Prevalence and Associated Factors with Maternal Delays in Seeking Emergency Obstetric Care in Arsi Zone, Oromiya, Ethiopia Cross-sectional Study Design

Yirga Wondu, B. Dibaba, Roza Amdemichael
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Abstract

Objective: To determine the prevalence and associated factors with the maternal delay in seeking emergency obstetrics services among pregnant women, Arsi Zone, Oromiya, Ethiopia, 2016.Methods: A Facility based Cross-sectional study design using a quantitative method was conducted at public health facilities of Arsi Zone. Sample size, 847 was determined using a single population proportion formula. A total of 10 health centers which provide obstetric care selected randomly and sample size proportionally allocated to each facility. Data entered in Epi Info version 3.3.2 software and exported to SPSS version 20 for statistical analysis. p<0.05 considered to declare a statistically significant variable with a 95% confidence interval.Result: From the total 775 participants, 203 (27.2%) of the respondents reported that they faced problem in making a decision to seek emergency obstetric care. The mean time for delay was 90 minutes with a range of 30 minutes to 18 hours. Maternal age, educational level, monthly income, and ANC follow up status were significant predictors of maternal delay in seeking emergency obstetric care.Conclusion: Husbands took the lines to share in making the decision to seek obstetric care. This implies independent decision-making power of women on their own health is low. In order to address maternal delay one health extension workers along with health centers staffs, district officers and programmers should give emphasis for awareness creation, income generating mechanism and capacitating decision making the power of mothers need to be strengthened and expanded in the community.
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埃塞俄比亚奥罗米亚Arsi地区产妇延迟寻求产科急诊的患病率及相关因素
目的:了解2016年埃塞俄比亚奥罗米亚Arsi地区孕妇延迟寻求产科急诊服务的发生率及其相关因素。方法:采用定量方法,采用基于设施的横断面研究设计,对Arsi区公共卫生机构进行调查。样本量为847,采用单一总体比例公式确定。共有10个提供产科护理的保健中心被随机选择,并按比例分配给每个设施。数据输入Epi Info 3.3.2版本软件,导出到SPSS 20版本进行统计分析。P <0.05被认为是具有95%置信区间的统计学显著变量。结果:在总共775名参与者中,203人(27.2%)的受访者报告说,他们在决定寻求紧急产科护理时遇到了问题。平均延误时间为90分钟,范围为30分钟至18小时。产妇年龄、受教育程度、月收入和ANC随访状况是产妇延迟寻求产科急诊的重要预测因素。结论:在决定是否寻求产科护理时,丈夫愿意参与。这意味着妇女对自身健康的独立决策权较低。为了解决产妇延误问题,保健推广工作人员以及保健中心工作人员、地区官员和方案编制人员应重视提高认识、建立创收机制和促进决策,需要加强和扩大社区中母亲的权力。
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