Antenatal care follow-up decreases the likelihood of cultural malpractice during childbirth and postpartum among women who gave birth in the last one-year in Gozamen district, Ethiopia: a community-based cross-sectional study

Ambaw, Yeshinat Lakew; Yirdaw, Birhanu Wubale; Biwota, Mulunesh Abuhay; Mekuryaw, Abebayehu Melesew; Taye, Birhan Tsegaw

doi:10.1186/s13690-022-00814-5

Cited by 7 publications

(8 citation statements)

References 52 publications

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“…The possible reason could be due to the fact that health education is an empowerment tool that not only makes knowledge and information about CMP available but also provides enlightenment as to what courses of action can be taken against CMP. However, this result was inconsistent with a study done in South Africa ( 21 ). This variation could be attributed to differences in the study participants' healthcare systems and socio-demographic characteristics.…”

Section: Discussioncontrasting

confidence: 95%

“…In this study, women aged 35 and above were more likely to be involved in cultural malpractices during the perinatal period than women aged 15–24 and 25–34. This finding was similar to studies conducted in Mizan aman ( 7 ), Gozamen district ( 21 ), Southern Ethiopia ( 17 ), Nepal ( 22 ), Turkey ( 23 ), and Nigeria ( 19 ). The reason could be that elderly mothers have accepted it as a cultural practice from the past generation.…”

Section: Discussionsupporting

confidence: 89%

“…This finding was comparable with studies done in Southern Ethiopia (71.4%) (17), North Karnataka, India (74.5%) (18), Zambia (74.9%) (11), and Cross River State, Nigeria (77.4%) (19). However, the result of this finding was lower than studies done in African women and the Diasporas (79.9%) (8), Turkey (84.5%) (2), Aksum (87.8%) (12), and KwaZulu-Natal, South Africa (79%) (20). It was also higher than studies done in Meshenti (50.9%) (13), Gozamen district (31.2%) (21), and Mizan Aman (35.5%) (7).…”

Section: Discussioncontrasting

confidence: 65%

“…However, the result of this finding was lower than studies done in African women and the Diasporas (79.9%) ( 8 ), Turkey (84.5%) ( 2 ), Aksum (87.8%) ( 12 ), and KwaZulu-Natal, South Africa (79%) ( 20 ). It was also higher than studies done in Meshenti (50.9%) ( 13 ), Gozamen district (31.2%) ( 21 ), and Mizan Aman (35.5%) ( 7 ). These findings may differ due to differences in method, study settings, socio-demographic characteristics of study participants, and the availability and accessibility of health service infrastructures.…”

Section: Discussioncontrasting

confidence: 57%

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Cultural malpractice during pregnancy, childbirth, and the postnatal period and its associated factors among women who gave birth once in Dire Dawa city administration, Eastern Ethiopia, in 2021

Hailu,

Mohammed,

Sintayehu

et al. 2023

Front. Glob. Womens Health

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BackgroundCultural practices are any experiences or beliefs that are socially shared views and behaviors practiced in a certain society at a certain time. Cultural malpractices are defined as socially shared views and traditionally accepted behaviors experienced in a certain society that harm maternal health. Worldwide, the period of pregnancy, labor, and delivery is embedded with different beliefs, customs, and rituals in different societies that contribute a lot to maternal death. They are responsible for the annual deaths of 303,000 mothers and 2.7 million newborns globally. In developing countries, it accounts for approximately 5%–15% of maternal deaths. In Ethiopia, approximately 18% of infant deaths occur due to cultural malpractice, and 52% of pregnant mothers give birth at home following cultural customs in Dire Dawa city. The objective of this study was to assess cultural malpractices during pregnancy, childbirth, and the postnatal period and its associated factors among women who gave birth once in Dire Dawa City in 2021.MethodsCommunity-based mixed study was conducted. A total of 624 study participants were selected through a systematic random sampling technique, and a purposive sampling method was used for qualitative data. The study was conducted in the randomly selected Kebeles of Dire Dawa City, Eastern Ethiopia, from November 1 to December 30, 2021. Data were entered into Epi Data version 4.1 and exported to SPSS version 24 for analysis. Bivariate and multivariate analyses were done, and the degree of association was measured by using the odds ratio with 95% CI and significance was declared at a p-value of <0.05. The qualitative data were analyzed thematically using ATLAS-ti version 7.ResultsThe overall prevalence of cultural malpractice during pregnancy, childbirth, and the postnatal period was 74.6% [95% CI: 70.59%, 77.49%]. Women over the age of 35 were two times more likely [AOR 2.61, 95% CI, 1.45–4.72] to commit cultural malpractice than women aged 15–24 and 25–34. Those with no antenatal care (ANC) follow-up were three times more likely to commit cultural malpractice [AOR 3.57, 95% CI, 1.72–7.40], those who were absent from health education were nearly two times more likely to commit cultural malpractice [AOR 1.83, 95%CI, 1.25–2.67], and women whose culture allows harmful traditional practices were nearly two times more likely to commit cultural malpractices than their counterparts [AOR 1.69, 95%CI, 1.29–2.54].ConclusionIn this study, nearly three-fourths of participants were involved in cultural malpractices. Therefore, strengthening community education and behavioral change messages on the importance of ANC and avoiding unhealthy care during pregnancy, childbirth, postnatal and neonatal periods, especially with pregnancy at old age (age > 35), may help to reduce cultural malpractices.

