Skip to main content
Top
Published in: Reproductive Health 1/2017

Open Access 01-12-2017 | Research

Maternal health care service seeking behaviors and associated factors among women in rural Haramaya District, Eastern Ethiopia: a triangulated community-based cross-sectional study

Authors: Dereje Kifle, Telake Azale, Yalemzewod Assefa Gelaw, Yayehirad Alemu Melsew

Published in: Reproductive Health | Issue 1/2017

Login to get access

Abstract

Background

Regular utilization of maternal health care services reduces maternal morbidity and mortality. This study assessed the maternal health care seeking behavior and associated factors of reproductive age women in rural villages of Haramaya district, East Ethiopia.

Methods

Community based cross sectional study supplemented with qualitative data was conducted in Haramaya district from November 15 to Decemeber 30, 2015. A total of 561 women in reproductive age group and who gave birth in the last 2 years were randomly included. Bivariate and multivariate logistic regressions model was used to identify the associated factors. Odds ratios with 95% CI were used to measure the strength of association.

Result

Maternal health care service seeking of women was found as; antenatal care 74.3% (95% CI; 72.5, 76.14), attending institutional delivery 28.7% (95% CI; 26.8, 30.6) and postnatal care 22.6% (95% CI; 20.84, 24.36). Knowledge of pregnancy complications, Educational status, and religion of women were found to be significantly associated with antenatal health care, delivery and postnatal health care service seeking behaviours triangulated with individual, institutional and socio-cultural qualitative data.

