Capstone Intervention Project: Skilled Delivery Attendence Rate at Gindeberet Hospital, Oromia, Ethiopia
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Date
2012-05
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Addis Ababa University
Abstract
Introduction: Maximizing skilled birth attendance rate is one of the proven intervention
that positively influence the maternal mortality rate of a given country or community.
Skilled birth attendance is also the chosen indicator to monitor progress towards MDG 5,
which is reduction of MMR by three fourth and it is a priority area of HSDP IV, Ethiopia.
Design: Pre and post-intervention design (Pre-intervention base-line assessment,
Intervention, Post intervention result assessment)
Setting: Gindeberet district hospital, West Shewa of Oromia Regional State, Ethiopia.
Participants: The primer investigator (PI), Maternity department staffs, Gynecologist
&Obstetrician, and finance department staffs.
Implementation: Group health education of ANC mothers on safe delivery, Individual
counseling for ANC attendant mothers at MCH unit, Fulfilling medical equipments and
furniture needed for hospital deliver, Improve staff capabilities and staff coverage,
consensus on referral take-over between the hospital & catchment HFs, and Charge free
maternity service & pregnancy related cases of illness were selected strategic intervention
implemented.
Main Outcome Measure(s): Increased delivery attendance,
Evaluation: Comparison of baseline and end-line assessment is used to verify the
outcome of the capstone intervention, (T-test, P-value<0.05 at 95% CI).
Keywords: capstone intervention, skilled delivery attendance, Gindeberet
Results: The number of total deliveries attended in Gindeberet Hospital had been
increased from15/month at pre-intervention period to 53/month during the postintervention
period (T-statistics=26.83, with p-value<0.00001Epi Info 16.04 at 95% CI),
Lessons Learned: This capstone intervention project demonstrated the possibility of
improving the quality, access and acceptability and utilization of skilled birth attendance
at rural hospital level through focused and simple intervention
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Keywords
Capstone intervention, Skilled delivery attendance, Gindeberet