Utilization of preconception care and associated factors among reproductive age group women in Debre Birhan town, North Shewa, Ethiopia

Abstract Background Preconception care refers to things women can do before and between pregnancies to increase the chance of having a healthy baby and being a healthy mother. Unfortunately, millions of women in the world do not have access to pre-pregnancy, pregnancy health services and childbirth...

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Main Authors: Tesfanesh Lemma Demisse, Samuel Abdu Aliyu, Sena Belina Kitila, Tiwabwork Tekalign Tafesse, Kelemu Abebe Gelaw, Mulualem Silesh Zerihun
Format: Article
Language:English
Published: BMC 2019-07-01
Series:Reproductive Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12978-019-0758-x
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author Tesfanesh Lemma Demisse
Samuel Abdu Aliyu
Sena Belina Kitila
Tiwabwork Tekalign Tafesse
Kelemu Abebe Gelaw
Mulualem Silesh Zerihun
author_facet Tesfanesh Lemma Demisse
Samuel Abdu Aliyu
Sena Belina Kitila
Tiwabwork Tekalign Tafesse
Kelemu Abebe Gelaw
Mulualem Silesh Zerihun
author_sort Tesfanesh Lemma Demisse
collection DOAJ
description Abstract Background Preconception care refers to things women can do before and between pregnancies to increase the chance of having a healthy baby and being a healthy mother. Unfortunately, millions of women in the world do not have access to pre-pregnancy, pregnancy health services and childbirth with suitable quality. Therefore, addressing this significant gap and coming up with the necessary information is helpful to improve maternal and child health in our country. So, this study was aimed to assess the utilization of preconception care and associated factors among reproductive age group women in Debre Birhan Town, North Shewa, Ethiopia. Methods A mixed method of community based cross-sectional study was employed from March 1st to 30; 2017. Systematic sampling technique was used to select a total of 424 reproductive age women. The data were collected using pre-tested and structured questionnaire and eight in-depth interviews were done using an interview guide. The collected data were coded and entered into Epi data 3.5.1 and exported to SPSS version 21 for cleaning and analysis. Logistic regression was run to look for the association between dependent and explanatory variables; and using variables which have p-value ≤0.25 binary logistic regression was fitted. Association presented in Odds ratio with 95% confidence interval and significance determined at P-value less than 0.05. Result A total of 410 subjects were participated with a response rate of 96.7%. The overall utilization of Preconception care was 13.4%. Woman’s age, marital status, knowledge and availability of unit for preconception care were significantly associated with utilization of preconception care with (AOR: 3.567; 95% CI: 1.082, 11.758), (AOR: 0.062; 95% CI: 0.007, 0.585), (AOR = 6.263; 95% CI: 2.855, 13.739) and AOR: 13.938; 95% CI: 3.516, 55.251) respectively. Conclusions The finding of this study showed that women’s utilization of preconception care is relatively low. A woman’s age, marital status, educational status, knowledge about preconception care services and availability of unit for preconception care were factors affecting utilization of preconception care. Therefore, establishing preconception care strategies which can address all the components of the care will be essential when designing effective implementation strategies for improving the uptake of preconception care.
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spelling doaj.art-441c403b4ef949afaf2b3020472b8c822022-12-22T00:21:52ZengBMCReproductive Health1742-47552019-07-0116111010.1186/s12978-019-0758-xUtilization of preconception care and associated factors among reproductive age group women in Debre Birhan town, North Shewa, EthiopiaTesfanesh Lemma Demisse0Samuel Abdu Aliyu1Sena Belina Kitila2Tiwabwork Tekalign Tafesse3Kelemu Abebe Gelaw4Mulualem Silesh Zerihun5Department of Midwifery, College of Health Science and Medicine, Wolaita Sodo UniversitySchool of Nursing and Midwifery, Institute of Health, Faculty of health sciences, Jimma UniversitySchool of Nursing and Midwifery, Institute of Health, Faculty of health sciences, Jimma UniversityDepartment of Nursing, College of Health Science and Medicine, Wolaita Sodo UniversityDepartment of Midwifery, College of Health Science and Medicine, Wolaita Sodo UniversityDepartment of Midwifery, College of Health Science and Medicine, Debre Birhan UniversityAbstract Background Preconception care refers to things women can do before and between pregnancies to increase the chance of having a healthy baby and being a healthy mother. Unfortunately, millions of women in the world do not have access to pre-pregnancy, pregnancy health services and childbirth with suitable quality. Therefore, addressing this significant gap and coming up with the necessary information is helpful to improve maternal and child health in our country. So, this study was aimed to assess the utilization of preconception care and associated factors among reproductive age group women in Debre Birhan Town, North Shewa, Ethiopia. Methods A mixed method of community based cross-sectional study was employed from March 1st to 30; 2017. Systematic sampling technique was used to select a total of 424 reproductive age women. The data were collected using pre-tested and structured questionnaire and eight in-depth interviews were done using an interview guide. The collected data were coded and entered into Epi data 3.5.1 and exported to SPSS version 21 for cleaning and analysis. Logistic regression was run to look for the association between dependent and explanatory variables; and using variables which have p-value ≤0.25 binary logistic regression was fitted. Association presented in Odds ratio with 95% confidence interval and significance determined at P-value less than 0.05. Result A total of 410 subjects were participated with a response rate of 96.7%. The overall utilization of Preconception care was 13.4%. Woman’s age, marital status, knowledge and availability of unit for preconception care were significantly associated with utilization of preconception care with (AOR: 3.567; 95% CI: 1.082, 11.758), (AOR: 0.062; 95% CI: 0.007, 0.585), (AOR = 6.263; 95% CI: 2.855, 13.739) and AOR: 13.938; 95% CI: 3.516, 55.251) respectively. Conclusions The finding of this study showed that women’s utilization of preconception care is relatively low. A woman’s age, marital status, educational status, knowledge about preconception care services and availability of unit for preconception care were factors affecting utilization of preconception care. Therefore, establishing preconception care strategies which can address all the components of the care will be essential when designing effective implementation strategies for improving the uptake of preconception care.http://link.springer.com/article/10.1186/s12978-019-0758-xPreconception careUtilizationReproductive age group womenDebre Birhan townEthiopia
spellingShingle Tesfanesh Lemma Demisse
Samuel Abdu Aliyu
Sena Belina Kitila
Tiwabwork Tekalign Tafesse
Kelemu Abebe Gelaw
Mulualem Silesh Zerihun
Utilization of preconception care and associated factors among reproductive age group women in Debre Birhan town, North Shewa, Ethiopia
Reproductive Health
Preconception care
Utilization
Reproductive age group women
Debre Birhan town
Ethiopia
title Utilization of preconception care and associated factors among reproductive age group women in Debre Birhan town, North Shewa, Ethiopia
title_full Utilization of preconception care and associated factors among reproductive age group women in Debre Birhan town, North Shewa, Ethiopia
title_fullStr Utilization of preconception care and associated factors among reproductive age group women in Debre Birhan town, North Shewa, Ethiopia
title_full_unstemmed Utilization of preconception care and associated factors among reproductive age group women in Debre Birhan town, North Shewa, Ethiopia
title_short Utilization of preconception care and associated factors among reproductive age group women in Debre Birhan town, North Shewa, Ethiopia
title_sort utilization of preconception care and associated factors among reproductive age group women in debre birhan town north shewa ethiopia
topic Preconception care
Utilization
Reproductive age group women
Debre Birhan town
Ethiopia
url http://link.springer.com/article/10.1186/s12978-019-0758-x
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