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Association of identification of facility and transportation for childbirth with institutional delivery in high priority districts of Uttar Pradesh, India

BACKGROUND: Timely and skilled care is key to reducing maternal and neonatal mortality. Birth preparedness involves preparation for safe childbirth during the antenatal period to reach the appropriate health facility for ensuring safe delivery. Hence, understanding the factors associated with birth...

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Autores principales: Rajvanshi, Divya, Anthony, John, Namasivayam, Vasanthakumar, Dehury, Bidyadhar, Banadakoppa Manjappa, Ramesh, Prakash, Ravi, Chintada, Dhanunjaya Rao, Khare, Shagun, Avery, Lisa, Crockett, Maryanne, Isac, Shajy, Becker, Marissa, Blanchard, James, Halli, Shiva
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8549204/
https://www.ncbi.nlm.nih.gov/pubmed/34706676
http://dx.doi.org/10.1186/s12884-021-04187-5
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author Rajvanshi, Divya
Anthony, John
Namasivayam, Vasanthakumar
Dehury, Bidyadhar
Banadakoppa Manjappa, Ramesh
Prakash, Ravi
Chintada, Dhanunjaya Rao
Khare, Shagun
Avery, Lisa
Crockett, Maryanne
Isac, Shajy
Becker, Marissa
Blanchard, James
Halli, Shiva
author_facet Rajvanshi, Divya
Anthony, John
Namasivayam, Vasanthakumar
Dehury, Bidyadhar
Banadakoppa Manjappa, Ramesh
Prakash, Ravi
Chintada, Dhanunjaya Rao
Khare, Shagun
Avery, Lisa
Crockett, Maryanne
Isac, Shajy
Becker, Marissa
Blanchard, James
Halli, Shiva
author_sort Rajvanshi, Divya
collection PubMed
description BACKGROUND: Timely and skilled care is key to reducing maternal and neonatal mortality. Birth preparedness involves preparation for safe childbirth during the antenatal period to reach the appropriate health facility for ensuring safe delivery. Hence, understanding the factors associated with birth preparedness and its significance for safe delivery is essential. This paper aims to assess the levels of birth preparedness, its determinants and association with institutional deliveries in High Priority Districts of Uttar Pradesh, India. METHODS: A community-based cross-sectional survey was conducted between June–October 2018 in the rural areas of 25 high priority districts of Uttar Pradesh, India. Simple random sampling was used to select 40 blocks among 294 blocks in 25 districts and 2646 primary sampling units within the selected blocks. The survey interviewed 9458 women who had a delivery 2 months prior to the survey. Descriptive statistics were included to characterize the study population. Multivariable logistic regression analyses were performed to identify the determinants of birth preparedness and to examine the association of birth preparedness with institutional delivery. RESULTS: Among the 9458 respondents, 61.8% had birth preparedness (both facility and transportation identified) and 79.1% delivered in a health facility. Women in other caste category (aOR = 1.24, CI 1.06–1.45) and those with 10 or more years of education (aOR = 1.68, CI 1.46–1.92) were more likely to have birth preparedness. Antenatal care (ANC) service uptake related factors like early registration for ANC (aOR = 1.14, CI 1.04–1.25) and three or more front line worker contacts (aOR = 1.61, CI 1.46–1.79) were also found to be significantly associated with birth preparedness. The adjusted multivariate model showed that those who identified both facility and transport were seven times more likely to undergo delivery in a health facility (aOR = 7.00, CI 6.07–8.08). CONCLUSION: The results indicate the need for focussing on marginalized groups for improving birth preparedness. Increasing ANC registration in the first trimester of pregnancy, improving frontline worker contact, and optimum utilization of antenatal care check-ups for effective counselling on birth preparedness along with system level improvements could improve birth preparedness and consequently institutional delivery rates in Uttar Pradesh, India. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12884-021-04187-5.