Conclusion

The maternal health care service seeking behavior of women in the study area was low. Educational status of the women, birth order and knowledge about pregnancy complications were the major factors associated with maternal health care service seeking behavior Focused health education with kind and supportive health care provider counseling will improve the maternal health care seeking behaviors of women.
Literature
2.
go back to reference Gyimaha SO, Takyi BK, Addai I. Challenges to the reproductive-health needs of African women: On religion and maternal health utilization in Ghana. Soc Sci Med. 2006;62:2930–44.CrossRef Gyimaha SO, Takyi BK, Addai I. Challenges to the reproductive-health needs of African women: On religion and maternal health utilization in Ghana. Soc Sci Med. 2006;62:2930–44.CrossRef
4.
go back to reference Say L, Chou D, Gemmill A, Tunçalp Ö, Moller AB, Daniels J, Gülmezoglu AM, Temmerman M, Alkema L. Global causes of maternal death: a WHO systematic analysis. Lancet Glob Health. 2014;2:323–33.CrossRef Say L, Chou D, Gemmill A, Tunçalp Ö, Moller AB, Daniels J, Gülmezoglu AM, Temmerman M, Alkema L. Global causes of maternal death: a WHO systematic analysis. Lancet Glob Health. 2014;2:323–33.CrossRef
6.
go back to reference Oladapo OT, Sule-Odu AO, Olatunji AO, Daniel OJ. “Near-miss” obstetric events and maternal deaths in Sagamu, Nigeria: a retrospective study. Reprod Health. 2005;2:9.CrossRefPubMedPubMedCentral Oladapo OT, Sule-Odu AO, Olatunji AO, Daniel OJ. “Near-miss” obstetric events and maternal deaths in Sagamu, Nigeria: a retrospective study. Reprod Health. 2005;2:9.CrossRefPubMedPubMedCentral
7.
go back to reference Babusha A, Demisew A, Abdisa G. Prevalence of Maternal Near Miss and Maternal Death in Atat Hospital, Ethiopia. J Womens Health Issues Care. 2014;3(6):93–104. Babusha A, Demisew A, Abdisa G. Prevalence of Maternal Near Miss and Maternal Death in Atat Hospital, Ethiopia. J Womens Health Issues Care. 2014;3(6):93–104.
8.
go back to reference Berhan Y, Berhan A. Antenatal Care as a means of increasing birth in the health facility and reducing maternal mortality: a systematic review. Ethiop J Health Sci. 2014;24:93–104. Berhan Y, Berhan A. Antenatal Care as a means of increasing birth in the health facility and reducing maternal mortality: a systematic review. Ethiop J Health Sci. 2014;24:93–104.
9.
go back to reference Koblinsky M, Tain F, Gaym A, Karim A, Carnell M, Solomon T. Responding to the maternal health care challenge: The Ethiopian Health Extension Program. Ethiop J Health Dev. 2010;24(Special Issue 1):105–9. Koblinsky M, Tain F, Gaym A, Karim A, Carnell M, Solomon T. Responding to the maternal health care challenge: The Ethiopian Health Extension Program. Ethiop J Health Dev. 2010;24(Special Issue 1):105–9.
10.
go back to reference Yared M, Asnakech M. Factors Influencing the Use of Maternal Healthcare Services in Ethiopia. J Health Popul Nutr. 2003;21(4):374–82. Yared M, Asnakech M. Factors Influencing the Use of Maternal Healthcare Services in Ethiopia. J Health Popul Nutr. 2003;21(4):374–82.
11.
go back to reference CSA. Ethiopia Mini Demographic and Health Survey 2014. Addis Ababa:Ethiopia and Calverton; 2014. CSA. Ethiopia Mini Demographic and Health Survey 2014. Addis Ababa:Ethiopia and Calverton; 2014.
12.
go back to reference Bahilu T, Abebe GM, Yohannes D. Factors Affecting Antenatal Care Utilization in Yem Special Woreda, Southwestern Ethiopia. Ethiop J Health Sci. 2009;19(1):45–51. Bahilu T, Abebe GM, Yohannes D. Factors Affecting Antenatal Care Utilization in Yem Special Woreda, Southwestern Ethiopia. Ethiop J Health Sci. 2009;19(1):45–51.
13.
go back to reference Zeine A, Mirkuzie W, Shimeles O. Factors Influencing Antenatal Care Service Utilization in Hadiya Zone. Ethiop J Health Sci. 2010;2(2):75–82. Zeine A, Mirkuzie W, Shimeles O. Factors Influencing Antenatal Care Service Utilization in Hadiya Zone. Ethiop J Health Sci. 2010;2(2):75–82.
14.
