Delay in reaching health facilities for emergency obstetric care and associated factors among postpartum mothers at Bale zones, Ethiopia. A cross-sectional study.
Maternal mortality occurs in developing nations as a result of inadequate health care, delayed medical attention and the inability to access medical facilities. The three-delay model was employed to determine the causes of maternal death. There was limited data on maternal delay in reaching health f...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2024-01-01
|
| Series: | PLOS Global Public Health |
| Online Access: | https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0002964&type=printable |
| _version_ | 1797266315586568192 |
|---|---|
| author | Derese Eshetu Zeleke Aschalew Agegnehu Bante Belda Negesa Degefa Gomora Neway Ejigu Girma Geta Abera Mersha |
| author_facet | Derese Eshetu Zeleke Aschalew Agegnehu Bante Belda Negesa Degefa Gomora Neway Ejigu Girma Geta Abera Mersha |
| author_sort | Derese Eshetu |
| collection | DOAJ |
| description | Maternal mortality occurs in developing nations as a result of inadequate health care, delayed medical attention and the inability to access medical facilities. The three-delay model was employed to determine the causes of maternal death. There was limited data on maternal delay in reaching health facilities for emergency obstetric care services in the study area. Therefore, the aim of this study was to assess the prevalence of delay in reaching health facilities for emergency obstetric care and associated factors among postpartum mothers at Bale and east Bale zones. An institutional-based cross-sectional study was conducted among 407 postnatal women from April 6 to May 6, 2022. A systematic sampling technique was used to select study participants. The data were collected electronically using an Open Data Kit and exported to SPSS window version 25 for cleaning and analysis. Both bivariable and multivariable analysis was done by using a binary logistic regression model to identify factors associated with delay in traveling for emergency obstetric care services. Statistical significance was declared at P-value < 0.05. In this study, the prevalence of delay in reaching health facilities during emergency obstetric care was 38.1% (95%CI: 33.3, 43). The following factors showed significant association with delay in reaching health facilities during emergency obstetric care: Average monthly income (AOR = 1.87; 95% CI: 1.12, 3.14), distance (AOR = 4.35; 95% CI: 2.65, 7.14), a referral from other health facilities (AOR = 1.77; 95% CI: 1.01, 3.11) and delay one (AOR = 2.9; 95% CI: 1.7, 4.93). This study showed that the prevalence of delay in reaching health facilities for emergency obstetric care services in the study area was high. Promoting road accessibility and transport mechanisms and strengthening referral mechanisms shall be emphasized. |
| first_indexed | 2024-04-25T00:58:44Z |
| format | Article |
| id | doaj.art-d06642463c694501abfe1171bfc8b61e |
| institution | Directory Open Access Journal |
| issn | 2767-3375 |
| language | English |
| last_indexed | 2024-04-25T00:58:44Z |
| publishDate | 2024-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLOS Global Public Health |
| spelling | doaj.art-d06642463c694501abfe1171bfc8b61e2024-03-11T06:00:28ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752024-01-0142e000296410.1371/journal.pgph.0002964Delay in reaching health facilities for emergency obstetric care and associated factors among postpartum mothers at Bale zones, Ethiopia. A cross-sectional study.Derese EshetuZeleke AschalewAgegnehu BanteBelda NegesaDegefa GomoraNeway EjiguGirma GetaAbera MershaMaternal mortality occurs in developing nations as a result of inadequate health care, delayed medical attention and the inability to access medical facilities. The three-delay model was employed to determine the causes of maternal death. There was limited data on maternal delay in reaching health facilities for emergency obstetric care services in the study area. Therefore, the aim of this study was to assess the prevalence of delay in reaching health facilities for emergency obstetric care and associated factors among postpartum mothers at Bale and east Bale zones. An institutional-based cross-sectional study was conducted among 407 postnatal women from April 6 to May 6, 2022. A systematic sampling technique was used to select study participants. The data were collected electronically using an Open Data Kit and exported to SPSS window version 25 for cleaning and analysis. Both bivariable and multivariable analysis was done by using a binary logistic regression model to identify factors associated with delay in traveling for emergency obstetric care services. Statistical significance was declared at P-value < 0.05. In this study, the prevalence of delay in reaching health facilities during emergency obstetric care was 38.1% (95%CI: 33.3, 43). The following factors showed significant association with delay in reaching health facilities during emergency obstetric care: Average monthly income (AOR = 1.87; 95% CI: 1.12, 3.14), distance (AOR = 4.35; 95% CI: 2.65, 7.14), a referral from other health facilities (AOR = 1.77; 95% CI: 1.01, 3.11) and delay one (AOR = 2.9; 95% CI: 1.7, 4.93). This study showed that the prevalence of delay in reaching health facilities for emergency obstetric care services in the study area was high. Promoting road accessibility and transport mechanisms and strengthening referral mechanisms shall be emphasized.https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0002964&type=printable |
| spellingShingle | Derese Eshetu Zeleke Aschalew Agegnehu Bante Belda Negesa Degefa Gomora Neway Ejigu Girma Geta Abera Mersha Delay in reaching health facilities for emergency obstetric care and associated factors among postpartum mothers at Bale zones, Ethiopia. A cross-sectional study. PLOS Global Public Health |
| title | Delay in reaching health facilities for emergency obstetric care and associated factors among postpartum mothers at Bale zones, Ethiopia. A cross-sectional study. |
| title_full | Delay in reaching health facilities for emergency obstetric care and associated factors among postpartum mothers at Bale zones, Ethiopia. A cross-sectional study. |
| title_fullStr | Delay in reaching health facilities for emergency obstetric care and associated factors among postpartum mothers at Bale zones, Ethiopia. A cross-sectional study. |
| title_full_unstemmed | Delay in reaching health facilities for emergency obstetric care and associated factors among postpartum mothers at Bale zones, Ethiopia. A cross-sectional study. |
| title_short | Delay in reaching health facilities for emergency obstetric care and associated factors among postpartum mothers at Bale zones, Ethiopia. A cross-sectional study. |
| title_sort | delay in reaching health facilities for emergency obstetric care and associated factors among postpartum mothers at bale zones ethiopia a cross sectional study |
| url | https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0002964&type=printable |
| work_keys_str_mv | AT dereseeshetu delayinreachinghealthfacilitiesforemergencyobstetriccareandassociatedfactorsamongpostpartummothersatbalezonesethiopiaacrosssectionalstudy AT zelekeaschalew delayinreachinghealthfacilitiesforemergencyobstetriccareandassociatedfactorsamongpostpartummothersatbalezonesethiopiaacrosssectionalstudy AT agegnehubante delayinreachinghealthfacilitiesforemergencyobstetriccareandassociatedfactorsamongpostpartummothersatbalezonesethiopiaacrosssectionalstudy AT beldanegesa delayinreachinghealthfacilitiesforemergencyobstetriccareandassociatedfactorsamongpostpartummothersatbalezonesethiopiaacrosssectionalstudy AT degefagomora delayinreachinghealthfacilitiesforemergencyobstetriccareandassociatedfactorsamongpostpartummothersatbalezonesethiopiaacrosssectionalstudy AT newayejigu delayinreachinghealthfacilitiesforemergencyobstetriccareandassociatedfactorsamongpostpartummothersatbalezonesethiopiaacrosssectionalstudy AT girmageta delayinreachinghealthfacilitiesforemergencyobstetriccareandassociatedfactorsamongpostpartummothersatbalezonesethiopiaacrosssectionalstudy AT aberamersha delayinreachinghealthfacilitiesforemergencyobstetriccareandassociatedfactorsamongpostpartummothersatbalezonesethiopiaacrosssectionalstudy |