Healthcare-Seeking Behaviour for Obstetric Complications in Ethiopia: A Multilevel Mixed-Effect Analysis.
Background: Healthcare-seeking behaviour, and its associated factors, for obstetric complications are an important determinant of maternal deaths and adverse foetal outcomes. However, there is limited evidence on healthcare-seeking behaviours from health facilities in response to obstetric complicat...
| Publicado en: | Health Services Insights pp. 1 - 23 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
6/24/2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=186160706&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 186160706 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11786329 B10H jtl: Health Services Insights issn: 11786329 maglogo: Y pubinfo: dt: 6/24/2025 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 186160706 186160706 186160706 10.1177/11786329251347353 186160706 ppf: 1 ppct: 22 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Healthcare-Seeking Behaviour for Obstetric Complications in Ethiopia: A Multilevel Mixed-Effect Analysis. aug: au: Geremew, Alehegn Bishaw Roberts, Claire T. Ullah, Shahid Stephens, Jacqueline H. affil: Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia sug: subj: Help Seeking Behavior Epidemiology Pregnancy Complications Risk Factors Women's Health Psychosocial Factors Risk Assessment Maternal Health Services Human Female Pregnancy Young Adult Adult Ethiopia Retrospective Design Record Review Cross Sectional Studies Prospective Studies Multicenter Studies Nonexperimental Studies Surveys Stakeholder Participation Psychosocial Factors Postnatal Care Childbirth Expectant Mothers Psychosocial Factors Maternal Mortality Pregnancy Outcomes Adverse Effects Health Facilities Multiple Logistic Regression Prenatal Care Stratified Random Sample Cluster Sample Questionnaires Interviews Conceptual Framework Probability Self Report Multivariate Analysis Descriptive Statistics Comparative Studies Odds Ratio Confidence Intervals Data Analysis Software Intraclass Correlation Coefficient Adult: 19-44 years Female ab: Background: Healthcare-seeking behaviour, and its associated factors, for obstetric complications are an important determinant of maternal deaths and adverse foetal outcomes. However, there is limited evidence on healthcare-seeking behaviours from health facilities in response to obstetric complications among Ethiopian women. Objective: To investigate women's healthcare-seeking behaviour in response to obstetric complications, and its associated factors, in Ethiopia. Methods: Data were sourced from the Performance Monitoring for Action (PMA-E) longitudinal survey national database. Andersen's health service use model was utilised to group individual and contextual factors. A multilevel mixed-effect logistic regression model was employed, with adjusted Odds Ratio (aOR) and 95% confidence intervals reported. Results: Data were derived from a weighted sample of 1750 women who experienced obstetric complications during pregnancy, childbirth, and immediately postpartum. Overall healthcare-seeking at health facilities for obstetric complication symptoms during the maternity continuum was 62% (95%CI: 59.6-64.3), with 47.8% (95%CI: 45.0-50.5), 64.5% (95%CI: 61.3-67.5), and 52% (95%CI: 48.3-55.6) seeking healthcare from health facilities during pregnancy, childbirth, and the immediate post-partum period, respectively. Antenatal care attendance (aOR = 3.43, 95%CI: 2.4-5.0), nulliparity (aOR = 2.1; 95%CI: 1.0-4.4), household access to media (aOR = 1.5, 95%CI: 1.0-2.1), no intimate partner violence (IPV) during pregnancy (aOR = 1.8, 95%CI: 1.1-3.1), high community wealth status (aOR = 1.2, 95%CI: 1.1-2.4), community encouragement of facility childbirth (aOR = 2.2, 95%CI: 1.1-4.3), community non-acceptance of the traditional birth attendant (TBA; aOR = 2.4, 95%CI: 1.6-3.7), and high community participation in health developmental army (HDA; aOR = 2.1, 95%CI: 1.1-3.9) were significantly associated with healthcare seeking behaviour. Conclusions: The healthcare-seeking behaviour of women from health facilities in response to obstetric complication symptoms was low and varied across the different stages of the maternity continuum. Key programme priority interventions should focus on reducing community reliance on TBA care, enhancing community encouragement of facility childbirth, and strengthening the HDA. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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