SEARCHCROSS-SECTIONALpublic health, obstetrics and gynecology

cross-sectional·public health, obstetrics and gynecology, epidemiology, pediatrics, family medicine·PMC10538653

Complete continuum of maternity care and associated factors among mothers who gave birth in the last twelve months in Mekane Selam town North-East Ethiopia: A community-based cross-sectional study,2021

PLOS ONE · 8 authors, 5 centres

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TL;DR

This community-based cross-sectional study in Ethiopia assessed the coverage of complete continuum of maternity care among 479 mothers. The study found a low coverage of 42.4% and identified higher maternal education, pre-pregnancy contraceptive use, planned pregnancy, and early antenatal care initiation as significantly associated factors.

Full summary

653 CHARS

A community-based cross-sectional study was conducted among 479 mothers in Mekane Selam town, Ethiopia. Data were collected via an interviewer-administered questionnaire from September to November 2021. The primary outcome was the coverage of the complete continuum of maternity care. Binary logistic regression analysis identified associated factors. The study found that 42.4% of mothers received the complete continuum of maternity care. Significantly associated factors included higher educational status (AOR=4.17), pre-pregnancy contraceptive utilization (AOR=3.53), planned pregnancy (AOR=2.97), and early initiation of antenatal care (AOR=4.57).

STUDY TYPE

cross-sectional

SPECIALTY

public health

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AI pipeline

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100% · A

ORIGINAL PAPER

PMC10538653

Complete continuum of maternity care and associated factors among mothers who gave birth in the last twelve months in Mekane Selam town North-East Ethiopia: A community-based cross-sectional study,2021

PLOS ONE

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ABSTRACT

Abstract Background Complete continuum of maternity care has significant value in improving the health and wellbeing of mothers and newborns. Assessing the complete continuum of maternity care is a global priority, particularly in developing countries. Despite the fact that the complete continuum of maternity care prevents more than half of all maternal and neonatal deaths, Ethiopia remains one of the largest contributors to the global burden of maternal and neonatal deaths due to the low implementation of the complete continuum of maternity care. Thus, this study aimed to assess the coverage of the complete continuum of maternity care and associated factors among mothers who gave birth in the last 12 months in the study area. Methods A community-based cross-sectional study with a multistage sampling technique was conducted among 479 mothers who gave birth in the last 12 months in Mekane Selam town. Data were collected from September 1 to November 30/2021 using an interviewer-administered questionnaire. Binary logistic regression analysis was computed. In multivariable logistic regression analysis, an adjusted odds ratio (AOR) with a 95% confidence interval (CI) and a P- value< 0.05 were used to identify significantly associated factors. Results The coverage of a complete continuum of maternity care was 42.4% (95% CI: 37.9%, 47%). Respondents with higher educational status (AOR = 4.17, 95% CI: 1.52, 11.44), pre-pregnancy contraception utilization (AOR = 3.53, 95% CI: 1.80, 6.92), planned pregnancy (AOR = 2.97, 95% CI: 1.27, 6.97) and early initiation of antenatal care (AOR = 4.57, 95% CI: 2.86, 7.31) were significantly associated with complete continuum of maternity care. Conclusion The coverage of complete continuum of maternal care was low in the study area. The coverage could be expanded by making the necessary interventions on the associated factors. It is essential for women to acquire education, utilize contraception, plan their pregnancies, and begin antenatal care at an early age in order to enhance the coverage of complete continuum of maternity care.

CITATION EXPORT

Hibist Tilahun Mengistie, Mengistu Abate Belay, Abrham Debeb Sendekie et al.. Complete continuum of maternity care and associated factors among mothers who gave birth in the last twelve months in Mekane Selam town North-East Ethiopia: A community-based cross-sectional study,2021. PLOS ONE. (2023). https://doi.org/10.1371/journal.pone.0289200

AUTHORS

8 · 5 CENTRES

Hibist Tilahun Mengistie, Mengistu Abate Belay, Abrham Debeb Sendekie, Anguach Shitie, Dagne Addisu Sewyew, Tamirat Getachew, Tamirat Getachew, Tamirat Getachew

1Amhara Regional State Health Bureau Merawi Primary Hospital, Merawi, Ethiopia
2College of Medicine and Health Sciences School of Nursing, Wollo University, Dessie, Ethiopia
3College of Medicine and Health Sciences, Wachemo University, Hossana, Ethiopia
4College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia
5Haramaya University Faculty of Health Sciences: Haramaya University College of Health and Medical Sciences, ETHIOPIA