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Awareness on Birth Preparedness and Complication Readiness Among Antenatal Care Clients in Federal Police Referral Hospital Addis Ababa, Ethiopia

Received: 16 July 2015     Accepted: 15 October 2015     Published: 16 December 2015
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Abstract

Birth-preparedness and complication readiness is a comprehensive strategy aimed at promoting the timely utilization of skilled maternal and neonatal health care and encouraging women, households and communities to make arrangements. This paper aimed to assess knowledge and practices on birth preparedness and complication readiness and related factors among antenatal clients in Federal Police Referral Hospital. Institutional based cross-Sectional study was conducted on 224 sampled pregnant women from September 14, 2014- October, 24 2014 who were attending Ante Natal Care in Federal Referral Police Hospital, Addis Ababa. Data was analyzed using SPSS version 20. Different rates, as well as relevant associations were computed to see statistical significant. P-value less than 0.05 was taken as a cut of point to declare significant association. Multiple logistic regression analysis was also done to control for possible confounding variables. In this study the proportion of respondents considered as knowledgeable for key dangerous signs were 152(67.8%), 140 (62.1%), 118 (52.2%) during pregnancy, delivery, and postpartum respectively About 126(56.3 %) of the women were considered as prepared for birth and its complication. Maternal age of less than 20 years (COR = 3.5, 95% CI: 1.07, 11.66). Mothers who knew the key danger sign of pregnancy, child birth andpost-partum were almost three times more likely to be prepared for birth and its complications than mothers who didn’t know (COR = 2.61, 95% CI: 1.47, 4.65); (COR = 2.72, 95% CI: 1.56, 4.74) and (COR = 2.66, 95% CI: 1.54, 4.53) respectively. When the age of the client from socio demographic variables; knowledge on key danger signs of pregnancy, labor and post-partum were adjusted no one significantly associated with birth preparedness and complication readiness. In this study about 56.3 % women were prepared for birth and its complication which is relatively fair. Knowledge of key dangers signs of pregnancy, labor and delivery and postpartum were found to be the main factors affecting birth preparedness and complication readiness. Improving ANC education on BP/CR, giving special emphasis to comprehensive knowledge of key danger signs is recommended.

Published in American Journal of Health Research (Volume 3, Issue 6)
DOI 10.11648/j.ajhr.20150306.18
Page(s) 362-367
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), 2015. Published by Science Publishing Group

Keywords

Birth-Preparedness, Complication Readiness, Labor, Childbirth

References
[1] WHO, UNICEF, UNFPA. Trends in maternal mortality: 1990 to 2013 Estimates by WHO, UNICEF, UNFPA, The World Bank and the United Nations Population Division. Available atapps.who.int/iris/.../9789241507226_eng.pdf.
[2] WHO. Reduction of Maternal mortality joint WHO/UNFPA/UNICEF/World Bank Statement. WHO, Geneva, 2010.Available at URL: http/www.who.inf/reproductive.
[3] Central Statistical Agency: Ethiopia, Demographic and Health Survey 2011. Maryland, USA: Addis Ababa, Ethiopia, ICF International, Calverton; 2012.
[4] Central Statistical Agency (CSA) [Ethiopia], ORC Macro. Ethiopia Demographic and Health Survey 2000. Addis Ababa, Ethiopia, and Calverton, Maryland, USA: CSA and ORCMacro.2001. Google Scholar.
[5] Central Statistical Agency (CSA) [Ethiopia], ORC Macro. Ethiopia Demographic and Health Survey 2000. Addis Ababa, Ethiopia and Calverton, Maryland, USA: CSA and ORC Macro.2006. Google Scholar.
[6] United Nations: The Millennium Development Goals Report; World Health Organization (WHO) and UN Development Programme (7. UNDP). 2010. UN MDG Database (mdgs.un.org); MDG Monitor Website (http://www. mdgmonitor.org).
[7] JHPIEGO, Monitoring Birth preparedness and complication readiness, tools and indicatorsfor maternal and newborn health. Johns Hopkins, Bloomberg School of Public Health, Center for Communication Programs, Family Care International; 2004. http://pdf.dec.org/pdf- docs/PNADA619.pdf.
[8] The White Ribbon Alliance for Safe Motherhood/India. Saving Mother’s Lives: what works, a field guide for implementing best practices in safe motherhood. Best Practices Sub-committee, April 11, 2010.
[9] JHIPEGO, Maternal and neonatal program. Birth preparedness and complication readiness: AMatrix of shared responsibilities. MNH; 2001. PubMed | Google Scholar.
[10] Muhammedawel K, and Mesfin A. Birth preparedness and complication readiness in Robe Woreda, Arsi Zone, Oromia Region, Central Ethiopia. Kaso and Addisse Reproductive Health. 2014, 11:55. http://www.reproductive-health-journal.com/content/11/1/55.
[11] Hiluf M, fantahun M. Birth Preparedness and Complication Readiness among women inadigrat town, North Ethiopia. Ethiopia. J. health Dev. 7, 22(1): 14-20.
[12] Hailu M, Gebremariam A, Alemseged F, Deribe K: birth preparedness and complication readiness among pregnant women in Southern Ethiopia. PLoS One 2011, 6(6):e21432.doi:10.1371/journal.pone.0021432.
[13] Iyasu Z, Abubakar I, Galadanci H, Aliyu M: Birth preparedness, complication readiness and fathers’ participation in maternity care in a Northern Nigerian Community. Afr J Reprod Health 2010, 14(1):21–32.
[14] Pembe AB, Urassa DP, Carlstedt A, etel. Rural Tanzanian Women’s awareness of danger signs of obstetric complication. BMC Pregnancy and Childbirth 2009, 9:12. http://www.biomedcentral.com/1471-2393/9/12,accessed.
[15] Mutiso SM; Qureshizkinuthia J. Birth preparedness among antenatal clients at Kenyattanational Hospital Nairobi, Kenya, East African Medical Jornal Vol. 85(6) 2008: PP, 275 –283.
[16] Agarwal S, Sethi V, Srivastava K, K. Jha P and Abdulalah H Birth Preparedness and Complication Readiness among Slum Women in Indore City, India. J Health Popul Nutr. Aug; 28(4):383-391.
[17] FPRH. Health Management Information System (HMIS) department. A/A.2013/14.
[18] Tura G, Mesganaw D, Afework F etel. Factors affecting birth preparedness and Complication readiness at the different levels by applying multilevel analysis of community based study in Jimma zone. Pan Afr Med J. 2014; 19: 272.
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  • APA Style

