Maternal Health Care Seeking Behavior for Neonatal Danger Signs and Associated Factors Among Post-Partum Mothers in Southeast Ethiopia: A Cross-Sectional Study

Early health care seeking could save neonates’ lives and have a significant role in decreasing neonatal death, while delayed health care seeking has many contributions to neonatal mortality. Therefore, this study aimed to assess maternal health-seeking behavior for neonatal danger signs and associat...

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Main Authors: Degefa Gomora Tesfaye MSc, Girma Geta MSc, Chala Kene MSc, Kenbon Seyoum MSc, Yohannes Tekalegn MSc, Fikreab Desta MSc, Biniyam Sahiledengle MSc, Daniel Atlaw MSc, Neway Ejigu MSc, Wogene Negash MSc
Format: Article
Language:English
Published: SAGE Publishing 2022-12-01
Series:Inquiry: The Journal of Health Care Organization, Provision, and Financing
Online Access:https://doi.org/10.1177/00469580221143629
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author Degefa Gomora Tesfaye MSc
Girma Geta MSc
Chala Kene MSc
Kenbon Seyoum MSc
Yohannes Tekalegn MSc
Fikreab Desta MSc
Biniyam Sahiledengle MSc
Daniel Atlaw MSc
Neway Ejigu MSc
Wogene Negash MSc
author_facet Degefa Gomora Tesfaye MSc
Girma Geta MSc
Chala Kene MSc
Kenbon Seyoum MSc
Yohannes Tekalegn MSc
Fikreab Desta MSc
Biniyam Sahiledengle MSc
Daniel Atlaw MSc
Neway Ejigu MSc
Wogene Negash MSc
author_sort Degefa Gomora Tesfaye MSc
collection DOAJ
description Early health care seeking could save neonates’ lives and have a significant role in decreasing neonatal death, while delayed health care seeking has many contributions to neonatal mortality. Therefore, this study aimed to assess maternal health-seeking behavior for neonatal danger signs and associated factors among postpartum mothers in Southeast Ethiopia. A community-based cross-sectional study was conducted on a random sample of 400 women with sick neonates from June 1st, 2020 to 27th, November. A Modified Anderson and Newman behavioral model consisting predisposing, enabling, need, and health system factors were utilized and participants were interviewed by using structured questionnaires. Multivariate logistic regression analysis was used to identify factors associated with maternal health-seeking behavior. Adjusted odds ratios (AOR) were reported with their corresponding 95% confidence interval (CI) to determine the strength of the association. The statistical significance was declared at P < .05. Slightly higher than two-fifths, (44%, 95% CI: 39.2-48.9) of the respondents’ have appropriate healthcare-seeking behavior for neonatal danger signs. Postnatal care follows-up (AOR = 3.5; 95% CI: 2.06-5.80), good knowledge of neonatal danger signs (AOR = 2.78; 95% CI: 1.63-4.73), decision-making power for taking sick neonates to health institution (AOR = 3.02, 95% CI: 1.61-5.67), mothers living with their partner (AOR = 3.00; 95% CI: 1.42-6.31), and health insurance (AOR = 1.82; 95% CI: 1.08-3.06) were significantly associated with having appropriate healthcare-seeking behavior. Healthcare-seeking behavior of the respondents’ was low and indicated by nearly 2 out of 5 respondents’ had appropriate health-seeking behavior for neonatal danger sign. Postnatal care follow-up, health insurance, good knowledge of neonatal danger signs, living with a partner, and decision-making power were predictors of appropriate healthcare-seeking behavior for neonatal danger signs. Emphasis should be given to creating awareness of neonatal danger signs, maintaining postnatal follow-up, and encouraging mothers/caregivers to make immediate decisions for seeking healthcare at healthcare institutions.
