BackgroundThe 2005 report of United Nations Millennium Project of Transforming Health Systems for women and children concluded that universal access to Emergency Obstetric and New born Care could reduce maternal deaths by 74 %. Even though some studies investigated quality of Emergency Obstetric and New born Care in different parts of the world, there is scarcity of data regarding this issue in Ethiopia, particularly in Jimma zone. Therefore, the aim of this study was to assess satisfaction with Emergency Obstetric and new born Care services among clients using public health facilities in Jimma zone, Southwest Ethiopia.MethodsA facility-based cross sectional study was conducted in Jimma Zone from April 01–30, 2014. The data were collected by interviewing 403 clients, who gave birth in the past 12 months prior to data collection in 34 randomly selected public health facilities. The collected data were entered by using Epi-info version 3.5.4 and analysed using SPSS version 20.0. Linear regression analysis was done to ascertain the association between covariates and the outcome variable, and finally the results were presented using frequency distribution tables, graphs and texts.ResultsThe overall mean client satisfaction with Emergency Obstetric and New born Care services in this study was 79.4 %; 95 % CI (75 %, 83 %). The result of linear regression analysis revealed that a unit decrease in satisfaction to availability of drugs and equipment, decreased overall clients’ satisfaction by 0.23 unit 95 % CI (0.15, 0.31).ConclusionsThe level of clients’ satisfaction with Emergency Obstetric and New born Care services was low in the study area. Factors such as availability of essential equipment and drugs, health workers’ communication, health care provided, and attitude of health workers had positive association with client satisfaction with Emergency Obstetric and New born Care services. This in turn could affect utilization of Emergency Obstetric and New born Care services and play a role in contribution to maternal and new born mortality. Therefore, the efforts of health facilities leaders and health care providers towards improvement of quality of care could contribute more for better maternal satisfaction.

Twin pregnancy carries higher foetal and neonatal complications. This situation is worse in Sub-Saharan Africa due to lack of well-equipped perinatal complications are limited in Ethiopia. Thus, this study aimed to fill this gap. A hospital-based cohort study was conducted in Jimma University Specialized Hospital on 144 twin deliveries and 288 singleton deliveries from December 2012 to November 2013 in obstetrics ward of Jimma university specialized hospital. Data were collected through face face interview by using structured-questionnaire and analyzed by SPSS V.20.0. The relative risks of twin deliveries were higher for the occurrence of low birth weight, need for neonatal intensive care unit admissions, early neonatal deaths and preterm births as compared with singleton deliveries. Unique foetal complications like both twin deaths, co discordant twin and gross congenital malformation were common in twin deliveries conclusion, women with twin pregnancy were at a higher risk of ante foetal and neonatal complications. Therefore, the mother during pregnancy, labour and delivery, and both for the mother and her new born during postpartum period.

Background: About 47% of under-five deaths occurred in the first month of life. Even though under-five mortality declines globally, death is more concentrated in the first days of life. This provides a clue to focus more on immediate newborn care than ever before. Therefore, this study aimed to assess level of immediate newborn care practice and associated factors among newborns delivered at public health facilities in Debre Markos Town, North West Ethiopia from March 28 to May 27, 2020. Methods: Facility based cross sectional study with quantitative and qualitative methods were used. For the quantitative study a total of 286 mothers with their newborns were included. For the qualitative study 10 key-informants were interviewed. Pre-tested, semi-structured questionnaires and observational checklists were used for the data collection. Collected data were entered into Epi-data version 3.1, and exported to SPSS version 22 for analysis. Binary and multivariable logistic regression were done. Independent variables with a P-value of ≤ 0.25 in bivariable analysis were considered as candidate for multivariable analysis. P-value < 0.05 was used as cut off point for presence of statistical significance in the multi-variable model. Goodness of fit test was checked using Hosmer and Lemeshow test. Results: The level of immediate newborn care practice was 76.9% [(95% CI = (72.0-82.0)].History of ANC follow up(AOR=3.36;95%CI:1.50,7.53), mother’s knowledge on immediate newborn care(AOR=5.29;95%:2.00,14.00), birth-preparedness of the mother(AOR=7.80;95%:3.36,18.06) and availability of drugs, equipment and materials(AOR=6.79;95%CI:3.05,15.12) were found to be independent predictors of the level of immediate newborn care practices.Conclusion: In this study, the level of immediate newborn care practices among newborn neonates was found to be unsatisfactory compared to the national target. So it is important to promote immediate newborn care through adequate supply of essential drugs and equipment, counseling and education on immediate newborn care, promotion of birth preparedness activity and strengthen ANC service for all pregnant women.

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Background: Globally, in 2015 as result of complications related to pregnancy, childbirth, or the postnatal period, 303,000 women died. Among these mortality the lion share burden were in sub-Saharan and Southern Asian countries. To avert the preventable maternal mortality, providing the recommended pregnancy care, delivery and postnatal cares in a continuum manner is imperative. This study aims to assess the trajectories and determinants of maternal healthcare services utilization in four major regions of Ethiopia. Methods: Seven indicator variables were used to construct the maternal healthcare utilization variable. Latent class analysis was used to identify subgroups of maternal healthcare utilization along the continuum of care. Further, ordinal logistic regression was utilized to identify the determinants of the trajectories of maternal healthcare utilization. STATA 14 was used for data management and analysis and 5% level of significance was used to declare statistical significance. Result: There were 590 mothers who delivered a live-birth in the 12 months period before the interview date. The result of latent class analysis indicates that a little more than two in five of the mothers (43.9%) did not attempt to visit a health facility during pregnancy or for delivery or for postnatal checkup. While women with a good practice of maternal healthcare accounted 6.1%, half (50%) of the women had an inadequate maternal healthcare practice. The trajectory of maternal healthcare utilization has shown a marked difference by region and religious affiliation of women. Whereas older women and women of lowest socio-economic status tend to be in the lowest classes of maternal healthcare utilization, educated women, women of highest socio-economic status and women having a better birth preparedness and complication readiness are found to be in the highest classes of maternal health care service utilization. Conclusions: Women of lower socio-economic status and women of below secondary level of education should be targeted to intensify awareness of the benefit of maternal healthcare services utilization and plan births and deal with complications that arise with pregnancy and childbirth.