Trend Analysis on Maternal Health Care Services Utilization in Amhara Region Referral Hospitals, Ethiopia
International Journal of Nutrition and Food Sciences
Volume 7, Issue 3, May 2018, Pages: 81-89
Received: Mar. 1, 2018;
Accepted: Mar. 19, 2018;
Published: Apr. 19, 2018
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Genanew Timerga, College of Natural and Computational Science, Department of Statistics, Debre Berhan University, Debre Berhan, Ethiopia
Solomon Hailemeskel, College of Health Science, Department of Midwifery, Debre Berhan University, Debre Berhan, Ethiopia
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According to World Health Organization (WHO) repot complications arising during pregnancy death accounts 580,000 women of reproductive age each year, and a high proportion of these deaths contributed in sub-Saharan Africa. Impediments to the effective delivery care, ANC and PNC include geographical, financial and cultural barriers. The objectives of this study were to assess the current status of maternal health care services, compared to previous data factors that influence the utilization of these services, and to investigate trend analysis of improvement of utilization of maternal health care services in Amhara region, Ethiopia. Institution based cross sectional study design was conducted in Amhara region referral hospitals from January 2016 to December 2016. Maternal health care service providers in the respective health facilities collected primary and secondary data using structured and semi structured questionnaire. Odds Ratios, Bivariate and Multivariate logistic regression were used to identify predictor variables associated with the dependent variables. A total of 415 primary data and different samples in different year for secondary data were completed and making utilization of Antenatal Care (ANC), Delivery Care (DC) and Postnatal Care (PNC) services in 2000 to 2016 was found to be the children birth order of 1 mothers (primipara) (21.8%, 18.2%, 15.5% and 65.8%), (18.4%, 18.4%, 15.5% and 50.1%) and (31.7%, 33.4%, 14.4% and 54.9%) with respective years. Women residing in urban areas were 1.5, 1.7, 1.2 and 1.5 times more likely than women in rural areas to receive ANC from a health professional in respective years. Almost all predicted response CI out of covering 1 implies that there was an effect of the factor under consideration. Birth order (gravidity), residence, mothers’ education and wealth index in explaining the utilization of maternal health care services confirmed both bivariate and multivariate analyses significant effect in every year.
Trend Analysis, Multivariate, Factors, CI, MHCS
To cite this article
Trend Analysis on Maternal Health Care Services Utilization in Amhara Region Referral Hospitals, Ethiopia, International Journal of Nutrition and Food Sciences.
Vol. 7, No. 3,
2018, pp. 81-89.
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
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WHO (2010). Trends in Maternal Mortality: 1990 to 2008, estimates developed by WHO, UNICEF, UNFPA and The World Bank.
World Bank. 1994a. Better health in Africa: Experience and lessons learned. Washington, D. C. World Bank. 1994b. World development report: Infrastructure for development. New York, New.
World Health Organization (WHO). 1998. Improved access to maternal health services. WHOYork: Oxford University Press.
Mrisho M, Obrist B, Armstrong- Schellenber J, Haws RA, Mushi AK, Mshinda H, Tanner M and Schellenberg D (2009): The use of antenatal and postnatal care: perspectives and experiences of women and health care providers in rural southern Tanzania. BMC Pregnancy and Childbirth 368:1377-1386.
UNICF\FMOH. Safe motherhood action agenda: priorities for the next decade, 1987-1998. United Nations Children‟s Fund. (UNICEF) (2006). State of the World‟s children. United Nations Children's Fund, New York.
Central Statistical Authority (CSA) Ethiopia and ORC Macro. (2006). Ethiopia Demographic and Health Survey (EDHS) 2005. Addis Ababa, Ethiopia and Calverton, Maryland, USA.
Lawn, J. and Kerber, K. (2006). Opportunity for Africa Newborns: Practical data, policy and programmatic support for newborn care in Africa. Eds. PMNCH, Cape Town.
Yoder, R. (1989) Are people willing and able to pay for health services? Social Scientific Medicine; 29 (1): 35–44.
United Nations (UN) (2008), The Millennium development Goals Report 2008, New York.
Melkamu, F. (2005). Assessment of Factors affecting utilization of maternal health care service in Ayssaita and dubit towns, Afar Regional state, north East Ethiopia.
Yared, M. and Asnaketch M. (2002) „Utilization of Maternal Healthcare Services in Ethiopia‟. Calverton, Maryland, USA: ORC Macro.
Babalola, S. and Fatusi, A. (2009) 'Determinants of use of maternal health services in Nigeria – looking beyond individual and household factors'. BMC Pregnancy and Childbirth 2009, 9:43.
Ethiopian Society of Population Studies (2008) 'Maternal Healthcare Seeking Behavior in Ethiopia: Findings from EDHS 2005', Addis Ababa.
Wong EX, Popkm BM, Guilkey DK, Akin JS (1987). Accessibility, Quality of Care and Prenatal Care Use in the Philippines. Social Science and Medicine, 24: 927 - 944.
Addai, I. (2000). Determinants of use of maternal-child health services in rural Ghana. Journal of Biosocial Science 32 (1):1-15.
Chakraborty, N., Islam M. A., Chowdhury, R. I., Bari, W., and Akhter, H. H. (2003) “Determinants of the use of maternal health services in rural Bangladesh”. Health PromotInt 2003; 18:327-37.
Habtamu Z. (2008). Trend and Determinants of utilization of maternal health care service in Amhara regional state; evidence from EDHS 2000 and 2005. A Thesis submitted to the school of graduate studies of Addis Ababa University.
Meseret K. 2010. Statistical analysis of factors affecting usage of maternal health care services in four regions of Ethiopia.
Kassu M. 2012. Determinant factors affecting utilization of maternal health care services in rural Ethiopia.