Delay in making decision to seek care on institutional delivery and associated factors among postpartum mothers in South Gondar zone hospitals, 2020: A cross-sectional study

Tiruneh, Gebrehiwot Ayalew; Arega, Dawit Tiruneh; Kassa, Bekalu Getnet; Bishaw, Keralem Anteneh

doi:10.1016/j.heliyon.2022.e09056

Cited by 4 publications

(3 citation statements)

References 21 publications

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“…In contrast, the present study found a slightly higher prevalence rate compared with previous studies conducted on postpartum mothers in hospitals of the South Gondar Zone in Ethiopia (36.3%) ( 32 ), Arsi Zone in Ethiopia (27.2%) ( 33 ), and in different regions of Ethiopia (36.1%) ( 34 ). The observed disparity could potentially be due to the time gap among the studies conducted.…”

Section: Discussioncontrasting

confidence: 99%

Delays in the decision to seek care and associated factors among mothers who delivered in rural health centers in Wolaita Zone, Southern Ethiopia

Gelaw,

Atalay,

Zerefu

et al. 2024

Front. Glob. Womens Health

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BackgroundDelays in seeking care in health facilities during pregnancy and childbirth can potentially lead to adverse outcomes for women with obstetric complications. These complications lead to maternal mortality and morbidity in developing countries such as Ethiopia. The magnitude and underlying causes of maternal first delay in Ethiopia, particularly in rural areas of the country, are not well documented. This study aims to assess the magnitude of delay in the decision to seek care and associated factors among mothers who gave birth in rural health centers in Wolaita Zone, Southern Ethiopia.Method and materialsA facility-based cross-sectional study was undertaken among mothers who gave birth in rural health centers of Wolaita Zone, Southern Ethiopia, from 30 June 2020 to 30 July 2022. A sample size of 410 study participants was selected from each public health center using the systematic random sampling method. Data were collected from a pretested and structured questionnaire using an Open Data Kit; analysis was carried out using SPSS version 25. The determining factors for the first delay were identified using binary logistic regression. Variables with a p-value of less than 0.25 in binary analysis were selected for a multivariable analysis. Variables with a p-value of less than 0.05 were considered statistically significant.ResultsThe magnitude of delay in the decision to seek care in health facilities was 42.1% among mothers who gave birth in rural health centers in the Wolaita Zone, Southern Ethiopia. Unemployed mothers (Adjusted Odd Ratio, 2,529; 95% CI, 1.546, 4.136), husbands with no formal education (Adjusted Odd Ratio, 1.290; 95% CI, 1.029, 1.616), mothers who had negative attitudes towards seeking care in health facilities, and (Adjusted Odd Ratio; 1.695; 95% CI, 1.061, 2.709) were significantly associated with a delay in the decision to seek care at a health facility.ConclusionThe magnitude of the first maternal decision to seek care at health facilities among mothers was high in the study area. Efforts should be made to strengthen the literacy level of the husbands of mothers and increase household income through various income-generating approaches. In addition, the dissemination of health information could effectively raise community awareness of the importance of institutional delivery.

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Section: Discussioncontrasting

confidence: 99%

Delays in the decision to seek care and associated factors among mothers who delivered in rural health centers in Wolaita Zone, Southern Ethiopia

Gelaw,

Atalay,

Zerefu

et al. 2024

Front. Glob. Womens Health

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“…This could be explained by the better birth preparedness that those who received optimal ANC have, making them more alert and ready for pregnancy-related emergencies ( 120 ). Delay in deciding to seek care is more common in women who live in rural areas with low educational status ( 121 ). Furthermore, the delay vitiated the completion of the continuum of maternity care ( 47 ).…”

