Maternal health care service seeking behaviors and associated factors among women in rural Haramaya District, Eastern Ethiopia: a triangulated community-based cross-sectional study

Dereje Kifle, Telake Azale, Yalemzewod Assefa Gelaw, Yayehirad Alemu Melsew, Dereje Kifle, Telake Azale, Yalemzewod Assefa Gelaw, Yayehirad Alemu Melsew

Abstract

Background: Regular utilization of maternal health care services reduces maternal morbidity and mortality. This study assessed the maternal health care seeking behavior and associated factors of reproductive age women in rural villages of Haramaya district, East Ethiopia.

Methods: Community based cross sectional study supplemented with qualitative data was conducted in Haramaya district from November 15 to Decemeber 30, 2015. A total of 561 women in reproductive age group and who gave birth in the last 2 years were randomly included. Bivariate and multivariate logistic regressions model was used to identify the associated factors. Odds ratios with 95% CI were used to measure the strength of association.

Result: Maternal health care service seeking of women was found as; antenatal care 74.3% (95% CI; 72.5, 76.14), attending institutional delivery 28.7% (95% CI; 26.8, 30.6) and postnatal care 22.6% (95% CI; 20.84, 24.36). Knowledge of pregnancy complications, Educational status, and religion of women were found to be significantly associated with antenatal health care, delivery and postnatal health care service seeking behaviours triangulated with individual, institutional and socio-cultural qualitative data.

Conclusion: The maternal health care service seeking behavior of women in the study area was low. Educational status of the women, birth order and knowledge about pregnancy complications were the major factors associated with maternal health care service seeking behavior Focused health education with kind and supportive health care provider counseling will improve the maternal health care seeking behaviors of women.

Keywords: Antenatal care; Delivery; Health care seeking; Northeast Ethiopia; Postnatal care; Women.

Figures

Fig. 1
Fig. 1
Rural districts of Haramaya, 2015

References

    1. WHO. Maternal health 2016 [Available from: . 12 Oct 2015.
    1. Gyimaha SO, Takyi BK, Addai I. Challenges to the reproductive-health needs of African women: On religion and maternal health utilization in Ghana. Soc Sci Med. 2006;62:2930–2944. doi: 10.1016/j.socscimed.2005.11.034.
    1. WHO. Maternal mortality. Fact sheet; 2016. [Available from ]. Accessed November 2016.
    1. Say L, Chou D, Gemmill A, Tunçalp Ö, Moller AB, Daniels J, Gülmezoglu AM, Temmerman M, Alkema L. Global causes of maternal death: a WHO systematic analysis. Lancet Glob Health. 2014;2:323–333. doi: 10.1016/S2214-109X(14)70227-X.
    1. Ali AA, Khojali A, Okud A, Adam GK, Adam I. Maternal near-miss in a rural hospital in Sudan. BMC Pregnancy Childbirth. 2011;11:48. doi: 10.1186/1471-2393-11-48.
    1. Oladapo OT, Sule-Odu AO, Olatunji AO, Daniel OJ. “Near-miss” obstetric events and maternal deaths in Sagamu, Nigeria: a retrospective study. Reprod Health. 2005;2:9. doi: 10.1186/1742-4755-2-9.
    1. Babusha A, Demisew A, Abdisa G. Prevalence of Maternal Near Miss and Maternal Death in Atat Hospital, Ethiopia. J Womens Health Issues Care. 2014;3(6):93–104.
    1. Berhan Y, Berhan A. Antenatal Care as a means of increasing birth in the health facility and reducing maternal mortality: a systematic review. Ethiop J Health Sci. 2014;24:93–104.
    1. Koblinsky M, Tain F, Gaym A, Karim A, Carnell M, Solomon T. Responding to the maternal health care challenge: The Ethiopian Health Extension Program. Ethiop J Health Dev. 2010;24(Special Issue 1):105–9.
    1. Yared M, Asnakech M. Factors Influencing the Use of Maternal Healthcare Services in Ethiopia. J Health Popul Nutr. 2003;21(4):374–382.
    1. CSA. Ethiopia Mini Demographic and Health Survey 2014. Addis Ababa:Ethiopia and Calverton; 2014.
    1. Bahilu T, Abebe GM, Yohannes D. Factors Affecting Antenatal Care Utilization in Yem Special Woreda, Southwestern Ethiopia. Ethiop J Health Sci. 2009;19(1):45–51.
    1. Zeine A, Mirkuzie W, Shimeles O. Factors Influencing Antenatal Care Service Utilization in Hadiya Zone. Ethiop J Health Sci. 2010;2(2):75–82.
    1. Chakraborty N, Islam MA, Chowdhury RI, Bari W, Akhter HH. Determinants of the use of maternal health services in rural Bangladesh. Health Promot Int. 2003;18(4):327–337. doi: 10.1093/heapro/dag414.
    1. Ye Y, Yoshida Y, Harun-OR-Rashid M, Sakamoto J. Factors Affecting the Utilization of Antenatal Care Services among Women in Kham District, Xiengkhouang Province, Lao Pdr. Nagoya J Med Sci. 2010;72:23–33.
    1. Yakong VN, Rush KL, Bassett-Smith J, Bottorff JL, Robinson C. Women’s experiences of seeking reproductive health care in rural Ghana: challenges for maternal health service utilization. J Adv Nurs. 2010;66(11):2431–2441. doi: 10.1111/j.1365-2648.2010.05404.x.
    1. Yinager G, Desta A. Factors affecting utilization of postnatal care service in Jabitena district, Amhara region, Ethiopia. Sci J Public Health. 2014;2(3):169–176. doi: 10.11648/j.sjph.20140203.15.
    1. Fantu A, Yemane B, Belaineh G. Factors associated with home delivery in Bahirdar, Ethiopia: A case control study. BMC Res Notes. 2012;5:653. doi: 10.1186/1756-0500-5-653.
    1. Asfawosen A, Mussie A, Huruy A, Wondeweson T. Factors associated with maternal health care services in Enderta District, Tigray, Northern Ethiopia: A cross sectional study. Am J Nurs Sc. 2014;3(6):117–125. doi: 10.11648/j.ajns.20140306.15.
    1. Pallikadavath S, Foss M, Stones RW. Antenatal care: provision and inequalityin rural north India. Soc Sci Med. 2004;59:1147–1158. doi: 10.1016/j.socscimed.2003.11.045.
    1. FDREPCC. Summary and statistical Report of of the 2007 Population and Housing census. Addis Ababa; 2008
    1. Tesfaye R, Gebi A. Factors Affecting Prenatal Care Utilization in East Wollega Zone, Oromia Regional State, Ethiopia. Sci Technol Arts Res J. 2014;3(2):148–154. doi: 10.4314/star.v3i2.19.
    1. Regassa N. Antenatal and postnatal care service utilization in southern Ethiopia: a population-based study. Afr Health Sci. 2011;11(3):390–397.
    1. Agus Y, Horiuchi S. Factors influencing the use of antenatal care in rural West Sumatra, Indonesia. BMC Pregnancy Childbirth. 2012;12:9. doi: 10.1186/1471-2393-12-9.
    1. Pell C, Meñaca A, Were F, Afrah NA, Chatio S, Manda-Taylor L, et al. Factors Affecting Antenatal Care Attendance: Results from Qualitative Studies in Ghana, Kenya and Malawi. PLoS One. 2013;8(1):e53747. doi: 10.1371/journal.pone.0053747.
    1. Gurmesa T. Antenatal Care Service Utilization and Associated Factors in Metekel Zone, Northwest Ethiopia. Ethiop J Health Sci. 2009;19(2):111–9.
    1. Seifu H, Debebe S, Meselech A, Alemayehu M, Mesganaw F, Saifuddin A. Utilization of institutional delivery service at Wukro and Butajera districts in the Northern and South Central Ethiopia. BMC Pregnancy Childbirth. 2014;14:178. doi: 10.1186/1471-2393-14-178.
    1. Mulatu A, Samrawit S, Molla G, Habte B. Postnatal Care Service Utilization and Associated Factors Among Women in Dembecha District, Northwest Ethiopia. Sci J Public Health. 2015;3(5):686–692. doi: 10.11648/j.sjph.20150305.24.
    1. Odo D, Shifti D. Institutional delivery service utilization and associated factors among child bearing age women in goba woreda, Ethiopia. J Gynecol Obstet. 2014;2(4):63–70.
    1. Alemayeh H, Assefa H, Adama Y. Prevalence and Factors Associated with Post Natal Care Utilization in Abi-Adi Town, Tigray, Ethiopia: A Cross Sectional Study. 2014;08(01).
    1. Raghupathy S. Education and the Use of Maternal Health Care in Thailand. Soc Sci Med. 1996;43(4):459–471. doi: 10.1016/0277-9536(95)00411-4.
    1. Ononokpono DN, Odimegwu CO. Determinants of maternal health care utilization in Nigeria: a multilevel approach. Pan African Medical Journal. 2014;17(Supp 1):2.
    1. Kamal SMM. Preference for Institutional Delivery and Caesarean Sections in Bangladesh. J Health Popul Nutr. 2013;31(1):96–109. doi: 10.3329/jhpn.v31i1.14754.
    1. Dhaher E, Mikolajczyk RT, Maxwell AE, Krämer A. Factors associated with lack of postnatal care among Palestinian women: A cross-sectional study of three clinics in the West Bank. BMC pregnancy and childbirth. 2008;8(1):1.
    1. Njozi M, Tani K, Doctor HV, Hingora A, Phillips JF. Access to institutional delivery care and reasons for home delivery in three districts of Tanzania. International journal for equity in health. 2014;13(1):1.

Source: PubMed

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