Browsing by Author "Berihan, Niguss"

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    Determinants of Maternal Health Care Services Utilization: The Case of Gozamn Woreda, East Gojam One ofAmhara Region, Ethiopia
    (Addis Ababa University, 2010-06) Berihan, Niguss; Terefe, Hirut (PhD)
    .\lany of \I'alllen in dereloping cow11ries are al a great risk ill lerms of high ",alernal lIIorhi,iill ' and mOrlalif)' dlle 10 ji:lclors related to pregnallL)l and childbirth in these cOll/1Irie) . .. / en'S.' sectional swdy was condllcted ji-om February 15 10 March 15. 2010 ill Gozal11 in lI"ored" III Amhara Regional S{(ae 10 assess factors a[[ecting ulilizalion o(maternal heallh care wlTice ' .-/ IOwl o[ 587 women )rho had al lisl one live binhs in Ihe .five years preceding Ihe sUITe,' \I ' , re selecled syslematically. Dala Irere collected using a pre-Iested and structured quesliollll(lires " ,,,I FGD )rere used to collecl qual7lilGlive and qualiwlive data. respeclil'ely. The analysis rel'eu.-ed Ihal aboul 59.3% ot'the \I'omen had at leasl one prenalal visil during Iheir recelll I'regnw ,,'L Aboul fO rlyjive percenl of Ihose women allending anlenalal care had Iheirfirsl l'isil during Ih"ir /irstlrimesler o[ pregnancy. Among ANC users 6-1% of had less than[our anlenawl care ('()/lluds in the recem pregnancL 771e 1110S1 imporlanl reasons for nOI allending ANC care Irere he.'lIg heallhy and being 100 bU5)'. AJajorily of deli reries took place at home; aboul 71% o(deti\·erie.\ lOok place (/1 home. Presence or relGlives nearb.'. Ti-anspOrl{{{ion problem. and lack o(pri)',"T )rere Ihe main reasons ciled[or resorting 10 hallie delil·ery. The majority o!'the respondel1ls \I ,'I'e able 10 nallle Ihe danger sign of pregnancy relaled problems. In mullivariwe analysis Ihe ri., i: 01 non-allendallce of _~ NC and home delivery \I'as higher for Ihose \I 'omell whose residence " as /'IIral. low educaliol1al stalus, higher parily and being housewi[e 01 old age. In addition .-'.,(C service utili zation s igni ficantly affect utilization of de livery care provided in health inst itUl il1 ns (P-value less than 0.05). In cone/usion. Ihe sllld), revealed thw more wOlllen allend 11_\'C d"r.'ng pregnancy liwnlhose derived al heailh instituliollS. Demographic and socio-c"iluraljclelOrs \I eTc found 10 be barriers 10 ulilizOIion 0/ malernal health care services. Educating girls, pro\'i Jing health education on maternal health care services. and improving the sen ' ices of health cxten5:oll \\'Orkers in ru ral areas were recommended to improve utili zation of both sen·ices. Key words: .l1alernal heailh care. anlel1atal care. place of delil·ery. Amhara Region
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    Determinants of Maternal Health Care Services Utilization: The Case of Gozamn Woreda, East Gojjam One of Amhara Region, Ethiopia
    (Addis Ababa Univerisity, 2010-06) Berihan, Niguss; Terefe, Hirut(PhD)
    Many of women in developing countries are at a great risk in terms of high maternal morbidity and mortality due to factors related to pregnancy and childbirth in these countries. A cross sectional study was conducted from February 15 to March 15, 2010 in Gozamin Woreda in Amhara Regional State to assess factors affecting utilization of maternal health care services. A total of 587 women who had at list one live births in the five years preceding the survey were selected systematically. Data were collected using a pre-tested and structured questionnaires and FGD were used to collect quantitative and qualitative data, respectively. The analysis revealed that about 59.3% of the women had at least one prenatal visit during their recent pregnancy. About forty five percent of those women attending antenatal care had their first visit during their first trimester of pregnancy. Among ANC users 64% of had less than four antenatal care contacts in the recent pregnancy. The most important reasons for not attending ANC care were being healthy and being too busy. Majority of deliveries took place at home; about 71% of deliveries took place at home. Presence of relatives nearby, Transportation problem, and lack of privacy were the main reasons cited for resorting to home delivery. The majority of the respondents were able to name the danger sign of pregnancy related problems. In multivariate analysis the risk of non-attendance of ANC and home delivery was higher for those women whose residence was rural, low educational status, higher parity and being housewife at old age. In addition ANC service utilization significantly affect utilization of delivery care provided in health institutions (P-value less than 0.05). In conclusion, the study revealed that more women attend ANC during pregnancy than those derived at health institutions. Demographic and socio-cultural factors were found to be barriers to utilization of maternal health care services. Educating girls, providing health education on maternal health care services, and improving the services of health extension workers in rural areas were recommended to improve utilization of both services.
