Spatial variations of women’s home delivery after antenatal care visits at lay Gayint District, Northwest Ethiopia
Abstract Background Home delivery is the most frequent childbirth practice in Ethiopia and brings health risks for many mothers and their babies which in turn affecting the whole families. Characterizing the spatial variations and the associated factors of home deliveries after antenatal care visit...
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| Format: | Article |
| Language: | English |
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BMC
2019-06-01
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| Series: | BMC Public Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12889-019-7050-4 |
| _version_ | 1818516537392234496 |
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| author | Araya Mesfin Nigatu Kassahun Alemu Gelaye Degefie Tibebe Degefie Abraham Yeneneh Birhanu |
| author_facet | Araya Mesfin Nigatu Kassahun Alemu Gelaye Degefie Tibebe Degefie Abraham Yeneneh Birhanu |
| author_sort | Araya Mesfin Nigatu |
| collection | DOAJ |
| description | Abstract Background Home delivery is the most frequent childbirth practice in Ethiopia and brings health risks for many mothers and their babies which in turn affecting the whole families. Characterizing the spatial variations and the associated factors of home deliveries after antenatal care visit is necessary to prioritize risks and facilitate geographically based interventions. Method A community-based cross-sectional study design was carried out between February and March 2016. A total of 528 women who had just given birth were interviewed face-to-face using a questionnaire. Geo-referenced data were collected using a handheld global positioning system (GPS). The Bernoulli model was applied using the SatScan ™ software to analyze the purely spatial clusters of home deliveries. ArcGIS version 10.1 was used to visualize clusters of home delivery. Results The overall proportion of home deliveries was 278(52.7%), and home deliveries had spatial variations. A primary cluster [LLR = 14.54, p < 0.001] was detected in village of Safida Giorgis. Secondary clusters were detected in Checheho [LLR = 9.17, p < 0.05] and ZurAmba [LLR = 8.51, p < 0.05]. Predictors for home delivery included the distance between the health extension worker’s and mother’s house [AOR = 2.2, 95% CI: 1.1, 4.3], residence [AOR = 3.8, 95% CI: 1.3, 10.9], source of information for ANC [AOR = 0.3, 95% CI: 0.13, 0.7], ANC visits [AOR = 6.1, 95% CI:1.9, 19.3], health education [AOR = 3.4, 95% CI: 1.5, 7.4], decision on place of delivery [AOR = 0.3, 95% CI: 0.1, 0.8], and knowledge on place of delivery [AOR = 0.04, 95% CI: 0.0, 0.1]. Conclusion The proportion of home delivery after ANC visit was decreasing compared to other studies conducted in the region. In addition, spatial variations of home delivery were observed in the study area. Promoting women’s education and behavioral change communication at the grass root level, provision of the services both at home and health facilities and improving the quality and capacity of the health providers are some of the recommendations forwarded. |
| first_indexed | 2024-12-11T00:43:39Z |
| format | Article |
| id | doaj.art-fc87c65ff00c42bab13ae00ef95b1342 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-11T00:43:39Z |
| publishDate | 2019-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-fc87c65ff00c42bab13ae00ef95b13422022-12-22T01:26:51ZengBMCBMC Public Health1471-24582019-06-0119111410.1186/s12889-019-7050-4Spatial variations of women’s home delivery after antenatal care visits at lay Gayint District, Northwest EthiopiaAraya Mesfin Nigatu0Kassahun Alemu Gelaye1Degefie Tibebe Degefie2Abraham Yeneneh Birhanu3Department of Health Informatics, Institute of Public Health, University of GondarDepartment of Epidemiology and Biostatistics, Institute of Public Health, University of GondarClimate and Geospatial Research Directorate, Ethiopian Institute of Agricultural ResearchDepartment of Health Informatics, Institute of Public Health, University of GondarAbstract Background Home delivery is the most frequent childbirth practice in Ethiopia and brings health risks for many mothers and their babies which in turn affecting the whole families. Characterizing the spatial variations and the associated factors of home deliveries after antenatal care visit is necessary to prioritize risks and facilitate geographically based interventions. Method A community-based cross-sectional study design was carried out between February and March 2016. A total of 528 women who had just given birth were interviewed face-to-face using a questionnaire. Geo-referenced data were collected using a handheld global positioning system (GPS). The Bernoulli model was applied using the SatScan ™ software to analyze the purely spatial clusters of home deliveries. ArcGIS version 10.1 was used to visualize clusters of home delivery. Results The overall proportion of home deliveries was 278(52.7%), and home deliveries had spatial variations. A primary cluster [LLR = 14.54, p < 0.001] was detected in village of Safida Giorgis. Secondary clusters were detected in Checheho [LLR = 9.17, p < 0.05] and ZurAmba [LLR = 8.51, p < 0.05]. Predictors for home delivery included the distance between the health extension worker’s and mother’s house [AOR = 2.2, 95% CI: 1.1, 4.3], residence [AOR = 3.8, 95% CI: 1.3, 10.9], source of information for ANC [AOR = 0.3, 95% CI: 0.13, 0.7], ANC visits [AOR = 6.1, 95% CI:1.9, 19.3], health education [AOR = 3.4, 95% CI: 1.5, 7.4], decision on place of delivery [AOR = 0.3, 95% CI: 0.1, 0.8], and knowledge on place of delivery [AOR = 0.04, 95% CI: 0.0, 0.1]. Conclusion The proportion of home delivery after ANC visit was decreasing compared to other studies conducted in the region. In addition, spatial variations of home delivery were observed in the study area. Promoting women’s education and behavioral change communication at the grass root level, provision of the services both at home and health facilities and improving the quality and capacity of the health providers are some of the recommendations forwarded.http://link.springer.com/article/10.1186/s12889-019-7050-4ANCClusterSpatial variationHome deliveryNorthwest Ethiopia |
| spellingShingle | Araya Mesfin Nigatu Kassahun Alemu Gelaye Degefie Tibebe Degefie Abraham Yeneneh Birhanu Spatial variations of women’s home delivery after antenatal care visits at lay Gayint District, Northwest Ethiopia BMC Public Health ANC Cluster Spatial variation Home delivery Northwest Ethiopia |
| title | Spatial variations of women’s home delivery after antenatal care visits at lay Gayint District, Northwest Ethiopia |
| title_full | Spatial variations of women’s home delivery after antenatal care visits at lay Gayint District, Northwest Ethiopia |
| title_fullStr | Spatial variations of women’s home delivery after antenatal care visits at lay Gayint District, Northwest Ethiopia |
| title_full_unstemmed | Spatial variations of women’s home delivery after antenatal care visits at lay Gayint District, Northwest Ethiopia |
| title_short | Spatial variations of women’s home delivery after antenatal care visits at lay Gayint District, Northwest Ethiopia |
| title_sort | spatial variations of women s home delivery after antenatal care visits at lay gayint district northwest ethiopia |
| topic | ANC Cluster Spatial variation Home delivery Northwest Ethiopia |
| url | http://link.springer.com/article/10.1186/s12889-019-7050-4 |
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