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Birth Preparedness, Complication Readiness, and Determinants Among Women Attending Antenatal Care from Ethiopia: A Cross-sectional Facility-Based Survey

Received: 19 April 2021    Accepted: 27 May 2021    Published: 4 June 2021
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Abstract

A large number of mothers die from pregnancy complications and childbirth worldwide and Sub-Saharan Africa including Ethiopia accounts for the third. Although several studies were done on birth preparedness and complication readiness in different parts, there is limited information in the current study setting. Hence, the aim of the current study was to assess birth preparedness and complication readiness practices and determinants among pregnant women attending antenatal care in Sibu Sire District, East Wollega Zone, Ethiopia. Accordingly, a facility-based cross-sectional study was conducted on 398 women attending ANC. Data were collected through an interviewer applied structured questionnaire. Data were entered into EPI-INFO version 7 and exported to SPSS version 21 for analysis. After the descriptive statistics, bivariate and multiple variable regression were carried out using the odds ratio and its 95% confidence interval at p<0.05. The response rate was 100% and the magnitude of BPCR among pregnant women in the study setting was 30.2%. Educated elementary, achieved secondary and above, history of live-birth, history of stillbirth, ANC four & above visits, knowledge of danger signs of pregnancy, awareness of BPCR, and knowledge of birth preparedness were significantly associated with BPCR with (AOR=2.59; 95% CI: 1.30-5.18), (AOR=5.88; 95% C/I: 2.57- 13.46), (AOR=4.31; 95% C/I: 2.45-7.60), (AOR=2.00; 95% C/I: 1.01- 3.86), (AOR=2.11; 95% C/I: 1.25-3.55), (AOR=2.21; 95% C/I: 1.17-4.18), (AOR=2.55; 95% CI: 1.48-4.40), (AOR=2.1; 95% C/I: 2.1 (1.24-3.53)) respectively. In conclusion, the magnitude of BPCR practice was low in the area. The key determinants in the study setting were educational status, history of live-birth, history of stillbirth, having ANC ≥ 4 visits, knowledge of danger signs of pregnancy, awareness of BPCR, and knowledge of BPCR. Therefore, improving the means of creating awareness, ANC attendance, and education coverage are recommended based on the finding. Furthermore, to explore the underlined reason a wide scope follow-up study and mixed methods studies is recommended.

Published in European Journal of Clinical and Biomedical Sciences (Volume 7, Issue 3)
DOI 10.11648/j.ejcbs.20210703.11
Page(s) 37-43
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

ANC, Birth Preparedness, Complication Readiness, Knowledge, Sire

References
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[6] Begashaw B, Tesfaye Y, Zelalem E, Ubong U, Kumalo A. (2017). Assessment of Birth Preparedness and Complication Readiness among Pregnant Mothers Attending Ante Natal Care Service in Mizan-Tepi University Teaching Hospital, South West Ethiopia. Clin Mother Child Heal; 14 (1): 1–7.
[7] Debelew GT, Afework F, Yalew AW. (2014). Factors affecting birth preparedness and complication readiness in Jimma Zone, Southwest Ethiopia: A multilevel analysis. Pan Afr Med J; 19: 1–14.
[8] UNFPA (2017). The maternal health themetic fund: Towards Equality in Access, Quality of Care and Accountability. Available from: https://www.unfpa.org/sites/default/files/pub-pdf/51375_MHTF_AnnualReport_web.pdf.
[9] Acharya AS, Kaur R, Prasuna JG, Rasheed N. (2015). Making Pregnancy Safer - Birth Preparedness and Complication Readiness Study among Antenatal Women Attendees of A Primary Health Center, Delhi. Indian J Community Med; 40 (2): 127–34.
[10] Bintabara D, Mohamed MA, Mghamba J, Wasswa P, Mpembeni RNM. (2015). Birth preparedness and complication readiness among recently delivered women in chamwino district, central Tanzania: A cross sectional study “Obstetrics.” Reprod Health; 12 (1): 1–8.
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[15] Akshaya KM, & Shivalli S. (2017). Birth preparedness and complication readiness among the women beneficiaries of selected rural primary health centers of Dakshina Kannada district, Karnataka, India. PLoS One; 12 (8): 1–15.
[16] Kaso M, & Addisse M. (2014). Birth preparedness and complication readiness in Robe Woreda, Arsi Zone, Oromia Region, Central Ethiopia: A cross-sectional study. Reprod Health; 11 (1): 1–12.
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[18] Girmay A (2016). Assessment of Magnitude and Factors Associated with Birth Preparedness and Complication Readiness Among Pregnant Women Attending Antenatal Clinic of Adama Town Health Facilities, Central Ethiopia. Eur J Prev Med; 4 (2): 32.
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    Alemayehu Dereje Jaleta, Legesse Tadesse, Hiwot Zelalem, Dassalegn Daraje Jalata. (2021). Birth Preparedness, Complication Readiness, and Determinants Among Women Attending Antenatal Care from Ethiopia: A Cross-sectional Facility-Based Survey. European Journal of Clinical and Biomedical Sciences, 7(3), 37-43. https://doi.org/10.11648/j.ejcbs.20210703.11