go back to reference Chakraborty N, Islam MA, Chowdhury RI, Bari W, Akhter HH. Determinants of the use of maternal health services in rural Bangladesh. Health Promot Int. 2003;18(4):327–37.CrossRefPubMed Chakraborty N, Islam MA, Chowdhury RI, Bari W, Akhter HH. Determinants of the use of maternal health services in rural Bangladesh. Health Promot Int. 2003;18(4):327–37.CrossRefPubMed
15.
go back to reference Ye Y, Yoshida Y, Harun-OR-Rashid M, Sakamoto J. Factors Affecting the Utilization of Antenatal Care Services among Women in Kham District, Xiengkhouang Province, Lao Pdr. Nagoya J Med Sci. 2010;72:23–33.PubMed Ye Y, Yoshida Y, Harun-OR-Rashid M, Sakamoto J. Factors Affecting the Utilization of Antenatal Care Services among Women in Kham District, Xiengkhouang Province, Lao Pdr. Nagoya J Med Sci. 2010;72:23–33.PubMed
16.
go back to reference Yakong VN, Rush KL, Bassett-Smith J, Bottorff JL, Robinson C. Women’s experiences of seeking reproductive health care in rural Ghana: challenges for maternal health service utilization. J Adv Nurs. 2010;66(11):2431–41.CrossRefPubMed Yakong VN, Rush KL, Bassett-Smith J, Bottorff JL, Robinson C. Women’s experiences of seeking reproductive health care in rural Ghana: challenges for maternal health service utilization. J Adv Nurs. 2010;66(11):2431–41.CrossRefPubMed
17.
go back to reference Yinager G, Desta A. Factors affecting utilization of postnatal care service in Jabitena district, Amhara region, Ethiopia. Sci J Public Health. 2014;2(3):169–76.CrossRef Yinager G, Desta A. Factors affecting utilization of postnatal care service in Jabitena district, Amhara region, Ethiopia. Sci J Public Health. 2014;2(3):169–76.CrossRef
18.
go back to reference Fantu A, Yemane B, Belaineh G. Factors associated with home delivery in Bahirdar, Ethiopia: A case control study. BMC Res Notes. 2012;5:653.CrossRef Fantu A, Yemane B, Belaineh G. Factors associated with home delivery in Bahirdar, Ethiopia: A case control study. BMC Res Notes. 2012;5:653.CrossRef
19.
go back to reference Asfawosen A, Mussie A, Huruy A, Wondeweson T. Factors associated with maternal health care services in Enderta District, Tigray, Northern Ethiopia: A cross sectional study. Am J Nurs Sc. 2014;3(6):117–25.CrossRef Asfawosen A, Mussie A, Huruy A, Wondeweson T. Factors associated with maternal health care services in Enderta District, Tigray, Northern Ethiopia: A cross sectional study. Am J Nurs Sc. 2014;3(6):117–25.CrossRef
20.
go back to reference Pallikadavath S, Foss M, Stones RW. Antenatal care: provision and inequalityin rural north India. Soc Sci Med. 2004;59:1147–58.CrossRefPubMed Pallikadavath S, Foss M, Stones RW. Antenatal care: provision and inequalityin rural north India. Soc Sci Med. 2004;59:1147–58.CrossRefPubMed
21.
go back to reference FDREPCC. Summary and statistical Report of of the 2007 Population and Housing census. Addis Ababa; 2008 FDREPCC. Summary and statistical Report of of the 2007 Population and Housing census. Addis Ababa; 2008
22.
go back to reference Tesfaye R, Gebi A. Factors Affecting Prenatal Care Utilization in East Wollega Zone, Oromia Regional State, Ethiopia. Sci Technol Arts Res J. 2014;3(2):148–54.CrossRef Tesfaye R, Gebi A. Factors Affecting Prenatal Care Utilization in East Wollega Zone, Oromia Regional State, Ethiopia. Sci Technol Arts Res J. 2014;3(2):148–54.CrossRef
23.
go back to reference Regassa N. Antenatal and postnatal care service utilization in southern Ethiopia: a population-based study. Afr Health Sci. 2011;11(3):390–7.PubMedPubMedCentral Regassa N. Antenatal and postnatal care service utilization in southern Ethiopia: a population-based study. Afr Health Sci. 2011;11(3):390–7.PubMedPubMedCentral
25.
go back to reference Pell C, Meñaca A, Were F, Afrah NA, Chatio S, Manda-Taylor L, et al. Factors Affecting Antenatal Care Attendance: Results from Qualitative Studies in Ghana, Kenya and Malawi. PLoS One. 2013;8(1):e53747.CrossRefPubMedPubMedCentral Pell C, Meñaca A, Were F, Afrah NA, Chatio S, Manda-Taylor L, et al. Factors Affecting Antenatal Care Attendance: Results from Qualitative Studies in Ghana, Kenya and Malawi. PLoS One. 2013;8(1):e53747.CrossRefPubMedPubMedCentral
