Continuum of maternity care among rural women in Ethiopia: does place and frequency of antenatal care visit matter?

Plain language summary Maternal health continuum of care is an integrated service delivery of antenatal care, facility delivery and postnatal care on appropriate time and place. Continuum of care averts more maternal mortality than individual service provision. In Ethiopia a small percent of women c...

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Autores principales: Tegene Legese Dadi, Girmay Medhin, Habtamu Kebebe Kasaye, Getnet Mitike Kassie, Mulusew Gerbaba Jebena, Wasihun Adualem Gobezie, Yibeltal Kiflie Alemayehu, Alula Meresa Teklu
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Publicado: BMC 2021
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spelling oai:doaj.org-article:6c80d97aeae74add95f5ddf47cfb78952021-11-08T11:03:21ZContinuum of maternity care among rural women in Ethiopia: does place and frequency of antenatal care visit matter?10.1186/s12978-021-01265-x1742-4755https://doaj.org/article/6c80d97aeae74add95f5ddf47cfb78952021-11-01T00:00:00Zhttps://doi.org/10.1186/s12978-021-01265-xhttps://doaj.org/toc/1742-4755Plain language summary Maternal health continuum of care is an integrated service delivery of antenatal care, facility delivery and postnatal care on appropriate time and place. Continuum of care averts more maternal mortality than individual service provision. In Ethiopia a small percent of women complete continuum of care. Previous studies in Ethiopia explored the effect of time on CoC, however the effect of place of service delivery on subsequent continuum of care were not addressed. This study, therefore, assessed the effect of place of service delivery on completion of subsequent continuum of care using data from 1431 fixed cohort of women during the National HEP assessment survey. The proportion of women who took all essential maternal health services was very low. Whether first antenatal care is at health post or at health centre did not have a significant effect on the completion of maternal health continuum of care. Adherence to the existing recommendations of Ministry of Health for antenatal care visit increases the uptake of maternal health continuum of care. Better completion of maternal health services was observed in agrarian than pastoralist areas, among those who have exposure to health extension program, who have information about danger signs, and who deliver their previous child at health facility. We can conclude that good implementation of the health extension program, and improving service quality at health facilities increase the uptakes of maternal health service. Moreover, promoting adherence of women to the ministry of health ANC recommendations increase uptakes.Tegene Legese DadiGirmay MedhinHabtamu Kebebe KasayeGetnet Mitike KassieMulusew Gerbaba JebenaWasihun Adualem GobezieYibeltal Kiflie AlemayehuAlula Meresa TekluBMCarticleMaternal health servicesIntensity of continuum of careHealth Extension ProgramPlace of first ANC visitANC visit as per MOH recommendationHealth postGynecology and obstetricsRG1-991ENReproductive Health, Vol 18, Iss 1, Pp 1-12 (2021)
institution DOAJ
collection DOAJ
language EN
topic Maternal health services
Intensity of continuum of care
Health Extension Program
Place of first ANC visit
ANC visit as per MOH recommendation
Health post
Gynecology and obstetrics
RG1-991
spellingShingle Maternal health services
Intensity of continuum of care
Health Extension Program
Place of first ANC visit
ANC visit as per MOH recommendation
Health post
Gynecology and obstetrics
RG1-991
Tegene Legese Dadi
Girmay Medhin
Habtamu Kebebe Kasaye
Getnet Mitike Kassie
Mulusew Gerbaba Jebena
Wasihun Adualem Gobezie
Yibeltal Kiflie Alemayehu
Alula Meresa Teklu
Continuum of maternity care among rural women in Ethiopia: does place and frequency of antenatal care visit matter?
description Plain language summary Maternal health continuum of care is an integrated service delivery of antenatal care, facility delivery and postnatal care on appropriate time and place. Continuum of care averts more maternal mortality than individual service provision. In Ethiopia a small percent of women complete continuum of care. Previous studies in Ethiopia explored the effect of time on CoC, however the effect of place of service delivery on subsequent continuum of care were not addressed. This study, therefore, assessed the effect of place of service delivery on completion of subsequent continuum of care using data from 1431 fixed cohort of women during the National HEP assessment survey. The proportion of women who took all essential maternal health services was very low. Whether first antenatal care is at health post or at health centre did not have a significant effect on the completion of maternal health continuum of care. Adherence to the existing recommendations of Ministry of Health for antenatal care visit increases the uptake of maternal health continuum of care. Better completion of maternal health services was observed in agrarian than pastoralist areas, among those who have exposure to health extension program, who have information about danger signs, and who deliver their previous child at health facility. We can conclude that good implementation of the health extension program, and improving service quality at health facilities increase the uptakes of maternal health service. Moreover, promoting adherence of women to the ministry of health ANC recommendations increase uptakes.
format article
author Tegene Legese Dadi
Girmay Medhin
Habtamu Kebebe Kasaye
Getnet Mitike Kassie
Mulusew Gerbaba Jebena
Wasihun Adualem Gobezie
Yibeltal Kiflie Alemayehu
Alula Meresa Teklu
author_facet Tegene Legese Dadi
Girmay Medhin
Habtamu Kebebe Kasaye
Getnet Mitike Kassie
Mulusew Gerbaba Jebena
Wasihun Adualem Gobezie
Yibeltal Kiflie Alemayehu
Alula Meresa Teklu
author_sort Tegene Legese Dadi
title Continuum of maternity care among rural women in Ethiopia: does place and frequency of antenatal care visit matter?
title_short Continuum of maternity care among rural women in Ethiopia: does place and frequency of antenatal care visit matter?
title_full Continuum of maternity care among rural women in Ethiopia: does place and frequency of antenatal care visit matter?
title_fullStr Continuum of maternity care among rural women in Ethiopia: does place and frequency of antenatal care visit matter?
title_full_unstemmed Continuum of maternity care among rural women in Ethiopia: does place and frequency of antenatal care visit matter?
title_sort continuum of maternity care among rural women in ethiopia: does place and frequency of antenatal care visit matter?
publisher BMC
publishDate 2021
url https://doaj.org/article/6c80d97aeae74add95f5ddf47cfb7895
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