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    Alemayehu Dereje Jaleta; Legesse Tadesse; Hiwot Zelalem; Dassalegn Daraje Jalata. Birth Preparedness, Complication Readiness, and Determinants Among Women Attending Antenatal Care from Ethiopia: A Cross-sectional Facility-Based Survey. Eur. J. Clin. Biomed. Sci. 2021, 7(3), 37-43. doi: 10.11648/j.ejcbs.20210703.11

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    AMA Style

    Alemayehu Dereje Jaleta, Legesse Tadesse, Hiwot Zelalem, Dassalegn Daraje Jalata. Birth Preparedness, Complication Readiness, and Determinants Among Women Attending Antenatal Care from Ethiopia: A Cross-sectional Facility-Based Survey. Eur J Clin Biomed Sci. 2021;7(3):37-43. doi: 10.11648/j.ejcbs.20210703.11

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  • @article{10.11648/j.ejcbs.20210703.11,
      author = {Alemayehu Dereje Jaleta and Legesse Tadesse and Hiwot Zelalem and Dassalegn Daraje Jalata},
      title = {Birth Preparedness, Complication Readiness, and Determinants Among Women Attending Antenatal Care from Ethiopia: A Cross-sectional Facility-Based Survey},
      journal = {European Journal of Clinical and Biomedical Sciences},
      volume = {7},
      number = {3},
      pages = {37-43},
      doi = {10.11648/j.ejcbs.20210703.11},
      url = {https://doi.org/10.11648/j.ejcbs.20210703.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejcbs.20210703.11},
      abstract = {A large number of mothers die from pregnancy complications and childbirth worldwide and Sub-Saharan Africa including Ethiopia accounts for the third. Although several studies were done on birth preparedness and complication readiness in different parts, there is limited information in the current study setting. Hence, the aim of the current study was to assess birth preparedness and complication readiness practices and determinants among pregnant women attending antenatal care in Sibu Sire District, East Wollega Zone, Ethiopia. Accordingly, a facility-based cross-sectional study was conducted on 398 women attending ANC. Data were collected through an interviewer applied structured questionnaire. Data were entered into EPI-INFO version 7 and exported to SPSS version 21 for analysis. After the descriptive statistics, bivariate and multiple variable regression were carried out using the odds ratio and its 95% confidence interval at p<0.05. The response rate was 100% and the magnitude of BPCR among pregnant women in the study setting was 30.2%. Educated elementary, achieved secondary and above, history of live-birth, history of stillbirth, ANC four & above visits, knowledge of danger signs of pregnancy, awareness of BPCR, and knowledge of birth preparedness were significantly associated with BPCR with (AOR=2.59; 95% CI: 1.30-5.18), (AOR=5.88; 95% C/I: 2.57- 13.46), (AOR=4.31; 95% C/I: 2.45-7.60), (AOR=2.00; 95% C/I: 1.01- 3.86), (AOR=2.11; 95% C/I: 1.25-3.55), (AOR=2.21; 95% C/I: 1.17-4.18), (AOR=2.55; 95% CI: 1.48-4.40), (AOR=2.1; 95% C/I: 2.1 (1.24-3.53)) respectively. In conclusion, the magnitude of BPCR practice was low in the area. The key determinants in the study setting were educational status, history of live-birth, history of stillbirth, having ANC ≥ 4 visits, knowledge of danger signs of pregnancy, awareness of BPCR, and knowledge of BPCR. Therefore, improving the means of creating awareness, ANC attendance, and education coverage are recommended based on the finding. Furthermore, to explore the underlined reason a wide scope follow-up study and mixed methods studies is recommended.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Birth Preparedness, Complication Readiness, and Determinants Among Women Attending Antenatal Care from Ethiopia: A Cross-sectional Facility-Based Survey
