TY - JOUR
T1 - Maternal social support and health facility delivery in Southwest Ethiopia
AU - Mamo, Abebe
AU - Abera, Muluemebet
AU - Abebe, Lakew
AU - Bergen, Nicole
AU - Asfaw, Shifera
AU - Bulcha, Gebeyehu
AU - Asefa, Yisalemush
AU - Erko, Endale
AU - Bedru, Kunuz Haji
AU - Lakew, Mihiretu
AU - Kurji, Jaameeta
AU - Kulkarni, Manisha A.
AU - Labonté, Ronald
AU - Birhanu, Zewdie
AU - Morankar, Sudhakar
N1 - Funding Information:
The authors gratefully acknowledge the study participants for their time and effort. We wish to acknowledge Innovating for Maternal and Child Health in Africa project for funding this study through International Development Research Centre (IDRC) the government of Canada. The authors deeply acknowledge our research team in Jimma and Ottawa Universities for their dedication and contribution to complete this manuscript. We deeply appreciate Jimma University who provided logistical support throughout the data collection period, as well as Jimma zone Health offices for their support too.
Funding Information:
The authors gratefully acknowledge the study participants for their time and effort. We wish to acknowledge Innovating for Maternal and Child Health in Africa project for funding this study through International Development Research Centre (IDRC) the government of Canada. The authors deeply acknowledge our research team in Jimma and Ottawa Universities for their dedication and contribution to complete this manuscript. We deeply appreciate Jimma University who provided logistical support throughout the data collection period, as well as Jimma zone Health offices for their support too.
Funding Information:
This work was carried out with grants from the Innovating for Maternal and Child Health in Africa initiative - a partnership of Global Affairs Canada (GAC), the Canadian Institutes of Health Research (CIHR) and Canada’s International Development Research Centre (IDRC); it does not necessarily reflect the opinions of these organizations. The funder had no role in the study design, in the collection, analysis or interpretation of data, or in writing the manuscript.
Publisher Copyright:
© 2022, The Author(s).
PY - 2022/5/11
Y1 - 2022/5/11
N2 - Background: Maternal mortality continues to decrease in the world but remain the most important health problems in low-income countries. Although evidence indicates that social support is an important factor influencing health facility delivery, it has not been extensively studied in Ethiopia. Therefore, this study aimed to assess the effect of maternal social support and related factors on health facility delivery in southwest Ethiopia. Methods: A cross-sectional survey data on 3304 women aged 15–47 years in three districts of Ethiopia, were analyzed. Using multivariable logistic regression, we assessed the association between health facility birth, social support, and socio-demography variables. Adjusted odds ratios with 95% confidence intervals were used to identify statistically significant associations at 5% alpha level. Result: Overall, 46.9% of women delivered at health facility in their last pregnancy. Average travel time from closest health facility (AOR: 1.51, 95% CI 1.21 to 2.90), mean perception score of health facility use (AOR: 1.83, 95% CI 1.44 to 2.33), involvement in final decision to identify their place of childbirth (AOR: 2.12, 95% CI 1.73 to 2.58) had significantly higher odds of health facility childbirth. From social support variables, women who perceived there were family members and husband to help them during childbirth (AOR: 3.62, 95% CI 2.74 to 4.79), women who received continuous support (AOR: 1.97, 95% CI 1.20 to 3.23), women with companions for facility visits (AOR: 1.63, 95% CI 1.34 to 2.00) and women who received support from friends (AOR: 1.62, 95% CI 1.16 to 3.23) had significantly higher odds of health facility childbirth. Conclusions: Social support was critical to enhance health facility delivery, especially if women’s close ties help facility delivery. An intervention to increase facility delivery uptake should target not only the women’s general social supports, but also continuous support during childbirth from close ties including family members and close friends as these are influential in place of childbirth. Also actions that increase women’s healthcare decision could be effective in improving health facility delivery.
AB - Background: Maternal mortality continues to decrease in the world but remain the most important health problems in low-income countries. Although evidence indicates that social support is an important factor influencing health facility delivery, it has not been extensively studied in Ethiopia. Therefore, this study aimed to assess the effect of maternal social support and related factors on health facility delivery in southwest Ethiopia. Methods: A cross-sectional survey data on 3304 women aged 15–47 years in three districts of Ethiopia, were analyzed. Using multivariable logistic regression, we assessed the association between health facility birth, social support, and socio-demography variables. Adjusted odds ratios with 95% confidence intervals were used to identify statistically significant associations at 5% alpha level. Result: Overall, 46.9% of women delivered at health facility in their last pregnancy. Average travel time from closest health facility (AOR: 1.51, 95% CI 1.21 to 2.90), mean perception score of health facility use (AOR: 1.83, 95% CI 1.44 to 2.33), involvement in final decision to identify their place of childbirth (AOR: 2.12, 95% CI 1.73 to 2.58) had significantly higher odds of health facility childbirth. From social support variables, women who perceived there were family members and husband to help them during childbirth (AOR: 3.62, 95% CI 2.74 to 4.79), women who received continuous support (AOR: 1.97, 95% CI 1.20 to 3.23), women with companions for facility visits (AOR: 1.63, 95% CI 1.34 to 2.00) and women who received support from friends (AOR: 1.62, 95% CI 1.16 to 3.23) had significantly higher odds of health facility childbirth. Conclusions: Social support was critical to enhance health facility delivery, especially if women’s close ties help facility delivery. An intervention to increase facility delivery uptake should target not only the women’s general social supports, but also continuous support during childbirth from close ties including family members and close friends as these are influential in place of childbirth. Also actions that increase women’s healthcare decision could be effective in improving health facility delivery.
KW - Ethiopia
KW - Health facility delivery
KW - Maternal and child health
KW - Social support
UR - http://www.scopus.com/inward/record.url?scp=85132650574&partnerID=8YFLogxK
U2 - 10.1186/s13690-022-00890-7
DO - 10.1186/s13690-022-00890-7
M3 - Article
AN - SCOPUS:85132650574
SN - 0778-7367
VL - 80
JO - Archives of Public Health
JF - Archives of Public Health
IS - 1
M1 - 135
ER -