Effect of Birth Preparedness on Institutional Delivery in Semiurban Ethiopia: A Cross-Sectional Study

Background: Ethiopia has one of the lowest rates of facility delivery and is promoting birth preparedness among pregnant women through its community health services to increase the rate of institutional delivery and reduce maternal mortality. Observational studies of birth preparedness in Ethiopia h...

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Autores principales:	Carina Rosado, Jennifer A. Callaghan-Koru, Abiy Seifu Estifanos, Ephrem Sheferaw, Thewodros Shay, Joseph de Graft-Johnson, Barbara Rawlins, Hannah Gibson, Abdullah H. Baqui, Bareng Aletta Sanny Nonyane
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2019
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/995ea3b3bb5b427ab4e8ab52e0127b2c
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spelling	oai:doaj.org-article:995ea3b3bb5b427ab4e8ab52e0127b2c2021-12-02T04:23:13ZEffect of Birth Preparedness on Institutional Delivery in Semiurban Ethiopia: A Cross-Sectional Study2214-999610.5334/aogh.920https://doaj.org/article/995ea3b3bb5b427ab4e8ab52e0127b2c2019-03-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/920https://doaj.org/toc/2214-9996Background: Ethiopia has one of the lowest rates of facility delivery and is promoting birth preparedness among pregnant women through its community health services to increase the rate of institutional delivery and reduce maternal mortality. Observational studies of birth preparedness in Ethiopia have thus far only reported the marginal effect of birth preparedness when controlling for other factors, such as parity and education. Objectives: In this cross-sectional study, we use propensity score modeling to estimate the average population-level effect of birth preparedness on the likelihood of delivering at a facility. Methods: We conducted secondary analysis of household survey data collected from 215 women with a recent live birth within the catchment areas of 10 semi-urban health centers. A mother was considered well prepared for birth if she reported completing four of the following six actions: identified a skilled provider, identified an institution, saved money, identified transport, prepared clean delivery materials, and prepared food. We performed unadjusted and multivariate logistic regression analyses, with and without propensity score weighting, to assess the relationship between birth preparedness and institutional delivery. Findings: One hundred respondents (47%) delivered in an institution, and over two-thirds (151, 71%) were considered well prepared for birth. Institutional delivery was more common among women who were considered well prepared (57%) versus those who were considered not well prepared (19%). In the model with propensity score weighting, women who were well prepared for birth had 3.83 times higher odds of delivering at a facility (95% CI: 1.41–10.40, p-value = 0.010). Conclusions: This study contributes to existing evidence supporting the inclusion of antenatal birth preparedness counseling as a part of an antenatal care package for promoting institutional delivery. Important gaps remain in operationalizing the definition of birth preparedness and understanding the pathway from exposure to outcome.Carina RosadoJennifer A. Callaghan-KoruAbiy Seifu EstifanosEphrem SheferawThewodros ShayJoseph de Graft-JohnsonBarbara RawlinsHannah GibsonAbdullah H. BaquiBareng Aletta Sanny NonyaneUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 85, Iss 1 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Carina Rosado Jennifer A. Callaghan-Koru Abiy Seifu Estifanos Ephrem Sheferaw Thewodros Shay Joseph de Graft-Johnson Barbara Rawlins Hannah Gibson Abdullah H. Baqui Bareng Aletta Sanny Nonyane Effect of Birth Preparedness on Institutional Delivery in Semiurban Ethiopia: A Cross-Sectional Study
description	Background: Ethiopia has one of the lowest rates of facility delivery and is promoting birth preparedness among pregnant women through its community health services to increase the rate of institutional delivery and reduce maternal mortality. Observational studies of birth preparedness in Ethiopia have thus far only reported the marginal effect of birth preparedness when controlling for other factors, such as parity and education. Objectives: In this cross-sectional study, we use propensity score modeling to estimate the average population-level effect of birth preparedness on the likelihood of delivering at a facility. Methods: We conducted secondary analysis of household survey data collected from 215 women with a recent live birth within the catchment areas of 10 semi-urban health centers. A mother was considered well prepared for birth if she reported completing four of the following six actions: identified a skilled provider, identified an institution, saved money, identified transport, prepared clean delivery materials, and prepared food. We performed unadjusted and multivariate logistic regression analyses, with and without propensity score weighting, to assess the relationship between birth preparedness and institutional delivery. Findings: One hundred respondents (47%) delivered in an institution, and over two-thirds (151, 71%) were considered well prepared for birth. Institutional delivery was more common among women who were considered well prepared (57%) versus those who were considered not well prepared (19%). In the model with propensity score weighting, women who were well prepared for birth had 3.83 times higher odds of delivering at a facility (95% CI: 1.41–10.40, p-value = 0.010). Conclusions: This study contributes to existing evidence supporting the inclusion of antenatal birth preparedness counseling as a part of an antenatal care package for promoting institutional delivery. Important gaps remain in operationalizing the definition of birth preparedness and understanding the pathway from exposure to outcome.
format	article
author	Carina Rosado Jennifer A. Callaghan-Koru Abiy Seifu Estifanos Ephrem Sheferaw Thewodros Shay Joseph de Graft-Johnson Barbara Rawlins Hannah Gibson Abdullah H. Baqui Bareng Aletta Sanny Nonyane
author_facet	Carina Rosado Jennifer A. Callaghan-Koru Abiy Seifu Estifanos Ephrem Sheferaw Thewodros Shay Joseph de Graft-Johnson Barbara Rawlins Hannah Gibson Abdullah H. Baqui Bareng Aletta Sanny Nonyane
author_sort	Carina Rosado
title	Effect of Birth Preparedness on Institutional Delivery in Semiurban Ethiopia: A Cross-Sectional Study
title_short	Effect of Birth Preparedness on Institutional Delivery in Semiurban Ethiopia: A Cross-Sectional Study
title_full	Effect of Birth Preparedness on Institutional Delivery in Semiurban Ethiopia: A Cross-Sectional Study
title_fullStr	Effect of Birth Preparedness on Institutional Delivery in Semiurban Ethiopia: A Cross-Sectional Study
title_full_unstemmed	Effect of Birth Preparedness on Institutional Delivery in Semiurban Ethiopia: A Cross-Sectional Study
title_sort	effect of birth preparedness on institutional delivery in semiurban ethiopia: a cross-sectional study
publisher	Ubiquity Press
publishDate	2019
url	https://doaj.org/article/995ea3b3bb5b427ab4e8ab52e0127b2c
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Effect of Birth Preparedness on Institutional Delivery in Semiurban Ethiopia: A Cross-Sectional Study

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