Introduction: Ethiopia is among the top six high burden countries in which half of global maternal deaths occur. To improve maternal health care service in Ethiopia, it is important to understand factors influencing maternal health care service utilization. This is study aimed at assessing the magnitude and factors associated with maternal health care service utilization. Objective: To determine the magnitude and factors associated with maternal health care service utilization in Enderta district, Tigray, Ethiopia. Method: Community based cross sectional study which contains both quantitative and qualitative methods of data collection was conducted among 574 married women in Enderta district from March 1-14, 2013. A multistage sampling technique was used to approach the study participants. Descriptive and multiple logistic regression analyses were performed using SPSS 20 for windows to estimate indicators and effect sizes of the predictors on maternal health care service. Result: The proportion of antenatal, delivery and postnatal care service utilization was 70%, 37.9% and 49.7%, respectively. Income status, knowledge on danger sign during pregnancy, husbands education and place of delivery were the determinant factors for ANC. Income status, family size, the women`s time taken to health facility, husband attend ANC with spouse and who decides place of delivery were the determinant factors for delivery service utilization. And postnatal care was associated with place of delivery, knowledge on complicated related pregnancy, from where got information and knowledge on postnatal care. Conclusion: The proportion of ANC and Delivery service, and postnatal care in the study area was fair. Women’s own monthly income, husbands’ educational status, place of delivery and their knowledge on danger sign that could occur during pregnancy could influence ANC utilization. Women husband educational status might have on women decision to deliver at health institution. And accompany of women to ANC by their husband and their awareness on postnatal care services could influence postnatal care utilization.
| Published in | American Journal of Nursing Science (Volume 3, Issue 6) |
| DOI | 10.11648/j.ajns.20140306.15 |
| Page(s) | 117-125 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2014. Published by Science Publishing Group |
ANC, Delivery Care, Postnatal Care, Tigray, Ethiopia
| [1] | AbouZahr C, Global burden of maternal death and disability, Br Med Bull 2003; 67:1-11. |
| [2] | Tweheyo R, Konde-Lule J, Nazarius M .T, Juliet N .S: Male partner attendance of skilled antenatal care in peri-urban Gulu district, Northern Uganda, 2010, 10:53. Tweheyo et al. BMC Pregnancy and Childbirth 2010, 10:53 http://www.biomedcentral.com/1471-2393/10/53 |
| [3] | Yared M, Asnaketch M: Utilization of Maternal Health Care Services in Ethiopia. Calverton, Maryland, USA: ORC Macro, 2002. |
| [4] | Mesfin M, Farrow J: Determinants of ANC utilization in Arsi Zone, Central Ethiopia. Ethiop. J. Health Dev. 1996; 10(3): 171-178. |
| [5] | Hogan MC: Maternal mortality for 181 countries, 1980–2008: a systematic analysis of |
| [6] | Kululanga L, Sundby J, Malata A and Chirwa E. Male Involvement in Maternity Health Care. African Journal of Reproductive Health March 2012; 16(1): 145. |
| [7] | Central Statistical Agency [Ethiopia] and ORC Macro. Ethiopia Demographic and Health Survey (EDHS) 2011. Addis Ababa, Ethiopia and Calverton, Maryland, USA: Central Statistical Agency and ORC Macro 2012. |
| [8] | Harvey SA, Ayabacab P, Bucaguc M, Djibrinad S, Edsona WN, Gbangbadee S: Skilled birth attendant competence: An initial assessment in four countries, and implications for the safe motherhood movement. Int J Gynecol Obstet 2004, 87:203–210. |
| [9] | Koblinsky MA, C.O., Heichelheim J: Organizing delivery care: what works for safe motherhood? Bull World Health Organ 1999, 77:399–404. |
| [10] | Barua, A: Young husband’s involvement in reproductive health in rural Maharashtra. Paper presented at workshop on men as supportive partners in reproductive and sexual Health, Katmandu, Nepal, Population Council, India, 1998. |
