Person-Centered Maternity Care During Childbirth and Associated Factors at Public Hospitals in Addis Ababa, Ethiopia, 2021
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Date
2021-05
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Addis Ababa University
Abstract
Background: Person-centered maternity care is respectful and responsive care to individual women’s preferences, needs, and values and ensuring that their values guide all clinical decisions during childbirth. It is recognized as a key dimension of the quality of maternity care that increases client satisfaction and institutional delivery. However little research has been conducted about person-centered maternity care in Ethiopia.
Objective: The study aimed to assess the status of person-centered maternity care and associated factors among mothers who gave birth at public hospitals in Addis Ababa city,Addis Ababa, Ethiopia, 2021.
Method: A facility-based cross-sectional study was conducted at public hospitals in Addis Ababa city. A semi-structured questionnaire was used to collect data from post-natal mothers selected by systematic random sampling. The data was coded and entered Epidata version 4.6 and analyzed using SPSS version 25. Bivariate and multivariate linear regression analysis was used to identify factors associated with person-centered maternity
care. The strength of association between independent and dependent variables was reported by using unstandardized β at 95% CI and p-value < 0.05 were considered as statistically significant.
Results: In this study 384 mothers were participated with a response rate of 99.2%. The overall prevalence of person-centered maternity care was 65.8%. Respondents who had no ANC follow-up (β= -5.39, 95% CI: -10.52, -0.26), <4 ANC follow up (β= -3.99, 95% CI: -6.63, -1.36), nighttime delivery (β= -3.95, 95% CI: -5.91, -1.98) and complications during delivery (β= -3.18, 95% CI: -6.01, -0.35) were factors significantly associated with person-centered maternity care.
Conclusion and Recommendations: The finding of this study showed that the proportion of person-centered maternity care among mothers who gave birth in public hospitals of Addis Ababa was high. ANC follow-up, frequency of ANC, time of delivery, and complications during delivery were factors significantly associated with person-centered maternity care. Health care providers should provide person-centered care for all mothers.
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Keywords
Person-centered maternity care, Childbirth, Addis Ababa, Ethiopia