Browsing by Author "H/Senbeth, Elzabeth Seyoum"

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    Why women deliver at home after attending three or more antenatal care visits in Sebeta woreda, Oromia, Ethiopia.
    (Addis Abeba University, 2020-12) H/Senbeth, Elzabeth Seyoum; Assegid, Meselech(MPH, PhD candidate); Liyew, Ewnetu Firdawek(PhD)
    Background: Even though government of Ethiopia strives to increase quality of health care, maternal death remains a big challenge. Antenatal care (ANC) visit and health facility delivery care are the key interventions to reduce maternal and child death. In Ethiopia, 74% of women received antenatal care from a skilled provider at least once for their last pregnancy, fifty percent of them (50%) were delivered by a skilled provider and 48% gave birth in health facility. So this data shows that there are still a number of women who deliver at home. Objective: This study aimed at to explore the reason of home delivery among women attending three or more Antenatal care visits in Sebeta Hawas. Method: Community based qualitative descriptive study was conducted. Ten In-depth interviews were conducted with women who had home delivery after attending three and more ANC visits one year preceding the study. Ten in-depth interviews were also conducted with Spouse, Traditional birth attendants, Women development army leaders (WDA), Medical director and health extension workers. The participants were purposively selected from Sebeta rural kebeles .A semi structured interview guide was used to collect data. The in-depth interviews were tape-recorded, transcribed and then the transcripts were analyzed by using inductive thematic analysis method. The open code soft ware version 4.02 was used for coding and categorization. Result: Knowledge and perception related barriers(lack of knowledge, low risk perception and perception of bad care),culture and norm related barrier(refuse to comply on decision making, gender role and pressure, traditional belief and practice and socio-economic inaccessibility) and health service and health care provider relate barrier were contributed for home delivery. Conclusion and Recommendation: Despite efforts have been taken to reduce home delivery, various factors deters women from facility delivery after attending subsequent ANC visits. It needs to design strategies to improve utilization of facility delivery that focuses on improvement of quality of care, and women empowerment.