Assessment of Knowledge about Birth Preparedness and Complication Readiness and Associated Factors among Primigravida Women in Addis Ababa Governmental Health Facilities

Kidanemariam, Ayelech (2015) Assessment of Knowledge about Birth Preparedness and Complication Readiness and Associated Factors among Primigravida Women in Addis Ababa Governmental Health Facilities. Masters thesis, Addis Ababa University.

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Abstract

Background: Globally, every minute, at least one woman dies from complications related to pregnancy or childbirth. The situation is more serious for women in Sub-Saharan Africa which also include Ethiopia. Birth preparedness is a strategy to promote the timely use of skilled maternal and neonatal care, especially during childbirth. Based on the theory, preparing for childbirth reduces delays in obtaining this care. In adequate preparation for rapid action in the event of obstetric complications, are well documented factors contributing to delay in receiving skilled obstetric care. Objective: The objective of this study was to identify the knowledge of birth preparedness and complication readiness and its associated factors among primigravida in Addis Ababa Governmental health Facilities. Methods: A quantitative facility based cross-sectional study design and client exit interview questionnaire were used to assess the knowledge & associated factors of birth preparedness and complication readiness among primigravida women. Four hundred forty two primigravida women those who came for Antenatal care service in health centres & hospitals were included. The data was entered using Epidata version3.1 and Statistical Package for Social Science window version20 soft ware used for data analysis and logistic regression model was used to assess the knowledge by predictor’s variables. Result: From 442 respondents the response rate was 422(95.5 %). Based on the operational definition of the study, the respondents were knowledgeable in pregnancy, labour, postnatal and new born neonate 113(26.8%), 47(11.1 %), 60(14.2%) and 46(10.9%) respectively. According to birth preparedness 64 (15.2%) of primigravida women were knowledgeable. In this study, factors associated with knowledge of birth preparedness and complication readiness were found to be married women with [AOR=0.110, 95%CI (0.026, 0.461); p<0.05], less likely knowledgeable than unmarried women, house hold monthly income of 1000-3000 with [AOR=3.362(1.203,9.393);p<0.05] more likely knowledgeable as compared to more than 3000 birr, knowledgeable for key danger signs of labour with [AOR=3.685, 95%CI (1.157, 11.737); p<0.05] and knowledgeable for key danger sign of post partum period with [AOR =5.117, 95%CI (1.388, 18.863); p<0.05]. Conclusion The knowledge of primigravida women for birth preparedness and its complication readiness is poor. Recommendation Those who are responsible to improve this service; pregnant mothers, family, health care providers, health facility, other partners, program level managers and policy makers take their responsibility and work together to improve the service & knowledge on birth preparedness and complication readiness.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Birth preparedness, Complication readiness, primigravida, Knowledge, Health Facilities
Subjects: Q Science > Q Science (General)
R Medicine > RT Nursing
Divisions: Africana
Depositing User: Vincent Mpoza
Date Deposited: 03 Jul 2018 07:59
Last Modified: 03 Jul 2018 07:59
URI: http://thesisbank.jhia.ac.ke/id/eprint/6488

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