Maternity waiting homes as component of birth preparedness and complication readiness for rural women in hard-to-reach areas in Ethiopia

Abstract Background In rural areas of Ethiopia, 57% of births occur at home without the assistance of skilled birth attendants, geographical inaccessibility being one of the main factors that hinder skilled birth attendance. Establishment of maternity waiting homes (MWH) is part of a strategy to improve access to skilled care by bringing pregnant women physically close to health facilities. This study assessed barriers to MWHs in Arba Minch Zuria District, Southern Ethiopia. Methods A community-based cross-sectional study was undertaken from February 01 to 28, 2019. Study participants were selected by computer-generated random numbers from a list of women who gave birth from 2017 to 2018 in Arba Minch Health and Demographic Surveillance System site. Data were collected using a pre-tested and interviewer-administered questionnaire. Stata software version-15 was used for data management and analysis, and variables with p-values ≤ 0.2 in bivariate analysis were considered for multivariable logistic regression analysis. Level of statistical significance was declared at a p-value < 0.05. Qualitative data were analyzed manually based on thematic areas. Results MWH utilization was found to be 8.4%. Wealth index (lowest wealth quintile aOR 7.3; 95% CI 1.2, 42), decisions made jointly with male partners (husbands) for obstetric emergencies (aOR 3.6; 95% CI 1.0, 12), birth preparedness plan practice (aOR 6.5; 95% CI 2.3, 18.2), complications in previous childbirth (aOR 3; 95% 1.0, 9), history of previous institutional childbirth (aOR 12; 95% CI 3.8, 40), residence in areas within two hours walking distance to the nearest health facility (aOR 3.3; 95% CI: 1.4, 7.7), and ease of access to transport in obstetric emergencies (aOR 8.8; 95% CI: 3.9, 19) were factors that showed significant associations with MWH utilization. Conclusions A low proportion of women has ever used MWHs in the study area. To increase MWH utilization, promoting birth preparedness practices, incorporating MWH as part of a personalized birth plan, improving access to health institutions for women living far away and upgrading existing MWHs are highly recommended.

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Maternity waiting homes as component of birth preparedness and complication readiness for rural women in hard-to-reach areas in Ethiopia

10.21203/rs.3.rs-58903/v1 ◽

2020 ◽

Author(s):

Mekdes Kondale Gurara ◽

Jean-Pierre Van Geertruyden ◽

Befikadu Tariku Gutema ◽

Veerle Draulans ◽

Yves Jacquemyn

Keyword(s):

Rural Women ◽

Statistical Significance ◽

Walking Distance ◽

Southern Ethiopia ◽

Bivariate Analysis ◽

Birth Preparedness ◽

Complication Readiness ◽

Birth Attendance ◽

Maternity Waiting Homes ◽

Obstetric Emergencies

Abstract Background: In rural areas of Ethiopia, 57% of births occur at home without the assistance of skilled birth attendants, geographical inaccessibility being one of the main factors that hinder skilled birth attendance. Establishment of maternity waiting homes (MWH) is part of a strategy to improve access to skilled care by bringing pregnant women physically close to health facilities. This study assessed barriers to MWHs in Arba Minch Zuria District, Southern Ethiopia. Methods: A community-based cross-sectional study was undertaken from February 01 to 30, 2019. Study participants were selected by computer-generated random numbers from a list of women who gave birth from 2017 to 2018 in Arba Minch Health and Demographic Surveillance System site. Data were collected using a pre-tested and interviewer-administered questionnaire. STATA statistical software version-15 was used for data analysis, and variables with p-values ≤0.25 in bivariate analysis were considered for multivariable logistic regression analysis. Level of statistical significance was declared at a -value <0.05. Qualitative data were analyzed manually based on thematic areas.Results: MWH utilization was found to be 8.4%. Wealth index (lowest wealth quintile aOR 7.3; 95% CI 1.2, 42), decisions made jointly with male partners (husbands) for obstetric emergencies (aOR 3.6; 95% CI 1.0, 12), birth preparedness plan practice (aOR 6.5; 95% CI 2.3, 18.2), complications in previous childbirth (aOR 3; 95% 1.0, 9), history of previous institutional childbirth (aOR 12; 95% CI 3.8, 40), residence in areas within two hours walking distance to the nearest health facility (aOR 3.3; 95% CI: 1.4, 7.7), and ease of access to transport in obstetric emergencies (aOR 8.8; 95% CI: 3.9, 19) were factors that showed significant associations with MWH utilization.Conclusions: A low proportion of women has ever used MWHs in the study area. To increase MWH utilization, promoting birth preparedness practices, incorporating MWH as part of a personalized birth plan, improving access to health institutions for women living far away and upgrading existing MWHs are highly recommended.

