Abstract:

Ngora district had a total of 3,248 under-five deaths in 2015 (Reproductive maternal newborn and child health report (2015). Ngora Fredica hospital registered 5 maternal deaths on September 6 and 11 in November in 2016. In total 22 maternal deaths in 3 months, 5 deaths are from Nora sub-county with high number of women with morbidity such as foot drop, ill health, maternal exhaustion, and fistulas. The purpose of the study was to assess factors that influence birth preparedness and complications readiness among community women of child-bearing age (15-49 years). Bivariate analysis with an unadjusted odds ratio at a 95% confidence level was performed to determine the factors that were associated with birth preparedness and complication readiness among women within reproductive age. Age (15-19 years COR = 1.68, p-value 0.000), Education level (no formal education COR = 6.1, p-value 0.000), Occupation (housewife not working COR = 4.58, p-value 0.000), Marital status (Single mothers COR = 2.60, p-value 0.000), Number of children (more than 6 children COR = 2.95, p-value 0.000), Distance to the health facility (Not walkable COR = 5.29, p-value 0.000), Cost of transport to the health facility (Not affordable COR = 4.91, p-value 0.010), Perceptions COR = 6.14, p-value 0.000, Knowledge (lack of knowledge on dander signs of birth complications COR = 3.19, p-value 0.000, Practice (not attending ANC COR = 2.95, p-value 0.000) and Practice (delivering from home COR = 3.80, p-value 0.006).

References:

[1] Ronsmans, C. & Yinger (2009). Levels and causes of maternal mortality and morbidity. Reproductive, Maternal, Newborn, and Child Health, p.51.

[2] The world health report 2011: primary health care: now more than ever. World Health Organization.

[3] Semyalo, V.B.N.S., 2010. The effects of poverty on child health in relation to the socio-economic status of mothers: a case study of Nakawe division, Kampala district, Uganda (Master’s thesis, Universitetet i Agder, University of Agder).

[4] Hiluf, M. and Fantahun, M., 2008. Birth preparedness and complication readiness among women in Adigrat town, north Ethiopia. Ethiopian Journal of Health Development, 22(1), pp.14-20.

[5] Van Lerberghe, W., (2008). The world health report 2008: primary health care: now more than ever. World Health Organization.

[6] Agbodohu, D., 2013. Birth Preparedness and Complication Readiness Among Expectant Mothers at the Ridge Regional Hospital, Accra (Doctoral dissertation, University of Ghana).

[7] Ayelech, K. (2015). Assessment of knowledge about birth preparedness and complication readiness and associated factors among prime gravida women in Ababa government health facilities (Doctoral dissertation, AAU).

[8] Pillitteri, A., 2010. Maternal & child health nursing: Care of the child-bearing & childrearing family. Lippincott Williams & Wilkins.

[9] Soubeiga, D., Gauvin, L., Hatem, M.A. and Johri, M., 2014. Birth Preparedness and Complication Readiness (BPCR) interventions to reduce maternal and neonatal mortality in developing countries: systematic review and meta-analysis. BMC pregnancy and child-birth, 14(1), p.129.

[10] Lee, A.C., Lawn, J.E., Cousens, S., Kumar, V., Osrin, D., Bhutta, Z.A., Wall, S.N., Nandakumar, A.K., Syed, U. and Darmstadt, G.L., 2009. Linking families and facilities for care at birth: What works to avert intrapartum‐related deaths? International Journal of Gynecology & Obstetrics, 107(Supplement).

[11] Ali, A., (2010). Academic-Private Sector Collaboration in Public Health Operations Research.

[12] Yadav, R., and Malhotra, A.K., (2016). Birth Preparedness and Complication Readiness Plans among Antenatal Attendees at Primary Health Centre of District Jhansi, UP, India. Int J Intg Med Sci, 3(4), pp.258-64.