Section: Discussionmentioning

confidence: 99%

Effect of optimal antenatal care on maternal and perinatal health in Ethiopia

2023

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IntroductionReceiving at least four antenatal care (ANC) visits have paramount importance on the health of mothers and perinates. In Ethiopia, several studies were conducted on ANC service utilization; however, limited studies quantified the effect of care on maternal and perinate health. In response to this gap, this study is conducted to quantify the effect of optimal ANC care (≥4 visits) on maternal and perinatal health among women who received optimal care in comparison to women who did not receive optimal care.MethodsThe study utilized the Ethiopian perinatal death surveillance and response (PDSR) system dataset. A total of 3,814 reviewed perinatal deaths were included in the study. Considering the nature of the data, preferential within propensity score matching (PWPSM) was performed to determine the effect of optimal ANC care on maternal and perinatal health. The effect of optimal care was reported using average treatment effects of the treated [ATT].ResultThe result revealed that optimal ANC care had a positive effect on reducing perinatal death, due to respiratory and cardiovascular disorders, [ATT = −0.015, 95%CI (−0.029 to −0.001)] and extending intrauterine life by one week [ATT = 1.277, 95%CI: (0.563–1.991)]. While it's effect on maternal health includes, avoiding the risk of having uterine rupture [ATT = −0.012, 95%CI: (−0.018 to −0.005)], improving the utilization of operative vaginal delivery (OVD) [ATT = 0.032, 95%CI: (0.001–0.062)] and avoiding delay to decide to seek care [ATT = −0.187, 95%CI: (−0.354 to −0.021)].ConclusionObtaining optimal ANC care has a positive effect on both maternal and perinatal health. Therefore, policies and interventions geared towards improving the coverage and quality of ANC services should be the top priority to maximize the benefit of the care.

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“…A fixed probability is used to determine if an individual will experience delay one or two. These are sourced from Tiruneh et al (65) who conducted an insWtuWonal-based cross secWonal study reporWng the proporWon of postpartum women who were delayed in deciding to seek emergency obstetric care for insWtuWonal delivery in a study conducted in Ethiopia. Delay three is assumed to occur if the requested healthcare worker Wme within a given HSI exceeds the remaining availability of HCW Wme for a simulated day.…”

Section: Maternity Servicesmentioning

confidence: 99%

Estimating the impact of maternity service delivery on health in Malawi: An individual-based modelling study

Collins,

Allott,

Ng'ambi

et al. 2024

Preprint

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Despite improvements in maternal and perinatal health in Malawi, morbidity and mortality remain high, partially due to gaps in the coverage and quality of health services. We developed an individual-based simulation model of maternal and perinatal health and healthcare in Malawi, situated in a ‘whole-health system, all-disease’ framework. We considered scenarios to estimate the impact of current coverage, improved coverage and improved coverage and quality of antenatal, intrapartum, and postnatal services from 2023 to 2030. Whilst current service delivery is inferred to avert morbidity and mortality, there is scope to substantially improve population health through higher coverage of services meeting or exceeding minimum quality of care standards. Generally, increased coverage without quality improvement did not impact mortality or DALYs, with maternal deaths being most reduced through high coverage and quality postnatal service delivery (40% reduction) and stillbirths and neonatal deaths being most reduced through improved intrapartum services (10% and 29% reductions, respectively). Importantly, whilst maximum availability of intrapartum care may reduce neonatal deaths sufficiently to achieve Sustainable Development Goal (SDG) target 3.2 by 2030, no single scenario led to reductions in maternal mortality sufficient to achieve SDG target 3.1, suggesting system wide investments are essential if such targets are to be met.

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Delay in making decision to seek care on institutional delivery and associated factors among postpartum mothers in South Gondar zone hospitals, 2020: A cross-sectional study

Cited by 4 publications

References 21 publications

Delays in the decision to seek care and associated factors among mothers who delivered in rural health centers in Wolaita Zone, Southern Ethiopia

Delays in the decision to seek care and associated factors among mothers who delivered in rural health centers in Wolaita Zone, Southern Ethiopia

Effect of optimal antenatal care on maternal and perinatal health in Ethiopia

Estimating the impact of maternity service delivery on health in Malawi: An individual-based modelling study

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