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Maternity waiting homes as component of birth preparedness and complication readiness for rural women in hard-to-reach areas in Ethiopia

10.21203/rs.3.rs-79351/v1 ◽

2020 ◽

Author(s):

Mekdes Kondale Gurara ◽

Jean-Pierre Van Geertruyden ◽

Befikadu Tariku Gutema ◽

Veerle Draulans ◽

Yves Jacquemyn

Keyword(s):

Rural Women ◽

Statistical Significance ◽

Walking Distance ◽

Southern Ethiopia ◽

Bivariate Analysis ◽

Birth Preparedness ◽

Complication Readiness ◽

Birth Attendance ◽

Maternity Waiting Homes ◽

Obstetric Emergencies

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Husbands’ participation in birth preparedness and complication readiness plan in Kucha district, Gamo Zone, Southern Ethiopia

PLoS ONE ◽

10.1371/journal.pone.0261936 ◽

2021 ◽

Vol 16 (12) ◽

pp. e0261936

Author(s):

Teklemariam Gultie ◽

Zinash Tanto ◽

Wubshet Estifanos ◽

Negussie Boti ◽

Barbora de Courten

Keyword(s):

Antenatal Care ◽

Educational Level ◽

Statistical Significance ◽

Care Facility ◽

Southern Ethiopia ◽

P Value ◽

Birth Preparedness ◽

Long Distance ◽

Complication Readiness ◽

Husband Involvement

Background Birth-preparedness and complication-readiness (BPCR) is the process of planning for normal birth and anticipating the actions needed in case of an emergency. The involvement of husband during pregnancy helps a mother to make timely decisions to avoid delays. Identifying the level of husband involvement in Birth-preparedness and complication-readiness is very important, as husband is the major decision maker in household and health service related issue. However, there is no sufficient data in the Kucha district, which describes the level of husband involvement in Birth-preparedness and complication-readiness. Therefore, this study assessed the level of husband involvement in birth preparedness and complication readiness in Kucha District, Gamo Zone, Ethiopia. Methods Community-based cross-sectional study was conducted on 421 husbands whose wife gave birth within the last 12 months at Kucha District using simple random sampling technique. Data was collected using a pretested interviewer-administered questionnaire by trained data collectors. Binary and multivariable logistic regression with odds ratios along with the 95% confidence interval analysis were employed to find factors associated with the level of husband involvement. A p-value <0.05 with 95% confidence level used to decide statistical significance. Results Data were collected from 421 study participants. One hundred twenty-seven (30.2%) were involved in birth preparedness and complication readiness plan. Participants who had at least secondary school education AOR = 3.1, CI (1.84–5.23), had at least four antenatal care visits AOR = 4.91, CI (2.36–10.2), and live more than five km from the health care facility AOR = 2.35, CI = 1.40–3.96) were involved in birth preparedness and complication readiness plan. Conclusion Husbands’ involvement in birth preparedness and complication readiness was low. Husband’s higher educational level, high frequency of antenatal care, and long distance to the health facility were significantly associated with husbands’ involvement in Birth-preparedness and complication-readiness plan. Therefore, advocating for higher frequency of antenatal care and improving educational level are important to increase husbands’ involvement in birth preparedness and complication readiness plan.

