Maternal mortality in rural Varanasi: Delays, causes, and contributing factors

Kumari, Kalpana; Srivastava, Ragini; Srivastava, Mohit; Purwar, Neeti

doi:10.4103/ijcm.ijcm_170_18

Cited by 11 publications

(6 citation statements)

References 7 publications

(9 reference statements)

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“…The difference could be due to poor road conditions, inadequate ambulance service and low economic status of the women. On the other hand, the findings of this study were lower than the studies done in India 54.5% [ 11 ], Nepal 52% [ 17 ], Mozambique 40.4% [ 18 ] Egypt 50.2% [ 10 ] and Southern Ethiopia 43.2% [ 16 ],44% [ 13 ] and 48% [ 19 ]. This discrepancies was might be time of the study, place, populations, sample size of the study and way of person’s life.…”

Section: Discussioncontrasting

confidence: 88%

“…The prevalence of delay in reaching health facilities during emergency obstetric care was different in developing countries. A study showed that the prevalence of mothers experiencing delay two was 39.6%, 50.2%, and 65% [ 9 – 11 ]. A study done in Ethiopia revealed that the prevalence of delay in reaching health facilities in utilizing institutional delivery ranged from 29.7% to 59.7% [ 12 – 14 ].…”

Section: Introductionmentioning

confidence: 99%

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Delay in reaching health facilities for emergency obstetric care and associated factors among postpartum mothers at Bale zones, Ethiopia. A cross-sectional study

Eshetu,

Aschalew,

Bante

et al. 2024

PLOS Glob Public Health

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Maternal mortality occurs in developing nations as a result of inadequate health care, delayed medical attention and the inability to access medical facilities. The three-delay model was employed to determine the causes of maternal death. There was limited data on maternal delay in reaching health facilities for emergency obstetric care services in the study area. Therefore, the aim of this study was to assess the prevalence of delay in reaching health facilities for emergency obstetric care and associated factors among postpartum mothers at Bale and east Bale zones. An institutional-based cross-sectional study was conducted among 407 postnatal women from April 6 to May 6, 2022. A systematic sampling technique was used to select study participants. The data were collected electronically using an Open Data Kit and exported to SPSS window version 25 for cleaning and analysis. Both bivariable and multivariable analysis was done by using a binary logistic regression model to identify factors associated with delay in traveling for emergency obstetric care services. Statistical significance was declared at P-value < 0.05. In this study, the prevalence of delay in reaching health facilities during emergency obstetric care was 38.1% (95%CI: 33.3, 43). The following factors showed significant association with delay in reaching health facilities during emergency obstetric care: Average monthly income (AOR = 1.87; 95% CI: 1.12, 3.14), distance (AOR = 4.35; 95% CI: 2.65, 7.14), a referral from other health facilities (AOR = 1.77; 95% CI: 1.01, 3.11) and delay one (AOR = 2.9; 95% CI: 1.7, 4.93). This study showed that the prevalence of delay in reaching health facilities for emergency obstetric care services in the study area was high. Promoting road accessibility and transport mechanisms and strengthening referral mechanisms shall be emphasized.

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Section: Discussioncontrasting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Delay in reaching health facilities for emergency obstetric care and associated factors among postpartum mothers at Bale zones, Ethiopia. A cross-sectional study

Eshetu,

Aschalew,

Bante

et al. 2024

PLOS Glob Public Health

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“…By contrast, Kaduna and Kano attract many advocates in the nutrition arena, and overall donor investments to address malnutrition in Nigeria are among the highest in these two states (World Bank, 2018 ). In India, stunting rates in children under five years of age in Uttar Pradesh—India’s most populous state—exceed the national average (Mani et al, 2017 ), and the state has among the country’s highest rates of maternal mortality (Kumari et al, 2019 ). Bihar has similar levels of stunting with two-thirds of women between 15 and 49 years and 87 percent of children under the age of three years suffering from anemia (Kathuria & Khanna, 2014 ).…”

Section: Methodsmentioning

confidence: 99%

Voice, access, and ownership: enabling environments for nutrition advocacy in India and Nigeria

Resnick,

Anigo,

Anjorin

et al. 2024

Food Sec.

