Assessment of the Magnitude of Bypassing Public Health Center Delivery Service and Associated factors among Postnatal Women in Negist Eleni Memorial Hospital, South Ethiopia
No Thumbnail Available
Date
2016-06
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Abeba Universty
Abstract
Introduction: Quality obstetric, medical and nursing care under safe, skilled and well equipped health
facilities during pregnancy, child birth and within 6 weeks after birth can reduce the risk of obstetric
complications that may cause death or serious illness to the mother, the baby or both. The use of
recommended appropriate standard facility in the catchment area for delivery and post partum care
strengthen maternal and child health care at individual, community, health care planners and the
government level. In developing countries including Ethiopia, bypassing the nearby health facility for
childbirth service wastes resources at all levels. However, the magnitude and factors influencing
bypassing closer health facilities for childbirth care were not adequately explored.
Objective: To assess magnitude of bypassing public health centers to hospital for childbirth and identify
factors associated with bypassing in postnatal women in Negist Eleni Memorial hospital.
Method: Facility based cross sectional study was conducted among postnatal women in Negist Eleni
Memorial hospital from February to March 2016.A pretested and structured interviewer administered
questionnaire was used to gather data from 393 randomly selected postpartum women included by using
systematic random sampling technique, and then every 2nd eligible woman was interviewed. The data was
coded and entered into Epi Info version-7 and exported, cleaned and analyzed using STATA12.1. Tables
and charts were used to describe study population and to display results. Bivariate and multivariate
analysis was done to identify correlates of bypassing public health centers to hospital for delivery service.
Finding: Sixty seven percent of mothers who gave birth in Negist Eleni Memorial hospital bypassed their
catchment public health centers. The likelihood of bypassing health center for delivery service were 4.5
times higher among respondents whose husband’s educational level was above secondary education
[AOR=4.5; 95%CI=1.06, 20.29],Past obstetric complications[AOR=0.28; 95% CI=0.09,0.86] and
antenatal care(ANC) attendance in the health centers[AOR=0.13; 95% CI=0.04,0.46] were associated
with less likely hood of bypassing. The odds of bypassing were 7.8 times higher [AOR=7.8:95%CI=3.5,
17.5]for those who were living within 13.02km to Nigist Eleni Memorial hospital compared to those
living farther.
Conclusion: The proportion of women bypassing health centers to receive childbirth care at hospital in
our study is high. Preference of the type of health facility for delivery care is associated with husband
education, past obstetric complication, place of ANC follow up and distance to hospital.
Description
Keywords
Assessment of the Magnitude of Bypassing Public Health