Assessment of Knowledge About Birth Preparedness and Complication Readiness and Associated Factors Among Primigravida Women in Addis Ababa Governmental Health Facilities
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Date
2015-06
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Addis Ababa University
Abstract
Background: Globally, every minute, at least one woman dies from complications related to
pregnancy or childbirth. The situation is more serious for women in Sub-Saharan Africa
which also include Ethiopia. Birth preparedness is a strategy to promote the timely use of
skilled maternal and neonatal care, especially during childbirth. Based on the theory,
preparing for childbirth reduces delays in obtaining this care. In adequate preparation for
rapid action in the event of obstetric complications, are well documented factors contributing
to delay in receiving skilled obstetric care.
Objective: The objective of this study was to identify the knowledge of birth preparedness
and complication readiness and its associated factors among primigravida in Addis Ababa
Governmental health Facilities.
Methods: A quantitative facility based cross-sectional study design and client exit interview
questionnaire were used to assess the knowledge & associated factors of birth preparedness
and complication readiness among primigravida women. Four hundred forty two primigravida
women those who came for Antenatal care service in health centres & hospitals were
included. The data was entered using Epidata version3.1 and Statistical Package for Social
Science window version20 soft ware used for data analysis and logistic regression model was
used to assess the knowledge by predictor’s variables.
Result: From 442 respondents the response rate was 422(95.5 %). Based on the operational
definition of the study, the respondents were knowledgeable in pregnancy, labour, postnatal
and new born neonate 113(26.8%), 47(11.1 %), 60(14.2%) and 46(10.9%) respectively.
According to birth preparedness 64 (15.2%) of primigravida women were knowledgeable. In
this study, factors associated with knowledge of
birth preparedness and complication
readiness were found to be married women with [AOR=0.110, 95%CI (0.026, 0.461)
p<0.05], less likely knowledgeable than unmarried women, house hold monthly income of
1000-3000 with [AOR=3.362(1.203,9.393);p<0.05] more likely knowledgeable as compared
to more than 3000 birr, knowledgeable for key danger signs of labour with [AOR=3.685,
95%CI (1.157, 11.737); p<0.05] and knowledgeable for key danger sign of post partum
period with [AOR =5.117, 95%CI (1.388, 18.863); p<0.05].
Conclusion
The knowledge of primigravida women for birth preparedness and its complication readiness
is poor.
Recommendation
Those who are responsible to improve this service; pregnant mothers, family, health care
providers, health facility, other partners, program level managers and policy makers take
their responsibility
and work together to improve the service & knowledge on birth
preparedness and complication readiness.
Key words: Birth preparedness, Complication readiness, primigravida, Knowledge, Health
Facilities.
Description
Keywords
Birth preparedness, Complication readiness, Primigravida, Knowledge, Health Facilities