Use of institutional delivery services in Kassala, eastern Sudan

Abbaker, Ameer O; Salih, Yasir; Ali, AbdelAziem A.; Imam, Abdulmutalab M; Abdulla, Elsir A.; Adam, Ishag

doi:10.1016/j.ijgo.2013.04.018

Cited by 3 publications

(1 citation statement)

References 5 publications

(13 reference statements)

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“…Yet, almost 75% of women in Ethiopia deliver at home, a practical barrier in the reduction of maternal and neonatal mortality [3]. In Sub-Saharan Africa (SSA) and Ethiopia utilization of facility-based delivery was affected by individual attributes (educational status (both), women's autonomy to make decisions on birth places, cultural and traditional beliefs, and wealth status) [4][5][6][7][8], obstetric attributes (parity and ANC use) [9] and barriers related to availability and accessibility of health services (unavailability and cost of transportation, distance to facility and limited knowledge about the benefits of institutional delivery [10][11][12][13]. Whereas: better education, higher socioeconomic status, urban residence, lower birth order, ANC visits, availability of transport, having good knowledge of obstetric complications, knowledge of BPCR, partners' involvement to seek obstetric assistance, and women's participation in social networks are the most identified facilitators associated with facility delivery utilization [14][15][16][17][18][19][20][21].…”

Section: Introductionmentioning

confidence: 99%

Predictors of facility-based delivery utilization in central Ethiopia: A case-control study

Demissie¹,

Worku

Berhane

2022

PLoS ONE

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Background Improving access to maternal health services has been a priority for the health sector in low-income countries; the utilization of facility delivery services has remained low. Although Ethiopia provides free maternal health services in all public health facilities utilization of services has not been as expected. Objective This study examined predictors of facility delivery service utilization in central Ethiopia. Methods We conducted a community-based case-control study within the catchment areas of selected public health facilities in central Ethiopia. Women who delivered their last child in a health facility were considered as cases and women who delivered their last child at home were considered as controls. Data were collected using a structured questionnaire. Multivariable logistic regression analysis was used to identify independent predictors of facility delivery utilization. Result Facility delivery was positive and strongly associated with practicing birth preparedness and complication readiness (BPCR) (AOR = 12.3, 95%CI: 3.9, 39.1); partners’ involvement about obstetric assistance (AOR = 3.1, 95%CI: 1.0, 9.0); spending 30 or less minutes to decide on the place of delivery and 45 or less minutes to walk to health facilities (AOR = 7.4, 95%CI: 2.4, 23.2 and AOR = 8.1, 95%CI: 2.5, 26.9, respectively). Additionally, having knowledge of obstetric complication, attending ≥ 4 antenatal care (ANC) visits, birth order and the use of free ambulance service also showed significant association with facility delivery. Conclusion Despite the availability of free maternal services there are still many barriers to utilization of delivery services. Strengthening efforts to bring delivery services closer to home and enhancing BPCR are necessary to increase institutional delivery service utilization.

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Section: Introductionmentioning

confidence: 99%

Predictors of facility-based delivery utilization in central Ethiopia: A case-control study

Demissie¹,

Worku

Berhane

2022

PLoS ONE

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Prevalence of anaemia and its associated factors among lactating mothers in eastern Sudan: a cross-sectional study

Abdelbagi

Hassan

Eltayeb

et al. 2022

Transactions of the Royal Society of Tropical Medicine and Hygiene

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Background Lactating mothers are susceptible to anaemia. Little published data are available on lactational anaemia in Africa, including Sudan. This study was conducted to assess the prevalence of and associated factors for anaemia among lactating mothers in eastern Sudan. Methods A cross-sectional study was conducted and sociodemographic and clinical characteristics were gathered through a questionnaire. Results A total of 650 lactating mothers were included in the analysis. Their median age and parity were 28.0 y (interquartile range [IQR] 23.7‒32.0) and 3.0 (IQR 2.0‒4.0), respectively. Haemoglobin (Hb) levels ranged from 7.0 to 15.0 g/dL (median 11.2 [IQR 10.4‒12.0]). Of the 650 lactating mothers, 442 (68.0%) had anaemia (Hb <12.0 g/dL). In multivariate analysis, lactating mothers with education less than the secondary level (adjusted odds ratio [AOR] 1.58 [95% confidence interval {CI} 1.05 to 2.37]) and lactating mothers who underwent caesarean delivery (AOR 1.74 [95% CI 1.17 to 2.58]) had a higher probability of being anaemic. Employment was associated to a lower frequency of anaemia (AOR 0.39 [95% CI 0.20 to 0.79]). Conclusions This study showed a high prevalence of anaemia among lactating mothers. Public health intervention activities designed towards education would be helpful to reduce anaemia.

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Evaluation of the association between haemoglobin levels and preterm birth at Khartoum, Sudan: A hospital-based study

et al. 2022

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ObjectiveThe objective of this study was to determine the association between haemoglobin level and PB.MethodsA cross-sectional study was conducted in Khartoum, Sudan. Questionnaires on demographics and medical and obstetric factors were completed. A logistic regression analysis was performed.ResultsOf the 1,716 pregnant women, approximately two-thirds (65.7%) had anaemia (haemoglobin < 11 g/dl) and six (0.3%) had severe anaemia (haemoglobin < 8 g/dl). Of the 1,716 women, 283 (16.5%) had a PB. In multivariable logistic regression, parity (AOR = 1.15, 95% CI = 1.09–1.21, P < 0.001) was positively associated with PB. Compared to those with haemoglobin levels of 10–10.9 g/dl, pregnant women with haemoglobin levels of 8–8.9 (AOR = 0.41, 95% CI = 0.22–0.77), 9–9.9 (AOR = 0.59, 95% CI = 0.38–0.91), and 11–11.9 g/dl (AOR = 0.53, 95% CI = 0.36–0.77) were at a lower risk of PB. Women with haemoglobin levels of 12–13 g/dl were at a higher risk of PB (AOR = 1.62, 95% CI = 1.06–2.45). There was no significant association between women with haemoglobin levels < 8 g/dl and > 13 g/dl and PB.ConclusionThis study showed different levels of association between haemoglobin levels and PB.

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Use of institutional delivery services in Kassala, eastern Sudan

Cited by 3 publications

References 5 publications

Predictors of facility-based delivery utilization in central Ethiopia: A case-control study

Predictors of facility-based delivery utilization in central Ethiopia: A case-control study

Prevalence of anaemia and its associated factors among lactating mothers in eastern Sudan: a cross-sectional study

Evaluation of the association between haemoglobin levels and preterm birth at Khartoum, Sudan: A hospital-based study

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