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Birth preparedness, complication readiness and male partner involvement for obstetric emergencies in rural Rwanda

Pan African Medical Journal ◽

10.11604/pamj.2016.25.91.9710 ◽

2016 ◽

Vol 25 ◽

Cited By ~ 5

Author(s):

Richard Kalisa ◽

Oliver Ombeva Malande

Keyword(s):

Male Partner ◽

Birth Preparedness ◽

Complication Readiness ◽

Male Partner Involvement ◽

Obstetric Emergencies ◽

Partner Involvement

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Birth preparedness and complication readiness practice and influencing factors among women in Sodo town, Wolaita zone, Southern Ethiopia, 2018; community based cross-sectional study

Reproductive Health ◽

10.1186/s12978-019-0703-z ◽

2019 ◽

Vol 16 (1) ◽

Cited By ~ 4

Author(s):

Gedion Asnake Azeze ◽

Taklu Marama Mokonnon ◽

Melkamu Worku Kercho

Keyword(s):

Influencing Factors ◽

Cross Sectional Study ◽

Southern Ethiopia ◽

Birth Preparedness ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Complication Readiness

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Status of Home Delivery and Its Associated Factors among Women Who Gave Birth within the Last 12 Months in East Badawacho District, Hadiya Zone, Southern Ethiopia

BioMed Research International ◽

10.1155/2020/4916421 ◽

2020 ◽

Vol 2020 ◽

pp. 1-8

Author(s):

Deneke Delibo ◽

Melake Damena ◽

Tesfaye Gobena ◽

Bahailu Balcha

Keyword(s):

Maternal Education ◽

Skilled Birth Attendance ◽

Home Delivery ◽

Southern Ethiopia ◽

Systematic Sampling ◽

Birth Preparedness ◽

Cross Sectional ◽

Place Of Delivery ◽

Birth Plan ◽

Birth Attendance

Background. Home delivery is responsible to maternal mortality due to obstetric complication like hemorrhage, hypertensive disorders, and sepsis. The prevalence of home delivery is remained very high both nationally (73%) and regionally (SNNPR) with 74.5%. Efforts were made to increase institutional delivery through skilled birth attendance. But women still prefer home as a place of delivery. This study was done to determine whether home preference has association with home delivery or not and the reason why they prefer home delivery Method. A community-based cross-sectional study was conducted in East Badawacho District from January 26 to February 25/2018. A total of 552 participants were selected by systematic sampling. Data were collected using both quantitative and qualitative methods. Bivariate and multivariable analyses were carried out to identify factors associated with home delivery. Qualitative data was analyzed thematically, and results were triangulated with the data. Associations were determined by using OR at 95% CI and p value at 0.05. Result. Home delivery is found to be 73.6% (95% CI, 69.9%-77.2%). Lack of written birth plan for birth preparedness and readiness (AOR=14.965, 95% CI: 4.488-49.899), incomplete number of ANC visits (1-3)(AOR=4.455, 95% CI: 1.942-10.221), and home preference as a place of delivery (AOR=4.039, 95% CI: 1.545-10.558) were independent predictors of home delivery. Conclusion. Home delivery was high in the district. The independent factors significantly associated with home were lack of written birth plan for preparedness and readiness, incomplete number of ANC visits (1-3), and home preference as place of delivery. Actions targeting maternal education, encouraging number of ANC visits, and avoiding barriers for ID utilization were the crucial areas to tackle the problem.

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Utilization of skilled birth attendant at birth and associated factors among women who gave birth in the last 24 months preceding the survey in Gura Dhamole Woreda, Bale zone, southeast Ethiopia

BMC Public Health ◽

10.1186/s12889-019-7818-6 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 5

Author(s):

Gizachew Sime Ayele ◽

Abulie Takele Melku ◽

Semere Sileshi Belda

Keyword(s):