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spelling doaj.art-7e62ad4374674c4284d13b44a06397a42022-12-22T03:03:17ZengSAGE PublishingInquiry: The Journal of Health Care Organization, Provision, and Financing0046-95801945-72432022-12-015910.1177/00469580221143629Maternal Health Care Seeking Behavior for Neonatal Danger Signs and Associated Factors Among Post-Partum Mothers in Southeast Ethiopia: A Cross-Sectional StudyDegefa Gomora Tesfaye MSc0Girma Geta MSc1Chala Kene MSc2Kenbon Seyoum MSc3Yohannes Tekalegn MSc4Fikreab Desta MSc5Biniyam Sahiledengle MSc6Daniel Atlaw MSc7Neway Ejigu MSc8Wogene Negash MSc9Madda Walabu University, Bale Goba, EthiopiaMadda Walabu University, Bale Goba, EthiopiaMadda Walabu University, Bale Goba, EthiopiaMadda Walabu University, Bale Goba, EthiopiaMadda Walabu University, Bale Goba, EthiopiaMadda Walabu University, Bale Goba, EthiopiaMadda Walabu University, Bale Goba, EthiopiaMadda Walabu University, Bale Goba, EthiopiaMadda Walabu University, Bale Goba, EthiopiaMadda Walabu University, Bale Goba, EthiopiaEarly health care seeking could save neonates’ lives and have a significant role in decreasing neonatal death, while delayed health care seeking has many contributions to neonatal mortality. Therefore, this study aimed to assess maternal health-seeking behavior for neonatal danger signs and associated factors among postpartum mothers in Southeast Ethiopia. A community-based cross-sectional study was conducted on a random sample of 400 women with sick neonates from June 1st, 2020 to 27th, November. A Modified Anderson and Newman behavioral model consisting predisposing, enabling, need, and health system factors were utilized and participants were interviewed by using structured questionnaires. Multivariate logistic regression analysis was used to identify factors associated with maternal health-seeking behavior. Adjusted odds ratios (AOR) were reported with their corresponding 95% confidence interval (CI) to determine the strength of the association. The statistical significance was declared at P < .05. Slightly higher than two-fifths, (44%, 95% CI: 39.2-48.9) of the respondents’ have appropriate healthcare-seeking behavior for neonatal danger signs. Postnatal care follows-up (AOR = 3.5; 95% CI: 2.06-5.80), good knowledge of neonatal danger signs (AOR = 2.78; 95% CI: 1.63-4.73), decision-making power for taking sick neonates to health institution (AOR = 3.02, 95% CI: 1.61-5.67), mothers living with their partner (AOR = 3.00; 95% CI: 1.42-6.31), and health insurance (AOR = 1.82; 95% CI: 1.08-3.06) were significantly associated with having appropriate healthcare-seeking behavior. Healthcare-seeking behavior of the respondents’ was low and indicated by nearly 2 out of 5 respondents’ had appropriate health-seeking behavior for neonatal danger sign. Postnatal care follow-up, health insurance, good knowledge of neonatal danger signs, living with a partner, and decision-making power were predictors of appropriate healthcare-seeking behavior for neonatal danger signs. Emphasis should be given to creating awareness of neonatal danger signs, maintaining postnatal follow-up, and encouraging mothers/caregivers to make immediate decisions for seeking healthcare at healthcare institutions.https://doi.org/10.1177/00469580221143629
spellingShingle Degefa Gomora Tesfaye MSc
Girma Geta MSc
Chala Kene MSc
Kenbon Seyoum MSc
Yohannes Tekalegn MSc
Fikreab Desta MSc
Biniyam Sahiledengle MSc
Daniel Atlaw MSc
Neway Ejigu MSc
Wogene Negash MSc
Maternal Health Care Seeking Behavior for Neonatal Danger Signs and Associated Factors Among Post-Partum Mothers in Southeast Ethiopia: A Cross-Sectional Study
Inquiry: The Journal of Health Care Organization, Provision, and Financing
title Maternal Health Care Seeking Behavior for Neonatal Danger Signs and Associated Factors Among Post-Partum Mothers in Southeast Ethiopia: A Cross-Sectional Study
title_full Maternal Health Care Seeking Behavior for Neonatal Danger Signs and Associated Factors Among Post-Partum Mothers in Southeast Ethiopia: A Cross-Sectional Study
title_fullStr Maternal Health Care Seeking Behavior for Neonatal Danger Signs and Associated Factors Among Post-Partum Mothers in Southeast Ethiopia: A Cross-Sectional Study
title_full_unstemmed Maternal Health Care Seeking Behavior for Neonatal Danger Signs and Associated Factors Among Post-Partum Mothers in Southeast Ethiopia: A Cross-Sectional Study
title_short Maternal Health Care Seeking Behavior for Neonatal Danger Signs and Associated Factors Among Post-Partum Mothers in Southeast Ethiopia: A Cross-Sectional Study
title_sort maternal health care seeking behavior for neonatal danger signs and associated factors among post partum mothers in southeast ethiopia a cross sectional study
url https://doi.org/10.1177/00469580221143629
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