Title:
Improving Skilled Birth Attendance Utilization in Amhara Region of Ethiopia
Authors:
Bele, Temesgen Ayehu
Year:
2015
PAGE:
ix, 46
Language:
En
Subject:
Health and Poverty
Keywords:
Skilled Birth Attendance, Influencing Fctors, Interventions, Amhara, Ethiopia, Skilled Birth Attendance Utilization, Maternal Mortality
Abstract:
Maternal mortality is high in Ethiopia with a Maternal Mortality Ratio (MMR) of 420/100,000 live births. Though about 16% to 33% of all maternal deaths could be prevented by skilled attendance at birth, only 10% of deliveries are attended by skilled birth attendance in Amhara region. Therefore, understanding factors influencing utilization of skilled birth attendance and how to overcome these is essential in order to improve utilization. A literature review was conducted using Anderson Behavioural Model with the aim of identifying factors that influence skilled birth attendance utilization in Amhara region of Ethiopia and recommend interventions to improve utilization. The findings showed that skilled birth attendance utilization is low in older women, those who live in rural areas, uneducated and poor women. Husbands play a critical role in decision making to seek care especially when the service requires fund for transport, service fee and related costs. The perceptions that a pregnancy is a normal process, not needing medical care, and the lack of preferred delivery practices such as a kneeling position and being surrounded by neighbours and family affects the health seeking behaviour. Far location of health facilities, difficulty of transportation and service fee and related costs, disrespect and abuse during delivery and low quality of care are also influencing factors. Involving men to attend ANC, conduct implementation research for identifying the best way to establish maternity waiting homes, introducing an emergency fund for transportation and responsive birthing facilities adapted to local culture could be implemented to improve utilization.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Department:
Development, Policy and Practice
Country:
Ethiopia
Region:
Horn of Africa
Training:
Master of Public Health / International Course in Health Development (MPH/ICHD)
Category:
Research
Right:
© 2015 Bele
Document type:
Thesis/dissertation