    Seble Tiku. (2015). Awareness on Birth Preparedness and Complication Readiness Among Antenatal Care Clients in Federal Police Referral Hospital Addis Ababa, Ethiopia. American Journal of Health Research, 3(6), 362-367. https://doi.org/10.11648/j.ajhr.20150306.18

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    ACS Style

    Seble Tiku. Awareness on Birth Preparedness and Complication Readiness Among Antenatal Care Clients in Federal Police Referral Hospital Addis Ababa, Ethiopia. Am. J. Health Res. 2015, 3(6), 362-367. doi: 10.11648/j.ajhr.20150306.18

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    AMA Style

    Seble Tiku. Awareness on Birth Preparedness and Complication Readiness Among Antenatal Care Clients in Federal Police Referral Hospital Addis Ababa, Ethiopia. Am J Health Res. 2015;3(6):362-367. doi: 10.11648/j.ajhr.20150306.18

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  • @article{10.11648/j.ajhr.20150306.18,
      author = {Seble Tiku},
      title = {Awareness on Birth Preparedness and Complication Readiness Among Antenatal Care Clients in Federal Police Referral Hospital Addis Ababa, Ethiopia},
      journal = {American Journal of Health Research},
      volume = {3},
      number = {6},
      pages = {362-367},
      doi = {10.11648/j.ajhr.20150306.18},
      url = {https://doi.org/10.11648/j.ajhr.20150306.18},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20150306.18},
      abstract = {Birth-preparedness and complication readiness is a comprehensive strategy aimed at promoting the timely utilization of skilled maternal and neonatal health care and encouraging women, households and communities to make arrangements. This paper aimed to assess knowledge and practices on birth preparedness and complication readiness and related factors among antenatal clients in Federal Police Referral Hospital. Institutional based cross-Sectional study was conducted on 224 sampled pregnant women from September 14, 2014- October, 24 2014 who were attending Ante Natal Care in Federal Referral Police Hospital, Addis Ababa. Data was analyzed using SPSS version 20. Different rates, as well as relevant associations were computed to see statistical significant. P-value less than 0.05 was taken as a cut of point to declare significant association. Multiple logistic regression analysis was also done to control for possible confounding variables. In this study the proportion of respondents considered as knowledgeable for key dangerous signs were 152(67.8%), 140 (62.1%), 118 (52.2%) during pregnancy, delivery, and postpartum respectively About 126(56.3 %) of the women were considered as prepared for birth and its complication. Maternal age of less than 20 years (COR = 3.5, 95% CI: 1.07, 11.66). Mothers who knew the key danger sign of pregnancy, child birth andpost-partum were almost three times more likely to be prepared for birth and its complications than mothers who didn’t know (COR = 2.61, 95% CI: 1.47, 4.65); (COR = 2.72, 95% CI: 1.56, 4.74) and (COR = 2.66, 95% CI: 1.54, 4.53) respectively. When the age of the client from socio demographic variables; knowledge on key danger signs of pregnancy, labor and post-partum were adjusted no one significantly associated with birth preparedness and complication readiness. In this study about 56.3 % women were prepared for birth and its complication which is relatively fair. Knowledge of key dangers signs of pregnancy, labor and delivery and postpartum were found to be the main factors affecting birth preparedness and complication readiness. Improving ANC education on BP/CR, giving special emphasis to comprehensive knowledge of key danger signs is recommended.},
     year = {2015}
    }
    

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  • TY  - JOUR
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Author Information
  • Police Medical Professional Training Institute, Ethiopia Police University College, Sendafa, Ethiopia

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