| [11] | Shemsedin S. Assessment of factors affecting utilization of antenatal care and delivery services in Harari Region, Ethiopia, unpublished, 2009 |
| [12] | Nankwanga A, Factors influencing utilization of postnatal services in Mulago and Mengo Hospitals KAMPALA, UGANDA, 2004. |
| [13] | Hazemba AN, Siziya S: Choice of place for childbirth: prevalence and correlates of utilization of health facilities in Chongwe district. Zambia Med J Zambia 2008, 35(2):53–57. |
| [14] | Nantamu D.P. Factors associated with male involvement in maternal health care services in jinja district, Uganda, Unpublished Thesis, 2011. |
| [15] | Shiferaw et al, Why do women prefer home births in Ethiopia? BMC Pregnancy and Childbirth 2013, 13:5. |
| [16] | Karim AM, Betemariam W, Yalew S, Alemu H, Carnell M, Mekonnen Y:Programmatic correlates of maternal healthcare seeking behaviors in Ethiopia. Ethiop J Health Dev 2010, 24(1):92–99. |
| [17] | Abera M, Belachew T: Predictors of safe delivery service utilization in Arsi zone South-East Ethiopia. Ethiop J Health Sci 2012, 21(Special Issue 3):101–113. |
| [18] | Regassa N. Antenatal and postnatal care service utilization, population-based study, Institute of Environment, Gender and Development, Hawassa Univerity, Hawassa, SNNPR, Ethiopia. African Health Sciences 2011; 11(3): 390 – 397 |
| [19] | Nigussie M, Haile Mariam D, Mitike G. Assessment of safe delivery service utilization among women of childbearing age in north Gondar Zone, North West Ethiopia, Dec, 2002. |
| [20] | Alemayehu S, Institutional delivery service utilization and associated factors among mothers who gave birth in the last 12 months in Sekela District, North West of Ethiopia: August, 2010. |
| [21] | Onah HE, Ikeako LC, Iloabachie GC: Factors associated with the use of maternity services in Enugu, south-eastern Nigeria. Soc Sci Med 2006, 63(7):1870–1878. |
| [22] | Rose NMM, Japhet ZK, Melkzedeck TL, Siriel NM, Albrecht J, Declare M, Hassan M: Use pattern of maternal health services and determinants of skilled care during delivery in Southern Tanzania: implications for achievement of MDG-5 targets. BMC Pregnancy and Childbirth 2007, 7(29):7. |
APA Style
Asfawosen Aregay, Mussie Alemayehu, Huruy Assefa, Wondeweson Terefe. (2014). Factors Associated with Maternal Health Care Services in Enderta District, Tigray, Northern Ethiopia: A Cross Sectional Study. American Journal of Nursing Science, 3(6), 117-125. https://doi.org/10.11648/j.ajns.20140306.15
ACS Style
Asfawosen Aregay; Mussie Alemayehu; Huruy Assefa; Wondeweson Terefe. Factors Associated with Maternal Health Care Services in Enderta District, Tigray, Northern Ethiopia: A Cross Sectional Study. Am. J. Nurs. Sci. 2014, 3(6), 117-125. doi: 10.11648/j.ajns.20140306.15
AMA Style
Asfawosen Aregay, Mussie Alemayehu, Huruy Assefa, Wondeweson Terefe. Factors Associated with Maternal Health Care Services in Enderta District, Tigray, Northern Ethiopia: A Cross Sectional Study. Am J Nurs Sci. 2014;3(6):117-125. doi: 10.11648/j.ajns.20140306.15
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.ajns.20140306.15,
author = {Asfawosen Aregay and Mussie Alemayehu and Huruy Assefa and Wondeweson Terefe},
title = {Factors Associated with Maternal Health Care Services in Enderta District, Tigray, Northern Ethiopia: A Cross Sectional Study},
journal = {American Journal of Nursing Science},
volume = {3},
number = {6},
pages = {117-125},
doi = {10.11648/j.ajns.20140306.15},
url = {https://doi.org/10.11648/j.ajns.20140306.15},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20140306.15},
abstract = {Introduction: Ethiopia is among the top six high burden countries in which half of global maternal deaths occur. To improve maternal health care service in Ethiopia, it is important to understand factors influencing maternal health care service utilization. This is study aimed at assessing the magnitude and factors associated with maternal health care service utilization. Objective: To determine the magnitude and factors associated with maternal health care service utilization in Enderta district, Tigray, Ethiopia. Method: Community based cross sectional study which contains both quantitative and qualitative methods of data collection was conducted