Maternal and newborn health services utilization in Jimma Zone, Southwest Ethiopia: a community based cross-sectional study
Abstract Background Majority of causes of maternal and newborn mortalities are preventable. However, poor access to and low utilization of health services remain major barriers to optimum health of the mothers and newborns. The objectives of this study were to assess maternal and newborn health serv...
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| Format: | Article |
| Language: | English |
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BMC
2019-05-01
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| Series: | BMC Pregnancy and Childbirth |
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| Online Access: | http://link.springer.com/article/10.1186/s12884-019-2335-2 |
| _version_ | 1828811037789388800 |
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| author | Lelisa Sena Dadi Melkamu Berhane Yusuf Ahmed Esayas Kebede Gudina Tasew Berhanu Kyung Hwan Kim Masrie Getnet Muluemabet Abera |
| author_facet | Lelisa Sena Dadi Melkamu Berhane Yusuf Ahmed Esayas Kebede Gudina Tasew Berhanu Kyung Hwan Kim Masrie Getnet Muluemabet Abera |
| author_sort | Lelisa Sena Dadi |
| collection | DOAJ |
| description | Abstract Background Majority of causes of maternal and newborn mortalities are preventable. However, poor access to and low utilization of health services remain major barriers to optimum health of the mothers and newborns. The objectives of this study were to assess maternal and newborn health services utilization and factors affecting mothers’ health service utilization. Methods A community based cross-sectional survey was carried out on randomly selected mothers who gave birth within a year preceding the survey. The survey was supplemented with key informant interviews of experts/health professionals. Multivariable logistic model was used to identify factors associated with service utilization. Adjusted odds ratios (AORs) were used to assess the strength of the associations at p-value ≤0.05. The qualitative data were summarized thematically. Results A total of 789 (99.1% response rate) mothers participated in the study. The proportion of the mothers who got at least one antennal care (ANC) visit, institutional delivery and postnatal care (PNC) were 93.3, 77.4 and 92.0%, respectively. Three-forth (74.2%) of the mothers started ANC lately and only 47.5% of them completed ANC4+ visits. Medium (4–6) family size (AOR: 2.3; 95% CI: 1.1, 4.9), decision on ANC visits with husband (AOR: 30.9; 95% CI: 8.3, 115.4) or husband only (AOR: 15.3; 95%CI: 3.8, 62.3) and listening to radio (AOR: 2.5; 95%CI: 1.1, 5.6) were associated with ANC attendance. Mothers whose husbands read/write (AOR: 1.6; 95% CI: 1.1, 2.), attended formal education (AOR: 2.8; 95% CI: 1.1, 6.8), have positive attitudes (AOR: 10.2; 95% CI: 25.9), living in small (AOR: 3.0; 95% CI: 1.2, 7.6) and medium size family (AOR: 2.3; 95% CI: 1.2, 4.1) were more likely to give birth in-health facilities. The proportion of PNC checkups among mothers who delivered in health facilities and at home were 92.0 and 32.5%, respectively. The key informants mentioned that home delivery, delayed arrival of the mothers, unsafe delivery settings, shortage of skilled personnel and supplies were major obstacles to maternal health services utilization. Conclusions Health information communication targeting husbands may improve maternal and newborn health services utilization. In service training of personnel and equipping health facilities with essential supplies can improve the provider side barriers. |
| first_indexed | 2024-12-12T09:20:58Z |
| format | Article |
| id | doaj.art-da906d7899244f00a4b405f8d1da1122 |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-12-12T09:20:58Z |