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spelling pubmed-85492042021-10-27 Association of identification of facility and transportation for childbirth with institutional delivery in high priority districts of Uttar Pradesh, India Rajvanshi, Divya Anthony, John Namasivayam, Vasanthakumar Dehury, Bidyadhar Banadakoppa Manjappa, Ramesh Prakash, Ravi Chintada, Dhanunjaya Rao Khare, Shagun Avery, Lisa Crockett, Maryanne Isac, Shajy Becker, Marissa Blanchard, James Halli, Shiva BMC Pregnancy Childbirth Research BACKGROUND: Timely and skilled care is key to reducing maternal and neonatal mortality. Birth preparedness involves preparation for safe childbirth during the antenatal period to reach the appropriate health facility for ensuring safe delivery. Hence, understanding the factors associated with birth preparedness and its significance for safe delivery is essential. This paper aims to assess the levels of birth preparedness, its determinants and association with institutional deliveries in High Priority Districts of Uttar Pradesh, India. METHODS: A community-based cross-sectional survey was conducted between June–October 2018 in the rural areas of 25 high priority districts of Uttar Pradesh, India. Simple random sampling was used to select 40 blocks among 294 blocks in 25 districts and 2646 primary sampling units within the selected blocks. The survey interviewed 9458 women who had a delivery 2 months prior to the survey. Descriptive statistics were included to characterize the study population. Multivariable logistic regression analyses were performed to identify the determinants of birth preparedness and to examine the association of birth preparedness with institutional delivery. RESULTS: Among the 9458 respondents, 61.8% had birth preparedness (both facility and transportation identified) and 79.1% delivered in a health facility. Women in other caste category (aOR = 1.24, CI 1.06–1.45) and those with 10 or more years of education (aOR = 1.68, CI 1.46–1.92) were more likely to have birth preparedness. Antenatal care (ANC) service uptake related factors like early registration for ANC (aOR = 1.14, CI 1.04–1.25) and three or more front line worker contacts (aOR = 1.61, CI 1.46–1.79) were also found to be significantly associated with birth preparedness. The adjusted multivariate model showed that those who identified both facility and transport were seven times more likely to undergo delivery in a health facility (aOR = 7.00, CI 6.07–8.08). CONCLUSION: The results indicate the need for focussing on marginalized groups for improving birth preparedness. Increasing ANC registration in the first trimester of pregnancy, improving frontline worker contact, and optimum utilization of antenatal care check-ups for effective counselling on birth preparedness along with system level improvements could improve birth preparedness and consequently institutional delivery rates in Uttar Pradesh, India. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12884-021-04187-5. BioMed Central 2021-10-27 /pmc/articles/PMC8549204/ /pubmed/34706676 http://dx.doi.org/10.1186/s12884-021-04187-5 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Rajvanshi, Divya
Anthony, John
Namasivayam, Vasanthakumar
Dehury, Bidyadhar
Banadakoppa Manjappa, Ramesh
Prakash, Ravi
Chintada, Dhanunjaya Rao
Khare, Shagun
Avery, Lisa
Crockett, Maryanne
Isac, Shajy
Becker, Marissa
Blanchard, James
Halli, Shiva
Association of identification of facility and transportation for childbirth with institutional delivery in high priority districts of Uttar Pradesh, India
title Association of identification of facility and transportation for childbirth with institutional delivery in high priority districts of Uttar Pradesh, India
title_full Association of identification of facility and transportation for childbirth with institutional delivery in high priority districts of Uttar Pradesh, India
title_fullStr Association of identification of facility and transportation for childbirth with institutional delivery in high priority districts of Uttar Pradesh, India
title_full_unstemmed Association of identification of facility and transportation for childbirth with institutional delivery in high priority districts of Uttar Pradesh, India
title_short Association of identification of facility and transportation for childbirth with institutional delivery in high priority districts of Uttar Pradesh, India
title_sort association of identification of facility and transportation for childbirth with institutional delivery in high priority districts of uttar pradesh, india
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8549204/
https://www.ncbi.nlm.nih.gov/pubmed/34706676
http://dx.doi.org/10.1186/s12884-021-04187-5
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