Programmatic correlates of maternal healthcare seeking behaviors in Ethiopia

“…This training, support and follow up may bring knowledge and skill development to the model and it made them practice health packages well compared to non model HHs [3]. Findings from previous studies [8,9] revealed that, model families have good utilization of maternal health services. Mothers utilizing those services are more likely to gain access to other preventive services which commonly target children under five year of age.…”

Section: Discussionmentioning

confidence: 99%

Under five diarrhea among model household and non model households in Hawassa, South Ethiopia: a comparative cross-sectional community based survey

Berhe

Berhane

2014

BMC Public Health

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BackgroundEthiopia has been implementing a community-level health intervention package (referred to as “Health Extension Program”) to improve the health of children in particular.However, its effect on the major childhood illnesses in Ethiopia has not been studied. This study was conducted to determine whether a fully-implemented health extension program reduces diarrhea in children under the age of five.MethodA Community-based comparative cross-sectional study was carried out by comparing model households (i.e. households that fully implemented the health extension package) with non-model households (i.e. households that did not fully implement the health extension package). The study participants were mothers having children under the age of five. Data were collected through a household survey. A multiple logistic regression model was used to control known confounders.ResultAfter controlling potential confounding factors using a logistic regression model, under five year children residing in non-model households, were more likely to have diarrhea in the two weeks preceding the survey compared to those residing in model households [AOR: 2.65, 95%CI (1.11, 6.27)].ConclusionDiarrhea among under five children significantly reduced among families who fully implemented basic health packages. The finding suggests that being a model HH can have a positive impact on diarrhea morbidity among under five children.

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“…In 2009, a survey conducted in four regions of Ethiopia reported that only 9% of women were giving birth at institutions [20]. Other recent studies in different regions of the country supported the finding that there is very little improvement in having more institutional deliveries [21-26].…”

Section: Introductionmentioning

confidence: 99%

Health workers’ perceptions of facilitators of and barriers to institutional delivery in Tigray, Northern Ethiopia

Gebrehiwot

Sebastián

Edin

et al. 2014

BMC Pregnancy Childbirth

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BackgroundEvidence shows that the three delays, delay in 1) deciding to seek medical care, 2) reaching health facilities and 3) receiving adequate obstetric care, are still contributing to maternal deaths in low-income countries. Ethiopia is a major contributor to the worldwide death toll of mothers with a maternal mortality ratio of 676 per 100,000 live births. The Ethiopian Ministry of Health launched a community-based health-care system in 2003, the Health Extension Programme (HEP), to tackle maternal mortality. Despite strong efforts, universal access to services remains limited, particularly skilled delivery attendance. With the help of ‘the three delays’ framework, this study explores health-service providers’ perceptions of facilitators and barriers to the utilization of institutional delivery in Tigray, a northern region of Ethiopia.MethodsTwelve in-depth interviews were carried out with eight health extension workers (HEWs) and four midwives. Each interview lasted between 90 and 120 minutes. Data were analysed through a thematic analysis approach.ResultsThree themes emerged from the analysis: the struggle between tradition and newly acquired knowledge, community willingness to deal with geographical barriers, and striving to do a good job with insufficient resources. These themes represent the three steps in the path towards receiving adequate institutional delivery care at a health facility. Of the themes, ‘increased community awareness’, ‘organization of the community’ and ‘hospital with specialized staff’ were recognized as facilitators. On the other hand, ‘delivery as a natural event’, ‘cultural tradition and rituals’, ‘inaccessible transport’, ‘unmet community expectation’ and ‘shortage of skilled human resources’ were represented as barriers to institutional delivery.ConclusionsThe participants in this study gave emphasis to the major barriers to institutional delivery that are closely connected with the three delays model. Despite the initiatives being implemented by the Tigray Regional Health Bureau, much is still needed to enhance the humanization approach of delivery care on a broader level of the region. A quick solution is needed to address the major issue of lack of transport accessibility. The poor capacity of the HEWs to provide delivery services, calls for reconsidering staffing patterns of remote health posts and readdressing the issue of downgraded health facilities would address unmet community needs.

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Programmatic correlates of maternal healthcare seeking behaviors in Ethiopia

Cited by 17 publications

References 9 publications

Antenatal Care Utilization and It’s Associated Factors in East Wollega Zone, Ethiopia

Antenatal Care Utilization and It’s Associated Factors in East Wollega Zone, Ethiopia

Under five diarrhea among model household and non model households in Hawassa, South Ethiopia: a comparative cross-sectional community based survey

Health workers’ perceptions of facilitators of and barriers to institutional delivery in Tigray, Northern Ethiopia

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