Antenatal Care and Health Facility Delivery Practice among Mothers in Konso Woreda, Southern Ethiopia

Urmale, Kusse (2016) Antenatal Care and Health Facility Delivery Practice among Mothers in Konso Woreda, Southern Ethiopia. Masters thesis, Addis Ababa University.

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Abstract

Background: Worldwide, developing countries accounted for the majority of maternal deaths. Even though antenatal care and institutional delivery were mentioned among the interventions directed toward improving maternal health, their utilization is unsatisfactory in most resource-poor settimgs. Objectice: The main objective of this study was to assess antenatal care and health facility delivery practice among mothers in Konso Woreda, Southern Ethiopia from March 21 to April 16, 2016 Methods: A community based cross-sectional study was done from March 21, 2016 to April 16, 2016 on sample of 865 mothers who gave birth in the last one year prior to the study in Konso Woreda by employing multi-stage stratified cluster sampling technique. The data were collectied using a pre-tested interviewer administered questionnaire. We analysed the data to identify the factors associataed with antenatal care and health facility delivery practice using logistic regression analysis. Results: The proportion of mothers who made at least one antenatal care visit for their most recent birth was 82.0% however, only 54% of them had received the recommended four or more visits. Although the proportion of at least one antenatal care visits was high, only 60% of the mothers gave birth at health institutions. After controlling for residence, husband education and household wealth quintile in the adjusted logistic regression model, maternal age, possession of communication Medias and walking distance (in hours) to the nearest health were found significantly associated with antenatal care practice. Similarly after controlling for residence and pregnancy intention, provision of delivery care by the nearest health facility and proximity of the health facility to the residence were found to significantly affect institutional delivery. Conclusions and recommendations: Despite high attendance of at least one antenatal care visit, low utilization of the recommended antenatal care visits and institutional delivery was observed. Socio-demographic, obstetric and health facility factors were associated with both antenatal care and health facility delivery practice. More effort should be taken to equip health facilities with the capacity to provide maternal health care services, delivery care in particular.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Antenatal care practice, Health facility delivery practice, Konso Woreda
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RT Nursing
Divisions: Africana
Depositing User: Emmanuel Ndorimana
Date Deposited: 12 Oct 2018 12:33
Last Modified: 12 Oct 2018 12:33
URI: http://thesisbank.jhia.ac.ke/id/eprint/6824

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