    AU  - Alemayehu Dereje Jaleta
    AU  - Legesse Tadesse
    AU  - Hiwot Zelalem
    AU  - Dassalegn Daraje Jalata
    Y1  - 2021/06/04
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ejcbs.20210703.11
    DO  - 10.11648/j.ejcbs.20210703.11
    T2  - European Journal of Clinical and Biomedical Sciences
    JF  - European Journal of Clinical and Biomedical Sciences
    JO  - European Journal of Clinical and Biomedical Sciences
    SP  - 37
    EP  - 43
    PB  - Science Publishing Group
    SN  - 2575-5005
    UR  - https://doi.org/10.11648/j.ejcbs.20210703.11
    AB  - A large number of mothers die from pregnancy complications and childbirth worldwide and Sub-Saharan Africa including Ethiopia accounts for the third. Although several studies were done on birth preparedness and complication readiness in different parts, there is limited information in the current study setting. Hence, the aim of the current study was to assess birth preparedness and complication readiness practices and determinants among pregnant women attending antenatal care in Sibu Sire District, East Wollega Zone, Ethiopia. Accordingly, a facility-based cross-sectional study was conducted on 398 women attending ANC. Data were collected through an interviewer applied structured questionnaire. Data were entered into EPI-INFO version 7 and exported to SPSS version 21 for analysis. After the descriptive statistics, bivariate and multiple variable regression were carried out using the odds ratio and its 95% confidence interval at p<0.05. The response rate was 100% and the magnitude of BPCR among pregnant women in the study setting was 30.2%. Educated elementary, achieved secondary and above, history of live-birth, history of stillbirth, ANC four & above visits, knowledge of danger signs of pregnancy, awareness of BPCR, and knowledge of birth preparedness were significantly associated with BPCR with (AOR=2.59; 95% CI: 1.30-5.18), (AOR=5.88; 95% C/I: 2.57- 13.46), (AOR=4.31; 95% C/I: 2.45-7.60), (AOR=2.00; 95% C/I: 1.01- 3.86), (AOR=2.11; 95% C/I: 1.25-3.55), (AOR=2.21; 95% C/I: 1.17-4.18), (AOR=2.55; 95% CI: 1.48-4.40), (AOR=2.1; 95% C/I: 2.1 (1.24-3.53)) respectively. In conclusion, the magnitude of BPCR practice was low in the area. The key determinants in the study setting were educational status, history of live-birth, history of stillbirth, having ANC ≥ 4 visits, knowledge of danger signs of pregnancy, awareness of BPCR, and knowledge of BPCR. Therefore, improving the means of creating awareness, ANC attendance, and education coverage are recommended based on the finding. Furthermore, to explore the underlined reason a wide scope follow-up study and mixed methods studies is recommended.
    VL  - 7
    IS  - 3
    ER  - 

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Author Information
  • Department of Nursing, Sibu Sire Health Center, Sire, Ethiopia

  • Department of Public Health, Arsi University, Assela, Ethiopia

  • Department of Public Health, Arsi University, Assela, Ethiopia

  • Department of Food Science and Nutrition Research, Ethiopian Institute of Agricultural Research, Addis Ababa, Ethiopia

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