| publishDate | 2019-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-da906d7899244f00a4b405f8d1da11222022-12-22T00:29:13ZengBMCBMC Pregnancy and Childbirth1471-23932019-05-0119111310.1186/s12884-019-2335-2Maternal and newborn health services utilization in Jimma Zone, Southwest Ethiopia: a community based cross-sectional studyLelisa Sena Dadi0Melkamu Berhane1Yusuf Ahmed2Esayas Kebede Gudina3Tasew Berhanu4Kyung Hwan Kim5Masrie Getnet6Muluemabet Abera7Department of Epidemiology, Faculty of Public Health, Jimma UniversityDepartment of Pediatrics and Child Health, Jimma University Medical CenterDepartment of Obstetrics and Gynecology, Jimma University Medical CenterDepartment of Internal Medicine, Jimma University Medical CenterJimma Zone Health OfficeKOICA Ethiopia CenterDepartment of Epidemiology, Faculty of Public Health, Jimma UniversityDepartment of Population and Family Health, Faculty of Public Health, Jimma UniversityAbstract Background Majority of causes of maternal and newborn mortalities are preventable. However, poor access to and low utilization of health services remain major barriers to optimum health of the mothers and newborns. The objectives of this study were to assess maternal and newborn health services utilization and factors affecting mothers’ health service utilization. Methods A community based cross-sectional survey was carried out on randomly selected mothers who gave birth within a year preceding the survey. The survey was supplemented with key informant interviews of experts/health professionals. Multivariable logistic model was used to identify factors associated with service utilization. Adjusted odds ratios (AORs) were used to assess the strength of the associations at p-value ≤0.05. The qualitative data were summarized thematically. Results A total of 789 (99.1% response rate) mothers participated in the study. The proportion of the mothers who got at least one antennal care (ANC) visit, institutional delivery and postnatal care (PNC) were 93.3, 77.4 and 92.0%, respectively. Three-forth (74.2%) of the mothers started ANC lately and only 47.5% of them completed ANC4+ visits. Medium (4–6) family size (AOR: 2.3; 95% CI: 1.1, 4.9), decision on ANC visits with husband (AOR: 30.9; 95% CI: 8.3, 115.4) or husband only (AOR: 15.3; 95%CI: 3.8, 62.3) and listening to radio (AOR: 2.5; 95%CI: 1.1, 5.6) were associated with ANC attendance. Mothers whose husbands read/write (AOR: 1.6; 95% CI: 1.1, 2.), attended formal education (AOR: 2.8; 95% CI: 1.1, 6.8), have positive attitudes (AOR: 10.2; 95% CI: 25.9), living in small (AOR: 3.0; 95% CI: 1.2, 7.6) and medium size family (AOR: 2.3; 95% CI: 1.2, 4.1) were more likely to give birth in-health facilities. The proportion of PNC checkups among mothers who delivered in health facilities and at home were 92.0 and 32.5%, respectively. The key informants mentioned that home delivery, delayed arrival of the mothers, unsafe delivery settings, shortage of skilled personnel and supplies were major obstacles to maternal health services utilization. Conclusions Health information communication targeting husbands may improve maternal and newborn health services utilization. In service training of personnel and equipping health facilities with essential supplies can improve the provider side barriers.http://link.springer.com/article/10.1186/s12884-019-2335-2Antenatal careDelivery servicesPostnatal careJimma/Ethiopia |
| spellingShingle | Lelisa Sena Dadi Melkamu Berhane Yusuf Ahmed Esayas Kebede Gudina Tasew Berhanu Kyung Hwan Kim Masrie Getnet Muluemabet Abera Maternal and newborn health services utilization in Jimma Zone, Southwest Ethiopia: a community based cross-sectional study BMC Pregnancy and Childbirth Antenatal care Delivery services Postnatal care Jimma/Ethiopia |
| title | Maternal and newborn health services utilization in Jimma Zone, Southwest Ethiopia: a community based cross-sectional study |
| title_full | Maternal and newborn health services utilization in Jimma Zone, Southwest Ethiopia: a community based cross-sectional study |
| title_fullStr | Maternal and newborn health services utilization in Jimma Zone, Southwest Ethiopia: a community based cross-sectional study |
| title_full_unstemmed | Maternal and newborn health services utilization in Jimma Zone, Southwest Ethiopia: a community based cross-sectional study |
| title_short | Maternal and newborn health services utilization in Jimma Zone, Southwest Ethiopia: a community based cross-sectional study |
| title_sort | maternal and newborn health services utilization in jimma zone southwest ethiopia a community based cross sectional study |
| topic | Antenatal care Delivery services Postnatal care Jimma/Ethiopia |
| url | http://link.springer.com/article/10.1186/s12884-019-2335-2 |
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