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    Determinants of Maternal Health Care Services Utilization: The Case of Gozamn Woreda, East Gojjam Zone of Amhara Region, Ethiopia
    (Addis Ababa University, 2010-06) Berihan, Niguss; Terefe, Hirut (PhD)
    .. 14am' o(\I'omen in del'eloping countries are 01 a greal risk in lerms o( high }}J{flernal 1110rbidily and lIIorlaliry dill' 10 facIal's relaled 10 pregnancy and childbirrh in Ihese cOllnlries, A cross seclional sludy \IDS condllcled ji-om Febmal), 15 10 .\;farch 15, 2010 in Go~amin Woreda in Amhara Regional Slale to assess faclors a{fecling IIlili~alion of malernal heallh care services, A 10101 o( 58- wOlilen ll'ho had 01 lisl one Ih'e birlhs in Ihefll'e years preceding Ihe surver lI'ere seleCled S)Slemalica//y. Dafa ll'ere collecled using a pre-Iesled and sll'llcfllred qlle,Hionnaires and FGD \I'ere used 10 coileci qllanlilCllh'e and qualifalh'c dafa, resjJeclively. The analysis rnealed Ihal abolll 59.3% o( Ihe II'Olilen had 01 leasl one prenalal l'isil dllring Iheir recel1l pregnancy, Abolltfor'y./ive percel1l of Ihose women (Illending al1lenalal care had Iheir/irsl visil during Iheir ./irsllrimesler of pregnancy. Among ANC IIsers 6-1% a/had less Ihan(our al1lenalal care COlllaCIS in Ihe recenl pregnancl', The 1110S1 imporlanl reasons for nOI a{{ending ANC care ll'ere being healihr and being 100 bllS)" .Ifajoril)' of deliveries look place al home: abolll 71% o{ de!ireries lOok place 01 hallie. Presence o(,relmh'es nearby, hUl1.sporiolion problem, and lack o(pri\'{/cy lFere Ihe main reasons Ciled./or resol'ling 10 hOl1le de!il·el)'. The l11ajorill' o(lhe respondel1ls \1 '1'1'1' able 10 nallle Ihe danger sign o(pregnancl' relClled problems. fnl11llliil'ariale analysis Ihe risk o( non-allendance o( A/":C and home delivel), was higher/or Ihose ll'omen whose residence \1'as rural. 10\1' educalional S/{IIus, higher parily and being housewi('e 01 old age. In addition .-\NC sen ice utilization significantly affect utili zation of delivery care provided in health institutions (P-value less than 0.05). In conclusion, Ihe sludy rerealed Ihal more \I 'Olllen all end ANC during preglwnc,I'lhan those derived al healil7 inslilulions. Demographic and socio-cullilral/aclors Il'ere /ollnd 10 be barriers 10 lIIili~alion of I11mernal heallh care services. Educating girls. pro\'iding health education on mate rnal health care services, and impro\'ing the sen 'ices of health extension workers in rural areas \\'ere recomme nded to improve utilization of both services. Key ,,'ords: Maernal heallh care, al7lenawl care, place oj'delivel)" Amhara Region