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Section: Discussioncontrasting

confidence: 95%

Section: Discussionsupporting

confidence: 89%

Section: Discussioncontrasting

confidence: 65%

Section: Discussioncontrasting

confidence: 57%

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Cultural malpractice during pregnancy, childbirth, and the postnatal period and its associated factors among women who gave birth once in Dire Dawa city administration, Eastern Ethiopia, in 2021

Hailu,

Mohammed,

Sintayehu

et al. 2023

Front. Glob. Womens Health

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“…ANC also provides a platform for health education to further health behaviours and decrease cultural malpractice around pregnancy and childbirth. 4–7 …”

Section: Introductionmentioning

confidence: 99%

Use of a digital job-aid in improving antenatal clinical protocols and quality of care in rural primary-level health facilities in Burkina Faso: a quasi-experimental evaluation

Maïga,

Ogyu,

Millogo

et al. 2023

BMJ Open

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ObjectiveWe assessed the impact of a digital clinical decision support (CDS) tool in improving health providers adherence to recommended antenatal protocols and service quality in rural primary-level health facilities in Burkina Faso.DesignA quasi-experimental evaluation based on a cross-sectional post-intervention assessment comparing the intervention district to a comparison group.Setting and participantsThe study included 331 direct observations and exit interviews of pregnant women seeking antenatal care (ANC) across 48 rural primary-level health facilities in Burkina Faso in 2021.InterventionDigital CDS tool to improve health providers adherence to recommended antenatal protocols.Outcome measuresWe analysed the quality of care on both the supply and demand sides. Quality-of-care service scores were based on actual care provided and expected care according to standards. Pregnant women’s knowledge of counselling and satisfaction score after receiving care were also calculated. Other outcomes included time of clinical encounter.ResultsThe overall quality of health service provision was comparable across intervention and comparison health facilities (52% vs 51%) despite there being a significantly higher proportion of lower skilled providers in the intervention arm (42.5% vs 17.8%). On average, ANC visits were longer in the intervention area (median 24 min, IQR 18) versus comparison area (median 12 min, IQR: 8). The intervention arm had a significantly higher score difference in women’s knowledge of received counselling (16.4 points, 95% CI 10.37 to 22.49), and women’s satisfaction (16.18 points, 95% CI: 9.95 to 22.40).ConclusionDigital CDS tools provide a valuable opportunity to achieve substantial improvements of the quality of ANC and broadly maternal and newborn health in settings with high burden mortality and less trained health cadres when adequately implemented.

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Prevalence and Associated Factors of Cultural Malpractice During the Perinatal Period in Ethiopia: A Systematic Review and Meta-Analysis

Gelaw,

Atalay,

Walle

et al. 2023

Reprod. Sci.

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Antenatal care follow-up decreases the likelihood of cultural malpractice during childbirth and postpartum among women who gave birth in the last one-year in Gozamen district, Ethiopia: a community-based cross-sectional study

Cited by 7 publications

References 52 publications

Cultural malpractice during pregnancy, childbirth, and the postnatal period and its associated factors among women who gave birth once in Dire Dawa city administration, Eastern Ethiopia, in 2021

Cultural malpractice during pregnancy, childbirth, and the postnatal period and its associated factors among women who gave birth once in Dire Dawa city administration, Eastern Ethiopia, in 2021

Use of a digital job-aid in improving antenatal clinical protocols and quality of care in rural primary-level health facilities in Burkina Faso: a quasi-experimental evaluation

Prevalence and Associated Factors of Cultural Malpractice During the Perinatal Period in Ethiopia: A Systematic Review and Meta-Analysis

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