Birth preparedness and complication readiness practice and influencing factors among women in Sodo town, Wolaita zone, Southern Ethiopia, 2018; community based cross-sectional study

Abstract

Background Birth preparedness and complication readiness (BPCR) is a strategy that helps women to consider all available maternal health care services during pregnancy and prepare for potential complications. Though global annual number of maternal deaths decreased to an estimated 303,000 in 2015, avoidable morbidity and mortality remains a formidable challenge in many developing countries which account for approximately 99% (302,000) of the global maternal deaths in 2015. This study aims to assess the practice and factors associated with birth preparedness and complication readiness among women in Sodo town, Wolaita zone, Southern Ethiopia; 2018. Methods Community-based cross-sectional study was carried out from June 1–30, 2018. A total of 495 (pregnant and recently delivered women), were randomly selected and interviewed using pretested structured questionnaire. The data were entered using EPI Data version 3.1 and analyzed using SPSS version 20. Descriptive statistics were reported and bivariate and multivariable logistic regression was carried out to see the effect of each independent variable on the dependent variable. Result Of 506 sampled participants, 495 (49.5% pregnant and 50.5% recently delivered) participated, which made a response rate of 97.8%. 48.5% of women were prepared for birth and ready for its complication in the study area. From multivariable analysis, women in the age group of 15–24 (AOR = 2.39, 95% C. I = 1.19, 4.46) and 25–34 years (AOR = 1.89, 95% C. I = 1.10, 3.25); women who attended college and above level of education (AOR = 2.07, C. I = 1.11, 3.88); women counseled to prepare potential blood donors (AOR = 1.90, 95% C. I = 1.15, 3.12) and to identify skilled birth attendants prior to birth (AOR = 1.59, 95% C. I = 1.05, 2.39) and women whose partners and/or families were counseled (AOR = 2.16, 95%C.I = 1.25, 3.74) were factors positively associated with birth preparedness and complication readiness practice. Conclusion Although not satisfactory in view of expectations, a relatively higher practice of birth preparedness and complication readiness had been observed in the study area compared with the previous reports. Healthcare workers at the grassroots should be encouraged to involve women’s partners and/or family members while explaining birth preparedness and complication readiness with a special emphasis on older (> 35 years) and uneducated women in order to improve the practice in the study area.

Birth Preparedness and Complication Readiness Practice and Associated factors among Women Attending Antenatal care Follow up in Yirgalem General Hospital, Sidama Zone, Southern Ethiopia, 2019

“…This study reveals that the practice of birth preparedness and complication readiness was (48.6%) (95% CI: 46.9%, 49.8%). Reported in the present study is in line with the study done in Wolaita Sodo town southern Ethiopia (8) and in rural community in southern Nigeria 48.4% (15). The similarity may be due to similarity in methodology and socio-demographic characteristics.…”

“…The possible reason is that younger women may have no previous obstetrics complication that makes them to prepare themselves but the old women they have a history of obstetrics complication they prepare themselves for their current pregnancy (not assessed in study). This study nding differ from study conducted in Wolaita Zone, Sodo town, that indicated younger age groups are more likely to birth preparedness and complication readiness practice (12). The observed difference might be because of older women in Sodo town may be traditional and they might accept as they feel safe as they deliver at home and the older women are less likely to birth preparedness and complication readiness.…”

“…The sample size was estimated by using sample size determination for a single population proportion formula. Therefore, the total sample size was calculated with the marginal error of 0.05, with 95% con dence interval and p-value 48.5% from study conducted in Sodo town, Wolaita Zone, SNNPR, Ethiopia (12). A possibility of 10 % of the total sample size was considered for non-respondents.…”

“…The remain women who found less than three were considered as "not prepared for birth and its complication" and coded as 0. This scoring has been previously used in studies that assessed women's Birth preparedness and complication readiness practice (12)(13)(14).…”

“…Birth preparedness and complication readiness is amongst the main involvement with the objective to reduce neonatal and maternal mortality through promoting health care seeking behavior and utilization of appropriate skilled personal for delivery and health care facilities (6). The maternal and neonatal health program of Johns Hopkins Program for International Education in Gynecology and Obstetrics (JHIEGO) developed the birth preparedness and complication readiness matrix to address these three delays; (A) is the delay in deciding to seek care for an obstetric complication; (B) Delay to go to health facility after the decision has been made to seek care; and (C) Is the delay in obtaining care once present at the facility (7).From study done in Ethiopia; age, Antenatal Care (ANC) follow up, place of residence, educational status, birth at health facility, history of still birth and knowledge of birth preparedness and complication readiness plan are factors associated with birth preparedness and complication readiness practice (8,9).…”