Associated Factors ◽

Skilled Birth Attendant ◽

Sub Saharan Africa ◽

Care Utilization ◽

Birth Preparedness ◽

Complication Readiness ◽

Danger Signs ◽

Birth Attendance ◽

Southeast Ethiopia ◽

Bale Zone

Abstract Background Maternal morbidity and mortality continued to be major issues in many countries. Globally a total of 10.7 million women have died between 1990 and 2015 due to maternal causes where sub-Saharan Africa alone accounts for 66% of maternal death. Since most maternal deaths are avoidable; skilled attendance during pregnancy, childbirth, and the postpartum is among the most critical interventions for improving maternal and neonatal survival. The study aimed to assess the magnitude and associated factors of utilization of skilled birth attendant at birth among women who gave birth in the last 24 months preceding the study in Gura Dhamole Woreda, Bale Zone Southeast Ethiopia, 2017. Methods Community based cross-sectional study was implemented from March 25 to April 24, 2017 in Gura Dhamole Woreda on total of 402 study subjects who were selected by Multi-stage sampling technique. The data were collected using pre-tested structured questionnaire and data was coded, entered, cleaned and analyzed using Statistical Package for Social Service (SPSS) Version 20. Odds ratio with 95% Confidence Interval (CI) was used to assess associations the dependent and independent variables. Logistic regression model was employed to identify independent predictors and variables were declared statistically significant at P value < 0.05. Result In this study only 29.2% of women were assisted by Skilled Birth Attendance (SBA) during their child birth. Place of residence, mother education, travel time, joint decision on the place of delivery, ANC visit frequency, birth preparedness and complication readiness status, knowledge on obstetric danger signs after delivery and knowledge of presence of maternity waiting homes were significantly associated with SBA utilization. Conclusion Skilled birth attendant utilization in the study area was low. Strategies that improve attendance of antenatal care utilization and attention to birth preparedness and complication readiness and counseling on danger signs are recommended.

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Birth Preparedness and Complication Readiness among Pregnant Women in Southern Ethiopia

PLoS ONE ◽

10.1371/journal.pone.0021432 ◽

2011 ◽

Vol 6 (6) ◽

pp. e21432 ◽

Cited By ~ 76

Author(s):

Mesay Hailu ◽

Abebe Gebremariam ◽

Fissehaye Alemseged ◽

Kebede Deribe

Keyword(s):

Pregnant Women ◽

Southern Ethiopia ◽

Birth Preparedness ◽

Complication Readiness

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Assessment of birth preparedness & complication readiness and associated factors among ANC attendant pregnant mothers in Arba Minch Town Governmental Institutions, Arba Minch, Southern Ethiopia

10.17352/ijsrhc.000003 ◽

2019 ◽

pp. 001-006

Author(s):

Dessu S ◽

Dawit Z ◽

Bojola F

Keyword(s):

Associated Factors ◽

Southern Ethiopia ◽

Birth Preparedness ◽

Complication Readiness ◽

Governmental Institutions ◽

Pregnant Mothers

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The BIRTH PREPAREDNESS AND COMPLICATION READINESS COUNSELING TO IMPROVE HUSBAND PREPAREDNESS

Jurnal Kebidanan ◽

10.47560/keb.v9i2.244 ◽

2020 ◽

Vol 9 (2) ◽

pp. 1-11

Author(s):

Hanna Yuanita Santoso

Keyword(s):

Univariate Analysis ◽

Community Health Center ◽

Sampling Technique ◽

Married Couples ◽

Obstetric Complications ◽

Bivariate Analysis ◽

Birth Preparedness ◽

Optimal Care ◽

Complication Readiness ◽

Significant Difference

Birth Preparedness and Complication Readiness (BP/CR) is a strategy to promote optimal care related to the management of obstetric complications. Ideally, maternal health is the joint responsibility of married couples. In the concept of Suami SIAGA, the husband is expected to be ready and aware of risks, to keep his wife from doing things that interfere with her pregnancy, and to accompany her to the nearest referral if signs of complications arise. The role of SIAGA is carried out with the aim of preventing the 3 delays that cause maternal death. This study aims to assess the effectiveness of counseling on birth preparedness and obstetric complication readiness to improve husband's preparedness in dealing with labor and obstetric complications. This was a prospective quasi experimental study with a one group pre-test-post test design. The samples were 32 husbands from pregnant women, taken using a proportional systematic random sampling technique. This sutdy was conducted in the Bandarharjo Community Health Center, Semarang City in April-July 2018. Data collection used a questionnaire given 2x (pretest and posttest) during pregnancy and a follow-up questionnaire during the puerperium. Univariate analysis yields frequency and percentage distribution. Bivariate analysis was performed using paired sample t-test. There was a significant difference in the mean score of knowledge and perceptions of husbands about the practice of BP/CR before and after the intervention (p=0.000). BP/CR counseling was effective in increasing husband's preparedness in dealing with childbirth and obstetric complications.

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