The Contribution of Community based Inovative Program & Female Development Army on Basic Maternal health care Utilization in arada sub city, addis ababa
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Date
2016-02
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Addis Abeba Universty
Abstract
Introduction; maternal mortality in Ethiopia is the highest in the world. According to the 2011 DHS the maternal mortality ratio was 676/100,000 live birth. It is believed that almost more than 90% of these death are preventable through the provision of basic maternal care. But due to many factors like socioeconomic inequalities and other cultural reasons, the vast majority of mothers were unable to access the basic care they need during maternity. Most of economically poor countries advised community based strategy to improve service quality and use
Objective; to assess the effect of community based innovative program addressing socio-economic inequalities on the basic maternal health care utilization, 2016
Method; this study employed cross-sectional descriptive community based study that were done in Arada sub city of Addis Ababa. 599 women’s were selected at random using simple random sampling. Interviewer administered structured questionnaire was used as data collection instrument. Assessment was done on the three basic maternal health care service that have higher impact on maternal mortality. The significant contribution of the innovative programs on addressing inequalities on service utilization was also done through document review in addition to the interview. Logistic regression model was used in the multivariate analysis.
Result: the result showed 92% of the respondent had four ANC visits, 98% of them had facility based delivery and 73% had their PNC visits within 24 hrs after delivery. Socio demographic factors like education, age at first marriage, parity, occupation and economy were found to affect the utilization of the basic service. The logistic regression showed that the basic tasks of community based innovative programs had strong association with the utilization of the basic care.
Conclusion & recommendation: both socio-demographic factors & community based innovative programs were significantly associated with the basic MHC utilization. The contribution of the program found to be more significant among mothers from the lower wealth quantile. To improve utilization of the basic maternal health care services and the challenges it faces as a result of the socioeconomic inequalities in the different segment of the HHs, a community based health strategies should be implemented
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The Contribution of Community based Inovative Program & Female