalize on those who, despite risk factors, exhibit positive behaviors. The aim of our study was to identify positive deviant...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7084325/ https://www.ncbi.nlm.nih.gov/pubmed/32151041 http://dx.doi.org/10.3390/ijerph17051712 |
_version_ | 1783508695789862912 |
---|---|
author | Ousman, Seman K. Magnus, Jeanette H. Sundby, Johanne Gebremariam, Mekdes K. |
author_facet | Ousman, Seman K. Magnus, Jeanette H. Sundby, Johanne Gebremariam, Mekdes K. |
author_sort | Ousman, Seman K. |
collection | PubMed |
description | Risk factor approaches are often used when implementing programs aimed at enforcing advantageous health care behaviors. A less frequently-used strategy is to identify and capitalize on those who, despite risk factors, exhibit positive behaviors. The aim of our study was to identify positive deviant (PD) mothers for the uptake of skilled maternal services and to explore their characteristics. Data for the study came from two waves of the Ethiopian Demographic and Health Surveys conducted in 2011 and in 2016. PD mothers were defined as those reporting no formal education but with adequate use of antenatal care (ANC) and/or institutional delivery services. Two-level multilevel regression analysis was used to analyze the data. Factors associated with PD for the use of ANC services were: partner’s education status, involvement in household decision making, exposure to media, and distance to the health facility. Factors associated with PD for health facility delivery were: partner’s education, woman’s employment status, ANC visit during index pregnancy, exposure to media, and perceived challenge to reach health facility. Rural-urban and time-related differences were also identified. The positive deviance approach provides a means for local policy makers and program managers to identify factors facilitating improved health behaviour and ultimately better health outcomes while acknowledging adverse risk profiles. |
format | Online Article Text |
id | pubmed-7084325 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-70843252020-03-24 Uptake of Skilled Maternal Healthcare in Ethiopia: A Positive Deviance Approach Ousman, Seman K. Magnus, Jeanette H. Sundby, Johanne Gebremariam, Mekdes K. Int J Environ Res Public Health Article Risk factor approaches are often used when implementing programs aimed at enforcing advantageous health care behaviors. A less frequently-used strategy is to identify and capitalize on those who, despite risk factors, exhibit positive behaviors. The aim of our study was to identify positive deviant (PD) mothers for the uptake of skilled maternal services and to explore their characteristics. Data for the study came from two waves of the Ethiopian Demographic and Health Surveys conducted in 2011 and in 2016. PD mothers were defined as those reporting no formal education but with adequate use of antenatal care (ANC) and/or institutional delivery services. Two-level multilevel regression analysis was used to analyze the data. Factors associated with PD for the use of ANC services were: partner’s education status, involvement in household decision making, exposure to media, and distance to the health facility. Factors associated with PD for health facility delivery were: partner’s education, woman’s employment status, ANC visit during index pregnancy, exposure to media, and perceived challenge to reach health facility. Rural-urban and time-related differences were also identified. The positive deviance approach provides a means for local policy makers and program managers to identify factors facilitating improved health behaviour and ultimately better health outcomes while acknowledging adverse risk profiles. MDPI 2020-03-05 2020-03 /pmc/articles/PMC7084325/ /pubmed/32151041 http://dx.doi.org/10.3390/ijerph17051712 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Ousman, Seman K. Magnus, Jeanette H. Sundby, Johanne Gebremariam, Mekdes K. Uptake of Skilled Maternal Healthcare in Ethiopia: A Positive Deviance Approach |
title | Uptake of Skilled Maternal Healthcare in Ethiopia: A Positive Deviance Approach |
title_full | Uptake of Skilled Maternal Healthcare in Ethiopia: A Positive Deviance Approach |
title_fullStr | Uptake of Skilled Maternal Healthcare in Ethiopia: A Positive Deviance Approach |
title_full_unstemmed | Uptake of Skilled Maternal Healthcare in Ethiopia: A Positive Deviance Approach |
title_short | Uptake of Skilled Maternal Healthcare in Ethiopia: A Positive Deviance Approach |
title_sort | uptake of skilled maternal healthcare in ethiopia: a positive deviance approach |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7084325/ https://www.ncbi.nlm.nih.gov/pubmed/32151041 http://dx.doi.org/10.3390/ijerph17051712 |
work_keys_str_mv | AT ousmansemank uptakeofskilledmaternalhealthcareinethiopiaapositivedevianceapproach AT magnusjeanetteh uptakeofskilledmaternalhealthcareinethiopiaapositivedevianceapproach AT sundbyjohanne uptakeofskilledmaternalhealthcareinethiopiaapositivedevianceapproach AT gebremariammekdesk uptakeofskilledmaternalhealthcareinethiopiaapositivedevianceapproach |