Birth Preparedness and Complication Readiness Study

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Questions and Answers

What is the estimated global maternal mortality ratio (MMR) per 100,000 live births?

211 deaths per 100,000 live births.

What percentage of pregnant women in the study were found to be well-prepared for birth and complication readiness?

60.3%

Which regions account for approximately 66% and 20% of global maternal deaths?

Sub-Saharan Africa accounts for approximately 66%, while Southern Asia accounts for about 20%.

List two factors that were significantly associated with birth preparedness and complication readiness according to the study.

Decision-making with husbands and lack of awareness about birth preparedness. Signup and view all the answers

What was Ethiopia's maternal mortality rate in 2017?

401 deaths per 100,000 live births. Signup and view all the answers

What method was used to select participants for the study?

Systematic random sampling. Signup and view all the answers

Identify two major causes of maternal mortality mentioned in the content.

Haemorrhage and hypertension. Signup and view all the answers

Why is birth preparedness and complication readiness (BPCR) important?

BPCR encourages proactive planning and decision-making during pregnancy and childbirth. Signup and view all the answers

What percentage of maternal deaths in developing countries is attributed to haemorrhage?

27.1%. Signup and view all the answers

What role does family size play in birth preparedness according to the study's findings?

Family size showed an adjusted odds ratio of 0.18, indicating a significant negative association with BPCR. Signup and view all the answers

What percentage of the population in Ethiopia utilizes BPCR practices?

32%. Signup and view all the answers

What percentage of the study participants were aged 20-29 years?

53.7% Signup and view all the answers

Highlight the significance of participating in pregnant women's conferences as found in the study.

Participation in conferences was associated with a higher level of BPCR, with an AOR of 0.50. Signup and view all the answers

According to the 2016 EDHS, what were the neonatal mortality rates in Ethiopia?

29 deaths per 1,000 live births. Signup and view all the answers

How many women reported having a family size of fewer than three?

68.5% Signup and view all the answers

What is the lifetime risk of maternal death in Ethiopia?

1 in 55. Signup and view all the answers

What statistical significance level was used to determine the results in this study?

A p-value of 0.05. Signup and view all the answers

What proportion of women had no report of stillbirths?

74.9% Signup and view all the answers

According to the study, what is a recommended action to improve birth preparedness?

Strengthening pregnant women's conferences and encouraging husband involvement in decision-making. Signup and view all the answers

What was the ANC follow-up rate among women in the study?

70.9% Signup and view all the answers

How many respondents were well-prepared for birth, according to the study?

60.3% Signup and view all the answers

What percentage of women planned to save money for childbirth?

74.1% Signup and view all the answers

What was the mode of transport planned by more than half of the respondents for emergencies?

Ambulance Signup and view all the answers

What percentage of women started their ANC at greater than 16 weeks of gestation?

37.2% Signup and view all the answers

How was the sample size of 410 participants achieved in the study?

The sample size was achieved by selecting individual participants using a systematic random sampling technique, interviewing every third client exiting each facility. Signup and view all the answers

What criteria were used to classify a woman as 'well prepared' for childbirth?

A woman was classified as 'well prepared' if she had prepared for four or more components related to childbirth preparedness. Signup and view all the answers

What were the key elements used to assess women's preparedness for childbirth?

The six key elements included choosing a place of delivery, planning for a skilled birth attendant, arranging transport, saving money, preparing a blood donor, and identifying a designated decision-maker. Signup and view all the answers

What language was the questionnaire translated into for the study participants?

The questionnaire was translated into Afan Oromo, the local language. Signup and view all the answers

Why were the questionnaires pretested before the main data collection?

The questionnaires were pretested on 5% of the sample size to ensure clarity and consistency of the questions. Signup and view all the answers

Who collected the data, and how was the process monitored?

The data was collected by five diploma-level clinical nurses, and supervisors closely monitored the data collection process. Signup and view all the answers

What defines a woman's knowledge about danger signs during pregnancy?

A woman is considered knowledgeable if she can mention at least four key danger signs associated with pregnancy, childbirth, and postpartum. Signup and view all the answers

How does the study define 'not well prepared' women in terms of childbirth preparedness?