among 574 married women in Enderta district from March 1-14, 2013. A multistage sampling technique was used to approach the study participants. Descriptive and multiple logistic regression analyses were performed using SPSS 20 for windows to estimate indicators and effect sizes of the predictors on maternal health care service. Result: The proportion of antenatal, delivery and postnatal care service utilization was 70%, 37.9% and 49.7%, respectively. Income status, knowledge on danger sign during pregnancy, husbands education and place of delivery were the determinant factors for ANC. Income status, family size, the women`s time taken to health facility, husband attend ANC with spouse and who decides place of delivery were the determinant factors for delivery service utilization. And postnatal care was associated with place of delivery, knowledge on complicated related pregnancy, from where got information and knowledge on postnatal care. Conclusion: The proportion of ANC and Delivery service, and postnatal care in the study area was fair. Women’s own monthly income, husbands’ educational status, place of delivery and their knowledge on danger sign that could occur during pregnancy could influence ANC utilization. Women husband educational status might have on women decision to deliver at health institution. And accompany of women to ANC by their husband and their awareness on postnatal care services could influence postnatal care utilization.},
year = {2014}
}
TY - JOUR T1 - Factors Associated with Maternal Health Care Services in Enderta District, Tigray, Northern Ethiopia: A Cross Sectional Study AU - Asfawosen Aregay AU - Mussie Alemayehu AU - Huruy Assefa AU - Wondeweson Terefe Y1 - 2014/12/18 PY - 2014 N1 - https://doi.org/10.11648/j.ajns.20140306.15 DO - 10.11648/j.ajns.20140306.15 T2 - American Journal of Nursing Science JF - American Journal of Nursing Science JO - American Journal of Nursing Science SP - 117 EP - 125 PB - Science Publishing Group SN - 2328-5753 UR - https://doi.org/10.11648/j.ajns.20140306.15 AB - Introduction: Ethiopia is among the top six high burden countries in which half of global maternal deaths occur. To improve maternal health care service in Ethiopia, it is important to understand factors influencing maternal health care service utilization. This is study aimed at assessing the magnitude and factors associated with maternal health care service utilization. Objective: To determine the magnitude and factors associated with maternal health care service utilization in Enderta district, Tigray, Ethiopia. Method: Community based cross sectional study which contains both quantitative and qualitative methods of data collection was conducted among 574 married women in Enderta district from March 1-14, 2013. A multistage sampling technique was used to approach the study participants. Descriptive and multiple logistic regression analyses were performed using SPSS 20 for windows to estimate indicators and effect sizes of the predictors on maternal health care service. Result: The proportion of antenatal, delivery and postnatal care service utilization was 70%, 37.9% and 49.7%, respectively. Income status, knowledge on danger sign during pregnancy, husbands education and place of delivery were the determinant factors for ANC. Income status, family size, the women`s time taken to health facility, husband attend ANC with spouse and who decides place of delivery were the determinant factors for delivery service utilization. And postnatal care was associated with place of delivery, knowledge on complicated related pregnancy, from where got information and knowledge on postnatal care. Conclusion: The proportion of ANC and Delivery service, and postnatal care in the study area was fair. Women’s own monthly income, husbands’ educational status, place of delivery and their knowledge on danger sign that could occur during pregnancy could influence ANC utilization. Women husband educational status might have on women decision to deliver at health institution. And accompany of women to ANC by their husband and their awareness on postnatal care services could influence postnatal care utilization. VL - 3 IS - 6 ER -
Email: