Estimates and determinants of health facility delivery in the Birhan cohort in Ethiopia

被引:0
|
作者
Hunegnaw, Bezawit M. [1 ]
Goddard, Frederick G. B. [2 ]
Bekele, Delayehu [3 ]
Haneuse, Sebastien [4 ]
Pons-Duran, Clara [2 ]
Zeleke, Mesfin [5 ]
Mohammed, Yahya [5 ]
Bekele, Chalachew [5 ]
Chan, Grace J. [2 ,6 ]
机构
[1] St Pauls Hosp Millennium Med Coll, Dept Pediat & Child Hlth, Addis Ababa, Ethiopia
[2] Harvard TH Chan Sch Publ Hlth, Dept Epidemiol, Boston, MA 02115 USA
[3] St Pauls Hosp Millennium Med Coll, Dept Obstet & Gynecol, Addis Ababa, Ethiopia
[4] Harvard TH Chan Sch Publ Hlth, Dept Biostat, Boston, MA USA
[5] St Pauls Hosp Millennium Med Coll, Birhan HDSS, Addis Ababa, Ethiopia
[6] Harvard Med Sch Boston, Boston Childrens Hosp, Dept Pediat, Boston, MA 02115 USA
来源
PLOS ONE | 2024年 / 19卷 / 07期
基金
比尔及梅琳达.盖茨基金会;
关键词
MATERNAL MORTALITY; SERVICE UTILIZATION; BIRTH; WOMEN; CARE;
D O I
10.1371/journal.pone.0306581
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Health facility delivery is one of the critical indicators to monitor progress towards the provision of skilled delivery care and reduction in perinatal mortality. In Ethiopia, utilization of health facilities for skilled delivery care has been increasing but varies greatly by region and among specific socio-demography groups. We aimed to measure the prevalence and determinants of health facility delivery in the Amhara region in Ethiopia. From December 2018 to November 2020, we conducted a longitudinal study from a cohort of 2801 pregnant women and described the location of delivery and the association with determinants. We interviewed a subset of women who delivered in the community and analyzed responses using the three delays model to understand reasons for not using health facility services. A multivariable poisson regression model with robust error variance was used to estimate the presence and magnitude of association between location of delivery and the determinants. Of the 2,482 pregnant women followed through to birth, 73.6% (n = 1,826) gave birth in health facilities, 24.3% (n = 604) gave birth at home and 2.1% (n = 52) delivered on the way to a health facility. Determinants associated with increased likelihood of delivery at a health facility included formal maternal education, shorter travel times to health facilities, primiparity, higher wealth index and having attended at least one ANC visit. Most common reasons mothers gave for not delivering in a health facility were delays in individual/family decision to seek care. The proportion of deliveries occurring in health facilities is increasing but falls below targets. Interventions that focus on the identified social-demographic determinants and delays are warranted.
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页数:16
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