Less than one in four mothers get quality intrapartum health care services in Ethiopia
Abstract Intrapartum care is a platform of comprehensive healthcare for pregnant women that is designed to improve birth outcomes for mother and child. However, complications during the intrapartum period continued to be the leading cause of death for women of reproductive age and newborns. Therefor...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2024-02-01
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| Series: | Scientific Reports |
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| Online Access: | https://doi.org/10.1038/s41598-024-54506-x |
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| author | Wubshet Debebe Negash Desale Bihonegn Asmamaw Gizachew Tadesse Wassie Abebaw Gedef Azene Habitu Birhan Eshetu Bewuketu Terefe Kindie Fentahun Muchie Getasew Mulat Bantie Kassawmar Angaw Bogale Tadele Biresaw Belachew |
| author_facet | Wubshet Debebe Negash Desale Bihonegn Asmamaw Gizachew Tadesse Wassie Abebaw Gedef Azene Habitu Birhan Eshetu Bewuketu Terefe Kindie Fentahun Muchie Getasew Mulat Bantie Kassawmar Angaw Bogale Tadele Biresaw Belachew |
| author_sort | Wubshet Debebe Negash |
| collection | DOAJ |
| description | Abstract Intrapartum care is a platform of comprehensive healthcare for pregnant women that is designed to improve birth outcomes for mother and child. However, complications during the intrapartum period continued to be the leading cause of death for women of reproductive age and newborns. Therefore, the aim of this study was to assess the prevalence of quality of intrapartum care and its associated factors among mothers in Ethiopia. A community based cross sectional study was conducted among 4469 mothers who gave birth in the last 2 years. Quality of intrapartum care was analyzed based on the assessment of health facility delivery, skilled birth attendants and early initiations of breast-feeding. Stata version 14 software was used for data cleaning and analysis. A mixed effect multilevel logistic regression was conducted to determine factors associated with quality of intrapartum care. An adjusted odds ratio with 95% confidence interval and a P value of less than or equal to 0.05 was used for the identification of both individual and community level factors. Overall, the prevalence of quality intrapartum care in Ethiopia was 23.8% (95% CI 22.6, 25.13). Primary education (AOR = 1.46, 95% CI = 1.14, 1.88), rich household class (AOR = 1.48, 95% CI = 1.10, 1.98), history of ANC (AOR = 2.91, 95% CI = 2.18, 3.86), perceived distance to the health facility as not a big issue (AOR = 1.63, 95% CI = 1.30, 2.05), urban residence (AOR = 2.97, 95% CI = 1.93, 5.09), Tigray region (AOR = 5.01, 95% CI = 1.25, 20.59), community level poverty (AOR = 0.63, 95% CI = 0.41, 0.97), and having 2–4 children (AOR = 0.74, 95% CI = 0.56, 0.97) were significantly associated with quality of intrapartum care. The finding conclude that less than one in four mothers received good quality intrapartum care. In order to optimize the quality of intrapartum care, the government should empower women through extensive education. It is also recommended for the Ministry of Health to evaluate the health facilities and community health workers to increase coverage of ANC and provide financial assistance to rural residents and the poor household class. |
| first_indexed | 2024-03-07T15:09:06Z |
| format | Article |
| id | doaj.art-66699716ad0f46c0a175642b45eca09a |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-03-07T15:09:06Z |
| publishDate | 2024-02-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-66699716ad0f46c0a175642b45eca09a2024-03-05T18:44:38ZengNature PortfolioScientific Reports2045-23222024-02-011411910.1038/s41598-024-54506-xLess than one in four mothers get quality intrapartum health care services in EthiopiaWubshet Debebe Negash0Desale Bihonegn Asmamaw1Gizachew Tadesse Wassie2Abebaw Gedef Azene3Habitu Birhan Eshetu4Bewuketu Terefe5Kindie Fentahun Muchie6Getasew Mulat Bantie7Kassawmar Angaw Bogale8Tadele Biresaw Belachew9Department of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Reproductive Health, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, Bahir Dar UniversityDepartment of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, Bahir Dar UniversityDepartment of Health Promotion and Health Behavior, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Community Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of GondarDepartment of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, Bahir Dar UniversityAmhara National Regional State Public Health InstituteDepartment of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, Bahir Dar UniversityDepartment of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of GondarAbstract Intrapartum care is a platform of comprehensive healthcare for pregnant women that is designed to improve birth outcomes for mother and child. However, complications during the intrapartum period continued to be the leading cause of death for women of reproductive age and newborns. Therefore, the aim of this study was to assess the prevalence of quality of intrapartum care and its associated factors among mothers in Ethiopia. A community based cross sectional study was conducted among 4469 mothers who gave birth in the last 2 years. Quality of intrapartum care was analyzed based on the assessment of health facility delivery, skilled birth attendants and early initiations of breast-feeding. Stata version 14 software was used for data cleaning and analysis. A mixed effect multilevel logistic regression was conducted to determine factors associated with quality of intrapartum care. An adjusted odds ratio with 95% confidence interval and a P value of less than or equal to 0.05 was used for the identification of both individual and community level factors. Overall, the prevalence of quality intrapartum care in Ethiopia was 23.8% (95% CI 22.6, 25.13). Primary education (AOR = 1.46, 95% CI = 1.14, 1.88), rich household class (AOR = 1.48, 95% CI = 1.10, 1.98), history of ANC (AOR = 2.91, 95% CI = 2.18, 3.86), perceived distance to the health facility as not a big issue (AOR = 1.63, 95% CI = 1.30, 2.05), urban residence (AOR = 2.97, 95% CI = 1.93, 5.09), Tigray region (AOR = 5.01, 95% CI = 1.25, 20.59), community level poverty (AOR = 0.63, 95% CI = 0.41, 0.97), and having 2–4 children (AOR = 0.74, 95% CI = 0.56, 0.97) were significantly associated with quality of intrapartum care. The finding conclude that less than one in four mothers received good quality intrapartum care. In order to optimize the quality of intrapartum care, the government should empower women through extensive education. It is also recommended for the Ministry of Health to evaluate the health facilities and community health workers to increase coverage of ANC and provide financial assistance to rural residents and the poor household class.https://doi.org/10.1038/s41598-024-54506-xQualityIntrapartum careEthiopia |
| spellingShingle | Wubshet Debebe Negash Desale Bihonegn Asmamaw Gizachew Tadesse Wassie Abebaw Gedef Azene Habitu Birhan Eshetu Bewuketu Terefe Kindie Fentahun Muchie Getasew Mulat Bantie Kassawmar Angaw Bogale Tadele Biresaw Belachew Less than one in four mothers get quality intrapartum health care services in Ethiopia Scientific Reports Quality Intrapartum care Ethiopia |
| title | Less than one in four mothers get quality intrapartum health care services in Ethiopia |
| title_full | Less than one in four mothers get quality intrapartum health care services in Ethiopia |
| title_fullStr | Less than one in four mothers get quality intrapartum health care services in Ethiopia |
| title_full_unstemmed | Less than one in four mothers get quality intrapartum health care services in Ethiopia |
| title_short | Less than one in four mothers get quality intrapartum health care services in Ethiopia |
| title_sort | less than one in four mothers get quality intrapartum health care services in ethiopia |
| topic | Quality Intrapartum care Ethiopia |
| url | https://doi.org/10.1038/s41598-024-54506-x |
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