edoc

Antenatal care and skilled delivery service utilisation in Somali pastoral communities of Eastern Ethiopia

Umer, A. and Zinsstag, J. and Schelling, E. and Tschopp, R. and Hattendof, J. and Osman, K. and Yuya, M. and Ame, A. and Zemp, E.. (2020) Antenatal care and skilled delivery service utilisation in Somali pastoral communities of Eastern Ethiopia. Tropical medicine and international health : TM & IH, 25 (3). pp. 328-337.

[img] PDF - Published Version
Available under License CC BY (Attribution).

256Kb

Official URL: https://edoc.unibas.ch/76125/

Downloads: Statistics Overview

Abstract

To assess maternal health care service utilisation and associated factors in Somali pastoral communities of eastern Ethiopia.; Community-based cross-sectional study complemented by qualitative assessments in Adadle district, Somali region, eastern Ethiopia, among 450 women in six kebeles from August to September 2016. Logistic regression was used to assess factors associated with antenatal care use and skilled delivery care use, controlling for confounders.; About 27% [95%CI 22.8-31.2%] of women used antenatal care, and 22.6% [95%CI 18.7-26.5%] received skilled delivery service. None of the respondents reported post-natal care. About 43% reported that they had no knowledge of antenatal care, and 46% did not perceive delivery at a health facility as important. Pastoral lifestyle, husband's educational status, women's attitude towards health care service and financial support from the husband were significantly associated with antenatal care utilisation. Health professionals' attitudes, perceptions of institutional delivery, antenatal care utilisation and information about exemptions from maternal health care fees were associated with skilled delivery service utilisation.; Improving community awareness of antenatal care, employing female health professionals and culturally adapted guidelines could improve skilled delivery utilisation. In a patriarchal society, involving male partners in all maternal health issues is essential to increase use of maternal health services and to decrease maternal mortality.
Faculties and Departments:09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Former Units within Swiss TPH > Mobile Populations and Health (Schelling)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Department of Epidemiology and Public Health (EPH) > Human and Animal Health > One Health (Zinsstag)
UniBasel Contributors:Umer, Abdurezak and Zinsstag, Jakob Z and Tschopp, Rea and Hattendorf, Jan and Osman, Kadra Ali and Zemp Stutz, Elisabeth and Schelling, Esther
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:Wiley-Blackwell
ISSN:1365-3156
Note:Publication type according to Uni Basel Research Database: Journal article
Language:English
Identification Number:
Last Modified:27 Mar 2020 08:26
Deposited On:27 Mar 2020 08:26

Repository Staff Only: item control page