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Completion of the continuum of maternity care and associated factors among women who gave birth in the last 6 months in Chelia district, West Shoa zone, Ethiopia: A community-based cross-sectional study
BACKGROUND: The continuum of maternity care is a continuity of care that a woman receives during pregnancy, childbirth, and the postpartum period from skilled providers in a comprehensive and integrated manner. Despite existing evidence regarding maternal healthcare services discretely, the continuu...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9845613/ https://www.ncbi.nlm.nih.gov/pubmed/36684973 http://dx.doi.org/10.3389/fpubh.2022.1026236 |
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author | Buli, Temesgen Daksisa Wakgari, Negash Ganfure, Gemechu Wondimu, Fikadu Dube, Dereje Lemma Moti, Gonfa Doba, Yonas Sagni |
author_facet | Buli, Temesgen Daksisa Wakgari, Negash Ganfure, Gemechu Wondimu, Fikadu Dube, Dereje Lemma Moti, Gonfa Doba, Yonas Sagni |
author_sort | Buli, Temesgen Daksisa |
collection | PubMed |
description | BACKGROUND: The continuum of maternity care is a continuity of care that a woman receives during pregnancy, childbirth, and the postpartum period from skilled providers in a comprehensive and integrated manner. Despite existing evidence regarding maternal healthcare services discretely, the continuum of maternity care and its associated factors are not well-known in Ethiopia. OBJECTIVE: This study assessed the completion of the maternity continuum of care and associated factors among women who gave birth 6 months prior to the study in the Chelia district. METHODS: A community-based cross-sectional study with a stratified random sampling technique was conducted among 428 mothers at 10 randomly selected kebeles. Pretested and structured questionnaires were used to collect data. Bi-variable and multivariable logistic regression analyzes were performed to identify associated factors. Adjusted odds ratio with its 95% confidence interval was used to determine the degree of association, and statistical significance was declared at a p-value of <0.05. RESULTS: In this study, 92 (21.5%) mothers completed the continuum of maternity care. Secondary and above education of mothers (AOR = 4.20, 95% CI:1.26–13.97), ≤30 min spent on walking by foot (AOR = 4.00, 95% CI: 1.67–9.58), using an ambulance to reach health facility (AOR = 3.68, 95% CI: 1.23–11.06), para ≥5 mothers (AOR = 0.21, 95% CI: 0.05–0.90), planned pregnancy (AOR = 3.29, 95% CI: 1.02–10.57), attending pregnant women's conference (AOR = 13.96, 95% CI: 6.22–31.30), early antenatal care booking (AOR = 3.30, 95% CI: 1.54–7.05), accompanied by partners (AOR = 3.64, 95% CI: 1.76–7.53), and informed to return for postnatal care (AOR = 3.57, 95% CI: 1.47–8.70) were the factors identified. CONCLUSION: In this study, completion of the maternity continuum of care was low. Therefore, appropriate strategic interventions that retain women in the continuum of maternity care by targeting those factors were recommended to increase the uptake of the continuum of maternity care. |
format | Online Article Text |
id | pubmed-9845613 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-98456132023-01-19 Completion of the continuum of maternity care and associated factors among women who gave birth in the last 6 months in Chelia district, West Shoa zone, Ethiopia: A community-based cross-sectional study Buli, Temesgen Daksisa Wakgari, Negash Ganfure, Gemechu Wondimu, Fikadu Dube, Dereje Lemma Moti, Gonfa Doba, Yonas Sagni Front Public Health Public Health BACKGROUND: The continuum of maternity care is a continuity of care that a woman receives during pregnancy, childbirth, and the postpartum period from skilled providers in a comprehensive and integrated manner. Despite existing evidence regarding maternal healthcare services discretely, the continuum of maternity care and its associated factors are not well-known in Ethiopia. OBJECTIVE: This study assessed the completion of the maternity continuum of care and associated factors among women who gave birth 6 months prior to the study in the Chelia district. METHODS: A community-based cross-sectional study with a stratified random sampling technique was conducted among 428 mothers at 10 randomly selected kebeles. Pretested and structured questionnaires were used to collect data. Bi-variable and multivariable logistic regression analyzes were performed to identify associated factors. Adjusted odds ratio with its 95% confidence interval was used to determine the degree of association, and statistical significance was declared at a p-value of <0.05. RESULTS: In this study, 92 (21.5%) mothers completed the continuum of maternity care. Secondary and above education of mothers (AOR = 4.20, 95% CI:1.26–13.97), ≤30 min spent on walking by foot (AOR = 4.00, 95% CI: 1.67–9.58), using an ambulance to reach health facility (AOR = 3.68, 95% CI: 1.23–11.06), para ≥5 mothers (AOR = 0.21, 95% CI: 0.05–0.90), planned pregnancy (AOR = 3.29, 95% CI: 1.02–10.57), attending pregnant women's conference (AOR = 13.96, 95% CI: 6.22–31.30), early antenatal care booking (AOR = 3.30, 95% CI: 1.54–7.05), accompanied by partners (AOR = 3.64, 95% CI: 1.76–7.53), and informed to return for postnatal care (AOR = 3.57, 95% CI: 1.47–8.70) were the factors identified. CONCLUSION: In this study, completion of the maternity continuum of care was low. Therefore, appropriate strategic interventions that retain women in the continuum of maternity care by targeting those factors were recommended to increase the uptake of the continuum of maternity care. Frontiers Media S.A. 2023-01-04 /pmc/articles/PMC9845613/ /pubmed/36684973 http://dx.doi.org/10.3389/fpubh.2022.1026236 Text en Copyright © 2023 Buli, Wakgari, Ganfure, Wondimu, Dube, Moti and Doba. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Public Health Buli, Temesgen Daksisa Wakgari, Negash Ganfure, Gemechu Wondimu, Fikadu Dube, Dereje Lemma Moti, Gonfa Doba, Yonas Sagni Completion of the continuum of maternity care and associated factors among women who gave birth in the last 6 months in Chelia district, West Shoa zone, Ethiopia: A community-based cross-sectional study |
title | Completion of the continuum of maternity care and associated factors among women who gave birth in the last 6 months in Chelia district, West Shoa zone, Ethiopia: A community-based cross-sectional study |
title_full | Completion of the continuum of maternity care and associated factors among women who gave birth in the last 6 months in Chelia district, West Shoa zone, Ethiopia: A community-based cross-sectional study |
title_fullStr | Completion of the continuum of maternity care and associated factors among women who gave birth in the last 6 months in Chelia district, West Shoa zone, Ethiopia: A community-based cross-sectional study |
title_full_unstemmed | Completion of the continuum of maternity care and associated factors among women who gave birth in the last 6 months in Chelia district, West Shoa zone, Ethiopia: A community-based cross-sectional study |
title_short | Completion of the continuum of maternity care and associated factors among women who gave birth in the last 6 months in Chelia district, West Shoa zone, Ethiopia: A community-based cross-sectional study |
title_sort | completion of the continuum of maternity care and associated factors among women who gave birth in the last 6 months in chelia district, west shoa zone, ethiopia: a community-based cross-sectional study |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9845613/ https://www.ncbi.nlm.nih.gov/pubmed/36684973 http://dx.doi.org/10.3389/fpubh.2022.1026236 |
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