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Area of focus to handle delays related to maternal death in Ethiopia

BACKGROUND: Maternal delay factors, together with medical factors, have a substantial role in determining maternity outcomes. Although several studies were conducted on delay factors that contribute to maternal death in Ethiopia, the studies were mostly focused either on an individual or at a provin...

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Autores principales: Tesfay, Neamin, Tariku, Rozina, Zenebe, Alemu, Mohammed, Fetiya, Woldeyohannes, Fitsum
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9484697/
https://www.ncbi.nlm.nih.gov/pubmed/36121828
http://dx.doi.org/10.1371/journal.pone.0274909
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author Tesfay, Neamin
Tariku, Rozina
Zenebe, Alemu
Mohammed, Fetiya
Woldeyohannes, Fitsum
author_facet Tesfay, Neamin
Tariku, Rozina
Zenebe, Alemu
Mohammed, Fetiya
Woldeyohannes, Fitsum
author_sort Tesfay, Neamin
collection PubMed
description BACKGROUND: Maternal delay factors, together with medical factors, have a substantial role in determining maternity outcomes. Although several studies were conducted on delay factors that contribute to maternal death in Ethiopia, the studies were mostly focused either on an individual or at a provincial level factor with a limited number of study participants. In response to this gap, this study is aimed at exploring the magnitude and factors related to delay factors that contribute to maternal death in Ethiopia. METHODS: The study used maternal death surveillance data collected from different regions of Ethiopia, compiled between 2013 and 2021. A total of 4530 maternal deaths were reviewed during the study period. A Multilevel multinomial logistic regression model was applied to examine factors associated with delays related to maternal death. An adjusted relative risk ratio with a 95% confidence interval was stated and variables with p-values less than 0.05 were declared as significant predictors of maternal delay. RESULT: Delay three (delay in receiving adequate and appropriate care once reached a health facility) has contributed to 36.3% of maternal deaths followed by delay one (delay in deciding to seek care when experiencing an obstetric emergency) and delay two (delay in reaching to an appropriate obstetric facility) where each of them contributed to 36.1% and 27.6% of maternal deaths respectively. In the multivariate multilevel multinomial model, maternal age, education status, and place of death were among the individual level factors associated with both delay two and delay three. Conversely, marital status and ANC follow-up were associated with delay two alone, while the timing of maternal death was associated with delay three. Residence and type of facility were provincial-level factors linked with both delay two and delay three, while the type of region was related to delay three of maternal death. CONCLUSION: Both delay one and three have a major contribution to maternal death in Ethiopia. Individual and provincial level factors played an important role in determining delays related to maternal death. Therefore, it is crucial to account for measures that provide emphasis on the area of raising awareness on the utilization of Antenatal care (ANC) service, improving facility readiness to handle obstetrics emergencies, and narrowing down inequality among regions in service provision.
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spelling pubmed-94846972022-09-20 Area of focus to handle delays related to maternal death in Ethiopia Tesfay, Neamin Tariku, Rozina Zenebe, Alemu Mohammed, Fetiya Woldeyohannes, Fitsum PLoS One Research Article BACKGROUND: Maternal delay factors, together with medical factors, have a substantial role in determining maternity outcomes. Although several studies were conducted on delay factors that contribute to maternal death in Ethiopia, the studies were mostly focused either on an individual or at a provincial level factor with a limited number of study participants. In response to this gap, this study is aimed at exploring the magnitude and factors related to delay factors that contribute to maternal death in Ethiopia. METHODS: The study used maternal death surveillance data collected from different regions of Ethiopia, compiled between 2013 and 2021. A total of 4530 maternal deaths were reviewed during the study period. A Multilevel multinomial logistic regression model was applied to examine factors associated with delays related to maternal death. An adjusted relative risk ratio with a 95% confidence interval was stated and variables with p-values less than 0.05 were declared as significant predictors of maternal delay. RESULT: Delay three (delay in receiving adequate and appropriate care once reached a health facility) has contributed to 36.3% of maternal deaths followed by delay one (delay in deciding to seek care when experiencing an obstetric emergency) and delay two (delay in reaching to an appropriate obstetric facility) where each of them contributed to 36.1% and 27.6% of maternal deaths respectively. In the multivariate multilevel multinomial model, maternal age, education status, and place of death were among the individual level factors associated with both delay two and delay three. Conversely, marital status and ANC follow-up were associated with delay two alone, while the timing of maternal death was associated with delay three. Residence and type of facility were provincial-level factors linked with both delay two and delay three, while the type of region was related to delay three of maternal death. CONCLUSION: Both delay one and three have a major contribution to maternal death in Ethiopia. Individual and provincial level factors played an important role in determining delays related to maternal death. Therefore, it is crucial to account for measures that provide emphasis on the area of raising awareness on the utilization of Antenatal care (ANC) service, improving facility readiness to handle obstetrics emergencies, and narrowing down inequality among regions in service provision. Public Library of Science 2022-09-19 /pmc/articles/PMC9484697/ /pubmed/36121828 http://dx.doi.org/10.1371/journal.pone.0274909 Text en © 2022 Tesfay et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Tesfay, Neamin
Tariku, Rozina
Zenebe, Alemu
Mohammed, Fetiya
Woldeyohannes, Fitsum
Area of focus to handle delays related to maternal death in Ethiopia
title Area of focus to handle delays related to maternal death in Ethiopia
title_full Area of focus to handle delays related to maternal death in Ethiopia
title_fullStr Area of focus to handle delays related to maternal death in Ethiopia
title_full_unstemmed Area of focus to handle delays related to maternal death in Ethiopia
title_short Area of focus to handle delays related to maternal death in Ethiopia
title_sort area of focus to handle delays related to maternal death in ethiopia
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9484697/
https://www.ncbi.nlm.nih.gov/pubmed/36121828
http://dx.doi.org/10.1371/journal.pone.0274909
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