Completion of the continuum of maternity care and associated factors among women who gave birth in the last 6 months in Chelia district, West Shoa zone, Ethiopia

A community-based cross-sectional study

Bibliographic Data

ID22073107
AuthorsTemesgen Daksisa Buli (Oromiyaa Regional Health Bureau), Negash Wakgari (0000-0002-3422-5836, Ambo University, corresponding author), Gemechu Ganfure (0000-0002-8573-1317, Ambo University), Fikadu Wondimu (0000-0002-5519-0089, Ambo University), Dereje Lemma Dube (Ambo University), Gonfa Moti (0000-0002-8889-201X, Ambo University), Yonas Sagni Doba (0000-0003-2837-9289, Wachemo University)
Year2023
Volume10
Pages1026236-1026236
Publication date2023-01-04
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2022.1026236
PMID36684973
OpenAlexW4313585695
LanguageEN
Citations received1
References cited31

Background The continuum of maternity care is a continuity of care that a woman receives during pregnancy, childbirth, and the postpartum period from skilled providers in a comprehensive and integrated manner. Despite existing evidence regarding maternal healthcare services discretely, the continuum of maternity care and its associated factors are not well-known in Ethiopia. Objective This study assessed the completion of the maternity continuum of care and associated factors among women who gave birth 6 months prior to the study in the Chelia district. Methods A community-based cross-sectional study with a stratified random sampling technique was conducted among 428 mothers at 10 randomly selected kebeles. Pretested and structured questionnaires were used to collect data. Bi-variable and multivariable logistic regression analyzes were performed to identify associated factors. Adjusted odds ratio with its 95% confidence interval was used to determine the degree of association, and statistical significance was declared at a p -value of <0.05. Results In this study, 92 (21.5%) mothers completed the continuum of maternity care. Secondary and above education of mothers (AOR = 4.20, 95% CI:1.26–13.97), ≤30 min spent on walking by foot (AOR = 4.00, 95% CI: 1.67–9.58), using an ambulance to reach health facility (AOR = 3.68, 95% CI: 1.23–11.06), para ≥5 mothers (AOR = 0.21, 95% CI: 0.05–0.90), planned pregnancy (AOR = 3.29, 95% CI: 1.02–10.57), attending pregnant women's conference (AOR = 13.96, 95% CI: 6.22–31.30), early antenatal care booking (AOR = 3.30, 95% CI: 1.54–7.05), accompanied by partners (AOR = 3.64, 95% CI: 1.76–7.53), and informed to return for postnatal care (AOR = 3.57, 95% CI: 1.47–8.70) were the factors identified. Conclusion In this study, completion of the maternity continuum of care was low. Therefore, appropriate strategic interventions that retain women in the continuum of maternity care by targeting those factors were recommended to increase the uptake of the continuum of maternity care

Childbirth · Confidence interval · Cross-sectional study · Family medicine · Logistic regression · Maternity care · Obstetrics · Odds ratio · Postnatal Care · Pregnancy · Statistical significance · Stratified sampling · Breastfeeding Practices and Influences · Demography · Global Maternal and Child Health · Maternal and Perinatal Health Interventions · Medicine