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Low level of community readiness prevails in rural northwest Ethiopia for the promotion of institutional delivery

INTRODUCTION: the health benefits of institutional delivery with the support of skilled professional are one of the indicators of maternal health status which have an impact on the health of women and new coming generation. Despite these benefits, many pregnant women in Ethiopia are not actively bri...

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Autores principales: Nigusie, Adane, Azale, Telake, Yitayal, Mezgebu, Derseh, Lemma
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8179980/
https://www.ncbi.nlm.nih.gov/pubmed/34122708
http://dx.doi.org/10.11604/pamj.2021.38.281.27300
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author Nigusie, Adane
Azale, Telake
Yitayal, Mezgebu
Derseh, Lemma
author_facet Nigusie, Adane
Azale, Telake
Yitayal, Mezgebu
Derseh, Lemma
author_sort Nigusie, Adane
collection PubMed
description INTRODUCTION: the health benefits of institutional delivery with the support of skilled professional are one of the indicators of maternal health status which have an impact on the health of women and new coming generation. Despite these benefits, many pregnant women in Ethiopia are not actively bringing delivery at health facility. This study was aimed at determining the readiness level of community for promoting child birth at health facility. METHODS: a population-based cross-sectional study was conducted. We interviewed 96 key informants using a semi-structured questionnaire adapted from the community readiness assessment model and translated to Amharic language. The key informants were purposively selected in consultation with the district health office to represent the community. The interviews were transcribed verbatim and survey scores were matched with the readiness stage of 1 of the 9 for the five dimensions using the assessment guidelines. RESULTS: this study placed nine kebeles at stage 3 (vague awareness), which indicates the need for more institutional delivery service strategy programming; efforts of the community were not focused and low leadership concern and one kebele was in stage 2 (denial/resistance). Six kebeles were placed at high level of readiness i.e. in stage 7 (stabilization), indicating actions are sustained by the local managers or opinion leaders. CONCLUSION: evidence derived from the present study can be used to match intervention tactics for promoting health facility child birth service utilization to communities based on their level of readiness.
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spelling pubmed-81799802021-06-11 Low level of community readiness prevails in rural northwest Ethiopia for the promotion of institutional delivery Nigusie, Adane Azale, Telake Yitayal, Mezgebu Derseh, Lemma Pan Afr Med J Research INTRODUCTION: the health benefits of institutional delivery with the support of skilled professional are one of the indicators of maternal health status which have an impact on the health of women and new coming generation. Despite these benefits, many pregnant women in Ethiopia are not actively bringing delivery at health facility. This study was aimed at determining the readiness level of community for promoting child birth at health facility. METHODS: a population-based cross-sectional study was conducted. We interviewed 96 key informants using a semi-structured questionnaire adapted from the community readiness assessment model and translated to Amharic language. The key informants were purposively selected in consultation with the district health office to represent the community. The interviews were transcribed verbatim and survey scores were matched with the readiness stage of 1 of the 9 for the five dimensions using the assessment guidelines. RESULTS: this study placed nine kebeles at stage 3 (vague awareness), which indicates the need for more institutional delivery service strategy programming; efforts of the community were not focused and low leadership concern and one kebele was in stage 2 (denial/resistance). Six kebeles were placed at high level of readiness i.e. in stage 7 (stabilization), indicating actions are sustained by the local managers or opinion leaders. CONCLUSION: evidence derived from the present study can be used to match intervention tactics for promoting health facility child birth service utilization to communities based on their level of readiness. The African Field Epidemiology Network 2021-03-17 /pmc/articles/PMC8179980/ /pubmed/34122708 http://dx.doi.org/10.11604/pamj.2021.38.281.27300 Text en Copyright: Adane Nigusie et al. https://creativecommons.org/licenses/by/4.0/The Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Nigusie, Adane
Azale, Telake
Yitayal, Mezgebu
Derseh, Lemma
Low level of community readiness prevails in rural northwest Ethiopia for the promotion of institutional delivery
title Low level of community readiness prevails in rural northwest Ethiopia for the promotion of institutional delivery
title_full Low level of community readiness prevails in rural northwest Ethiopia for the promotion of institutional delivery
title_fullStr Low level of community readiness prevails in rural northwest Ethiopia for the promotion of institutional delivery
title_full_unstemmed Low level of community readiness prevails in rural northwest Ethiopia for the promotion of institutional delivery
title_short Low level of community readiness prevails in rural northwest Ethiopia for the promotion of institutional delivery
title_sort low level of community readiness prevails in rural northwest ethiopia for the promotion of institutional delivery
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8179980/
https://www.ncbi.nlm.nih.gov/pubmed/34122708
http://dx.doi.org/10.11604/pamj.2021.38.281.27300
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