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Spatial variations of women's home delivery after antenatal care visits at lay Gayint District, Northwest Ethiopia.
BMC Public Health. 2019 Jun 03; 19(1):677.BP

Abstract

BACKGROUND

Home delivery is the most frequent childbirth practice in Ethiopia and brings health risks for many mothers and their babies which in turn affecting the whole families. Characterizing the spatial variations and the associated factors of home deliveries after antenatal care visit is necessary to prioritize risks and facilitate geographically based interventions.

METHOD

A community-based cross-sectional study design was carried out between February and March 2016. A total of 528 women who had just given birth were interviewed face-to-face using a questionnaire. Geo-referenced data were collected using a handheld global positioning system (GPS). The Bernoulli model was applied using the SatScan ™ software to analyze the purely spatial clusters of home deliveries. ArcGIS version 10.1 was used to visualize clusters of home delivery.

RESULTS

The overall proportion of home deliveries was 278(52.7%), and home deliveries had spatial variations. A primary cluster [LLR = 14.54, p < 0.001] was detected in village of Safida Giorgis. Secondary clusters were detected in Checheho [LLR = 9.17, p < 0.05] and ZurAmba [LLR = 8.51, p < 0.05]. Predictors for home delivery included the distance between the health extension worker's and mother's house [AOR = 2.2, 95% CI: 1.1, 4.3], residence [AOR = 3.8, 95% CI: 1.3, 10.9], source of information for ANC [AOR = 0.3, 95% CI: 0.13, 0.7], ANC visits [AOR = 6.1, 95% CI:1.9, 19.3], health education [AOR = 3.4, 95% CI: 1.5, 7.4], decision on place of delivery [AOR = 0.3, 95% CI: 0.1, 0.8], and knowledge on place of delivery [AOR = 0.04, 95% CI: 0.0, 0.1].

CONCLUSION

The proportion of home delivery after ANC visit was decreasing compared to other studies conducted in the region. In addition, spatial variations of home delivery were observed in the study area. Promoting women's education and behavioral change communication at the grass root level, provision of the services both at home and health facilities and improving the quality and capacity of the health providers are some of the recommendations forwarded.

Authors+Show Affiliations

Department of Health Informatics, Institute of Public Health, University of Gondar, Gondar, Ethiopia.Department of Epidemiology and Biostatistics, Institute of Public Health, University of Gondar, Gondar, Ethiopia. kassalemu@gmail.com.Climate and Geospatial Research Directorate, Ethiopian Institute of Agricultural Research, Addis Ababa, Ethiopia.Department of Health Informatics, Institute of Public Health, University of Gondar, Gondar, Ethiopia.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31159775

Citation

Nigatu, Araya Mesfin, et al. "Spatial Variations of Women's Home Delivery After Antenatal Care Visits at Lay Gayint District, Northwest Ethiopia." BMC Public Health, vol. 19, no. 1, 2019, p. 677.
Nigatu AM, Gelaye KA, Degefie DT, et al. Spatial variations of women's home delivery after antenatal care visits at lay Gayint District, Northwest Ethiopia. BMC Public Health. 2019;19(1):677.
Nigatu, A. M., Gelaye, K. A., Degefie, D. T., & Birhanu, A. Y. (2019). Spatial variations of women's home delivery after antenatal care visits at lay Gayint District, Northwest Ethiopia. BMC Public Health, 19(1), 677. https://doi.org/10.1186/s12889-019-7050-4
Nigatu AM, et al. Spatial Variations of Women's Home Delivery After Antenatal Care Visits at Lay Gayint District, Northwest Ethiopia. BMC Public Health. 2019 Jun 3;19(1):677. PubMed PMID: 31159775.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Spatial variations of women's home delivery after antenatal care visits at lay Gayint District, Northwest Ethiopia. AU - Nigatu,Araya Mesfin, AU - Gelaye,Kassahun Alemu, AU - Degefie,Degefie Tibebe, AU - Birhanu,Abraham Yeneneh, Y1 - 2019/06/03/ PY - 2018/10/12/received PY - 2019/05/27/accepted PY - 2019/6/5/entrez PY - 2019/6/5/pubmed PY - 2019/8/15/medline KW - ANC KW - Cluster KW - Home delivery KW - Northwest Ethiopia KW - Spatial variation SP - 677 EP - 677 JF - BMC public health JO - BMC Public Health VL - 19 IS - 1 N2 - BACKGROUND: Home delivery is the most frequent childbirth practice in Ethiopia and brings health risks for many mothers and their babies which in turn affecting the whole families. Characterizing the spatial variations and the associated factors of home deliveries after antenatal care visit is necessary to prioritize risks and facilitate geographically based interventions. METHOD: A community-based cross-sectional study design was carried out between February and March 2016. A total of 528 women who had just given birth were interviewed face-to-face using a questionnaire. Geo-referenced data were collected using a handheld global positioning system (GPS). The Bernoulli model was applied using the SatScan ™ software to analyze the purely spatial clusters of home deliveries. ArcGIS version 10.1 was used to visualize clusters of home delivery. RESULTS: The overall proportion of home deliveries was 278(52.7%), and home deliveries had spatial variations. A primary cluster [LLR = 14.54, p < 0.001] was detected in village of Safida Giorgis. Secondary clusters were detected in Checheho [LLR = 9.17, p < 0.05] and ZurAmba [LLR = 8.51, p < 0.05]. Predictors for home delivery included the distance between the health extension worker's and mother's house [AOR = 2.2, 95% CI: 1.1, 4.3], residence [AOR = 3.8, 95% CI: 1.3, 10.9], source of information for ANC [AOR = 0.3, 95% CI: 0.13, 0.7], ANC visits [AOR = 6.1, 95% CI:1.9, 19.3], health education [AOR = 3.4, 95% CI: 1.5, 7.4], decision on place of delivery [AOR = 0.3, 95% CI: 0.1, 0.8], and knowledge on place of delivery [AOR = 0.04, 95% CI: 0.0, 0.1]. CONCLUSION: The proportion of home delivery after ANC visit was decreasing compared to other studies conducted in the region. In addition, spatial variations of home delivery were observed in the study area. Promoting women's education and behavioral change communication at the grass root level, provision of the services both at home and health facilities and improving the quality and capacity of the health providers are some of the recommendations forwarded. SN - 1471-2458 UR - https://www.unboundmedicine.com/medline/citation/31159775/Spatial_variations_of_women's_home_delivery_after_antenatal_care_visits_at_lay_Gayint_District_Northwest_Ethiopia_ DB - PRIME DP - Unbound Medicine ER -