Increasing Skill Delivery Attendance at Gebretsadik Shawo General Hospital, Kafa zone, SNNPR

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Date

2018-06

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Addis Abeba University

Abstract

Background :Utilization of skilled delivery attendance services was still low with a high number of deliveries being attended by unqualified persons at home. Promotion of universal ANC follow-up and encouragement of mothers regarding the need for SBAs during childbirth is of paramount importance. Increase the awareness of mothers and their partners about the benefits of institutional delivery and SBAs and use of different means of behavioural change communication is very fundamental . Objective:To increase skilled birth attendance at Bonga Gebretsadik Shawo General Hospital from 120 to 180 per month by the end of 2010 E.C Methodology: A preā€“post intervention study to examine the increase in skilled birth attendance before and after the intervention . Baseline data was collected in January 2010 and intervention period was from February to may 2010 E.C and final evaluation was conducted at the end of may 2010 E.C, after 4 months of implementation. For the assessment data Hospital Key performance indicator was used. Root cause analysis method is Focused group discussion and fishbone diagram . Effect of intervention was assessed by reviewing and comparing Antenatal and delivery room registration for intervention group . Result: Low partner involvement on maternal health activity was identified as real root cause for low skilled birth attendant and Birth preparedness plan with the involvement of male is selected as best intervention . Implementation of the intervention which is birth preparedness plan with the involvement of male partner was conducted for ANC 4 visitors and skilled delivery attendant was increased from 120 to 180 on average per month. Conclusion: Birth preparedness and complication readiness has significant effect on skilled delivery care use but Only a small numbers of ANC visitors were found to be prepared for birth and its complications in their last pregnancy during ANC follow up .

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Keywords

Skill delivery attendance

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