Assessment of the Effect of Focused Antenatal Care on Utilization of Skilled Delivery Attendant at Birth among Mothers in Gomma Woreda and Agaro Town.
No Thumbnail Available
Date
2013-06
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Ababa University
Abstract
Background: There should be a link between use of antenatal care and delivery assisted by a professional health care provider. Ethiopia is ranked among the nations with the highest maternal mortality ratios in the world. The effect of packaged health care services in Focused Antenatal Care that a mother receives during pregnancy, at the time of delivery and soon after delivery is important for the survival and well-being of both the mother and the new born.
Objectives: To assess the effect of Focused Antenatal Care on Skilled Delivery service Utilization at birth among women who have attended FANC in Health centers and deliver in the one year preceding the survey in Gomma Woreda and Agaro Town,Jimma Zone, Oromia National Regional state, south west Ethiopia.
Methods: a community based comparative cross sectional survey was conducted among mothers who have attended 1-3(none exposed) and ≥4(exposed) FANC at Health centers and delivered one year preceding to the study period in Gomma woreda and Agaro Town.
A total number of 369 mothers that attended FANC were selected with systematic random sampling technique from Health centers’ ANC registration book based on the number of FANC .Then selected mothers were traced and interviewed.
The association of FANC visits and other factors with outcomes(skilled delivery attendant utilization) was assessed using Chi-square (χ2)-statistics and multivariate logistic regression models and to control confounders. Place of delivery was divided into home delivery or facility delivery.
Results: The study results showed that the magnitude of skilled birth attendant service utilization at birth among FANC visitors was 53.1% in the study area. Utilization of SDA among ≥4 FANC attendants was 68.5% and 48.0% among 1-3 FANC visit attendants. Maternal education,religion, living in a distance of 30 minutes’ walk to nearest health facility with SDA, preference of husbands’ as place of delivery for their wives and birth preparedness and complication readiness plan implementation was significantly associated with utilization of SDA at birth among FANC attending mothers.
Conclusions: The magnitude of deliveries attended by skilled birth attendant was relatively high among ≥4 FANC attendant mothers but there was no statistical difference between 1-3 and ≥4 FANC attendants in utilization of skilled delivery attendant care at birth. So, enable pregnant mothers to attend their ANC followup with skilled providers.
Recommendations: To make FANC service effective in getting back mothers to utilize skilled delivery attendant during delivery, emphasize on individualized service provided to pregnant mothers attending FANC not on number of visits she should attend, implement all packages of FANC services, birth preparedness and complication readiness should have to get equal attention
as other packages, involve husbands/partners at least once during FANC visit, provide free-cost emergency transportation for distant mothers during labor, enable women to attend formal education at least up to secondary education, community mobilization and involving religion leaders in Skilled birth attendant service utilization promotion activities were recommended.
Description
Keywords
Antenatal care, Delivery,Birth,Mothers