26.
go back to reference Gurmesa T. Antenatal Care Service Utilization and Associated Factors in Metekel Zone, Northwest Ethiopia. Ethiop J Health Sci. 2009;19(2):111–9. Gurmesa T. Antenatal Care Service Utilization and Associated Factors in Metekel Zone, Northwest Ethiopia. Ethiop J Health Sci. 2009;19(2):111–9.
27.
go back to reference Seifu H, Debebe S, Meselech A, Alemayehu M, Mesganaw F, Saifuddin A. Utilization of institutional delivery service at Wukro and Butajera districts in the Northern and South Central Ethiopia. BMC Pregnancy Childbirth. 2014;14:178.CrossRef Seifu H, Debebe S, Meselech A, Alemayehu M, Mesganaw F, Saifuddin A. Utilization of institutional delivery service at Wukro and Butajera districts in the Northern and South Central Ethiopia. BMC Pregnancy Childbirth. 2014;14:178.CrossRef
28.
go back to reference Mulatu A, Samrawit S, Molla G, Habte B. Postnatal Care Service Utilization and Associated Factors Among Women in Dembecha District, Northwest Ethiopia. Sci J Public Health. 2015;3(5):686–92.CrossRef Mulatu A, Samrawit S, Molla G, Habte B. Postnatal Care Service Utilization and Associated Factors Among Women in Dembecha District, Northwest Ethiopia. Sci J Public Health. 2015;3(5):686–92.CrossRef
29.
go back to reference Odo D, Shifti D. Institutional delivery service utilization and associated factors among child bearing age women in goba woreda, Ethiopia. J Gynecol Obstet. 2014;2(4):63–70. Odo D, Shifti D. Institutional delivery service utilization and associated factors among child bearing age women in goba woreda, Ethiopia. J Gynecol Obstet. 2014;2(4):63–70.
30.
go back to reference Alemayeh H, Assefa H, Adama Y. Prevalence and Factors Associated with Post Natal Care Utilization in Abi-Adi Town, Tigray, Ethiopia: A Cross Sectional Study. 2014;08(01). Alemayeh H, Assefa H, Adama Y. Prevalence and Factors Associated with Post Natal Care Utilization in Abi-Adi Town, Tigray, Ethiopia: A Cross Sectional Study. 2014;08(01).
31.
go back to reference Raghupathy S. Education and the Use of Maternal Health Care in Thailand. Soc Sci Med. 1996;43(4):459–71.CrossRefPubMed Raghupathy S. Education and the Use of Maternal Health Care in Thailand. Soc Sci Med. 1996;43(4):459–71.CrossRefPubMed
32.
go back to reference Ononokpono DN, Odimegwu CO. Determinants of maternal health care utilization in Nigeria: a multilevel approach. Pan African Medical Journal. 2014;17(Supp 1):2. Ononokpono DN, Odimegwu CO. Determinants of maternal health care utilization in Nigeria: a multilevel approach. Pan African Medical Journal. 2014;17(Supp 1):2.
34.
go back to reference Dhaher E, Mikolajczyk RT, Maxwell AE, Krämer A. Factors associated with lack of postnatal care among Palestinian women: A cross-sectional study of three clinics in the West Bank. BMC pregnancy and childbirth. 2008;8(1):1. Dhaher E, Mikolajczyk RT, Maxwell AE, Krämer A. Factors associated with lack of postnatal care among Palestinian women: A cross-sectional study of three clinics in the West Bank. BMC pregnancy and childbirth. 2008;8(1):1.
35.
go back to reference Njozi M, Tani K, Doctor HV, Hingora A, Phillips JF. Access to institutional delivery care and reasons for home delivery in three districts of Tanzania. International journal for equity in health. 2014;13(1):1. Njozi M, Tani K, Doctor HV, Hingora A, Phillips JF. Access to institutional delivery care and reasons for home delivery in three districts of Tanzania. International journal for equity in health. 2014;13(1):1.
Metadata
Title
Maternal health care service seeking behaviors and associated factors among women in rural Haramaya District, Eastern Ethiopia: a triangulated community-based cross-sectional study
Authors
Dereje Kifle
Telake Azale
Yalemzewod Assefa Gelaw
Yayehirad Alemu Melsew
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Reproductive Health / Issue 1/2017
Electronic ISSN: 1742-4755
DOI
https://doi.org/10.1186/s12978-016-0270-5

Other articles of this Issue 1/2017

Reproductive Health 1/2017 Go to the issue