Women are classified as 'not well prepared' if they have prepared for fewer than four components of childbirth preparedness. Signup and view all the answers

What percentage of women planned to be blood donors?

25.9% Signup and view all the answers

Which obstetric complication was most reported by respondents?

Excessive vaginal bleeding. Signup and view all the answers

What are the two most known danger signs during pregnancy according to the respondents?

Severe vaginal bleeding and blurred vision. Signup and view all the answers

What factor increases the likelihood of birth preparedness and complication readiness (BPCR)?

Deciding to seek health services with husbands. Signup and view all the answers

How many women participated in pregnant women's conferences?

226 women. Signup and view all the answers

What is the percentage of women knowledgeable about postpartum danger signs?

8.1%. Signup and view all the answers

What is the finding related to family size and BPCR readiness?

Women with three or more family members were 82% less likely to be prepared for BPCR. Signup and view all the answers

During labour, what proportion of respondents mentioned severe vaginal bleeding as a danger sign?

57.1%. Signup and view all the answers

What percentage of women in Chelia District were well-prepared for BPCR?

60.3% Signup and view all the answers

How much more likely are women who heard about birth preparedness to be prepared for BPCR compared to those who did not?

Women who heard about birth preparedness are 70% more likely to be prepared for BPCR. Signup and view all the answers

What is the adjusted odds ratio (AOR) for mothers who did not know about the presence of waiting homes at health facilities in relation to BPCR preparation?

The AOR is 0.31. Signup and view all the answers

What previous study findings does the BPCR preparedness level in Chelia District compare to?

It is similar to Ambajogai, India (55.83%) and Bamenda, Cameroon (65%). Signup and view all the answers

What discrepancy was noted regarding family size and BPCR preparation compared to the Vajira, Thailand study?

In Chelia District, larger family sizes were linked to lower BPCR preparation, while in Vajira, larger families were more likely to be prepared. Signup and view all the answers

What effect does participation in pregnant women's conferences have on BPCR preparation?

Women who did not participate were 50% less likely to prepare for BPCR. Signup and view all the answers

How does parity influence a woman’s preparedness for BPCR according to the study?

Women with less than or equal to 2 parities were 68% less likely to be prepared compared to those with three or more parities. Signup and view all the answers

What role does decision-making with husbands play in BPCR preparation?

Women making decisions with their husbands were more likely to be prepared for BPCR. Signup and view all the answers

Study Notes

Birth Preparedness and Complication Readiness in Chelia District, Ethiopia

Background: Birth preparedness and complication readiness (BPCR) are crucial for maternal health, encouraging proactive planning during pregnancy and childbirth. Limited information exists regarding BPCR in the study area. The study investigated BPCR practices among pregnant women.
Methods: A cross-sectional study was conducted at public health facilities in Chelia District, Ethiopia. A total of 406 pregnant women participated (99% response rate). Systematic random sampling was employed. Descriptive statistics, bivariate and multivariate binary logistic regression analyses, evaluated relationships between variables.
Results: 60.3% of respondents were well-prepared for birth and complications. Factors significantly associated with BPCR included:
- Family size: Smaller families were more likely to be prepared.
- Husband involvement: Joint decision-making with husbands was associated with higher BPCR.
- Parity: Lower parity was significantly associated with lower BPCR.
- Awareness: Lack of awareness about BPCR was associated with lower BPCR
- Waiting homes: Pregnant women who were unaware of maternity waiting homes were less likely to be prepared.
- Conferences: Women who did not participate in pregnant women's conferences showed lower BPCR.
Conclusions: BPCR levels were low in the study area. Factors like family size, husband involvement, awareness, parity, maternity waiting homes, and participation in women's conferences were significant associated factors. Strengthening pregnant women's conferences, encouraging husband involvement, and ensuring maternity waiting homes are crucial for improving BPCR.

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Description

This study focuses on birth preparedness and complication readiness (BPCR) among pregnant women in Chelia District, Ethiopia. It highlights critical factors influencing BPCR practices, including family size and husband involvement in decision-making. The research addresses the need for enhanced maternal health planning strategies in the region.