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What constitutes an enabling environment for nutrition advocacy in low- and middle-income countries? While a sizeable body of scholarship considers the enabling environment for nutrition policy, we focus specifically on the necessary conditions for advocacy. We argue that three factors—voice, access, and ownership—provide a useful lens into the advocacy enabling environment. These are operationalized, respectively, as the space to articulate and frame policy positions, entry points to interact with policy decision makers, and the existence of committed decision makers rather than those responding to pressures from external actors. These three factors are explored vis-à-vis a comparative analysis of two federal democracies—India and Nigeria—that each have vibrant advocacy communities confronting persistent malnutrition. Drawing on more than 100 structured interviews with nutrition advocates, government actors, donors, and researchers in the two countries, we highlight the ways in which voice, access, and ownership interactively shape advocacy efforts. In doing so, we find that Nigeria has a less ideological approach to certain nutrition issues than in India but also perceived to be more beholden to external actors in defining its nutrition actions. Recent restrictions on freedom of speech and association shrunk the civic space in India but these were less problematic in Nigeria. In both countries, the multi-tiered, multi-party system offers many different points of access into the policy arena, with sometimes negative implications for coordination. Overall, the paper contributes more broadly to the literature on enabling environments by highlighting potential indicators to guide nutrition advocates in other settings.

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“…Maternal delay for institutional delivery service have a big impact on maternal mortality [ 1 ]. Globally, more than eight hundred women die every day from complications related to pregnancy and delivery.…”

Section: Introductionmentioning

confidence: 99%

Maternal delay for institutional delivery and associated factors among postnatal mothers at Southeastern Ethiopia: a cross sectional study

Debela,

Aschalew,

Bante

et al. 2024

BMC Pregnancy Childbirth

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Background Maternal delay in timely seeking health care, inadequate health care and the inability to access health facilities are the main causes of maternal mortality in low and middle income countries. The three-delay approach was used to pinpoint responsible factors for maternal death. There was little data on the delay in decision making to seek institutional delivery service in the study area. Therefore, the aim of this study was to assess the extent of the first maternal delay for institutional delivery and its associated factors among postpartum mothers in the Bale and east Bale zones. Methods An institutional-based cross-sectional study was conducted among 407 postpartum mothers from April 6 to May 6, 2022. A systematic sampling technique was used to select study participants. The data were collected electronically using an Open Data Kit and exported to SPSS window version 25 for cleaning and analysis. Both bivariate and multivariable analysis was done by using binary logistic regression model to identify factors associated with maternal delay for institutional delivery services. Statistical significance was declared at P-value < 0.05. Results In this study, the magnitude of the first maternal delay in making the decision to seek institutional delivery service was 29.2% (95% CI: 24.9, 33.9). Previous pregnancy problems (AOR = 1.8; 95% CI: 1.06, 3.08), knowing the danger signs of labor and childbirth (AOR = 1.78; 95% CI: 1.11, 2.85) and decision-making (AOR = 0.42; 95% CI: 0.20, 0.85) were significantly associated with the first maternal delay. Conclusion This study identified a significant number of postnatal mothers experienced delay in making decisions to seek institutional delivery service in the study area. Promoting women’s empowerment and building on key danger signs should be emphasized.

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Maternal mortality in rural Varanasi: Delays, causes, and contributing factors

Cited by 11 publications

References 7 publications

Delay in reaching health facilities for emergency obstetric care and associated factors among postpartum mothers at Bale zones, Ethiopia. A cross-sectional study

Delay in reaching health facilities for emergency obstetric care and associated factors among postpartum mothers at Bale zones, Ethiopia. A cross-sectional study

Voice, access, and ownership: enabling environments for nutrition advocacy in India and Nigeria

Maternal delay for institutional delivery and associated factors among postnatal mothers at Southeastern Ethiopia: a cross sectional study

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