[13] Aldrich, E.C., (2014). Transport-related delays and maternal mortality in Uganda: the effects of managed and controlled mobility on maternal health and well-being (Master’s thesis).

[14] Mugambi, C.K., (2014). Determinants of utilization of free maternal health care in Muhuru and Nyatike divisions, Nyatike sub-county, Kenya (Doctoral dissertation, University of Nairobi).

[15] Kakaire, O., Kaye, D.K. and Osinde, M.O., 2011. Male involvement in birth preparedness and complication readiness for emergency obstetric referrals in rural Uganda. Reproductive health, 8(1), p.12. Nam, S.L., 2011. Figo Saving Mothers and Newborns Project in Uganda.

[16] Assfaw, Y.T., (2010). Determinants of antenatal care, Institutional delivery and skilled birth attendant utilization in SamreSaharti District, Tigray, Ethiopia (Doctoral dissertation, Umeå International School of Public Health).

[17] Owoseni, J.S., Adewumi, F. and Alade, F.O., 2015. Determinants of Maternal Health Services use Among Pregnant Women in Ibadan, Oyo State, Nigeria. Journal of Obstetrics and Gynecology, India, 10(14), pp.288-307.

[18] Nuwagira, C., 2014. Understanding maternal mortality ratio reduction bottlenecks in Uganda. A system dynamics approach for policy development (Master’s thesis, The University of Bergen).

[19] Agarwal, S., Sethi, V., Srivastava, K., Jha, P.K. and Baqui, A.H., (2010). Birth preparedness and complication readiness among slum women in Indore city, India. Journal of Health, Population, and Nutrition, pp.383-391.

[20] Ngugi, D., (2015). Influence of Informal Finance on Mothers’ Healthcare in Mtwara, Tanzania (Doctoral dissertation, Kenyatta University).

[21] Mbonye, A.K., Sentongo, M., Mukasa, G.K., Byaruhanga, R., Sentumbwe-Mugisa, O., Waiswa, P., Naamala Sengendo, H., Aliganyira, P., Nakakeeto, M., Lawn, J.E. and Kerber, K., 2012. Newborn survival in Uganda: a decade of change and future implications. Health policy and planning, 27(suppl_3), pp. iii104-iii117.

[22] Wilunda, C., Oyerinde, K., Putoto, G., Lochoro, P., Dall’Oglio, G., Manenti, F., Segafredo, G., Atzori, A., Criel, B., Panza, A. and Quaglio, G., (2015). Availability, utilization, and quality of maternal and neonatal health care services in Karamoja region, Uganda: a health facility-based survey. Reproductive health, 12(1), p.30.

[23] Magoma, M., Requejo, J., Campbell, O.M., Cousens, S. and Filippi, V., 2010. High ANC coverage and low skilled attendance in a rural Tanzanian district: a case for implementing a birth plan intervention. BMC pregnancy and child-birth, 10(1), p.13.

[24] Ackers, L., Ioannou, E., and Ackers-Johnson, J., 2016. The impact of delays on maternal and neonatal outcomes in Ugandan public health facilities: The role of absenteeism. Health policy and planning, 31(9), pp.1152-1161.

[25] Aldrich, E.C., 2014. Transport-related delays and maternal mortality in Uganda: the effects of managed and controlled mobility on maternal health and well-being (Master’s thesis).

[26] Kakaire, O., Kaye, D.K. and Osinde, M.O., 2011. Male involvement in birth preparedness and complication readiness for emergency obstetric referrals in rural Uganda. Reproductive health, 8(1), p.12. Nam, S.L., 2011. Figo Saving Mothers and Newborns Project in Uganda.

[27] Semyalo, V.B.N.S., 2010. The effects of poverty on child health in relation to the socio economic status of mothers: a case study of Nakawe division, Kampala district, Uganda (Master’s thesis, Universitetet i Agder, University of Agder).

[28] Schlecht, J., Rowley, E. and Babirye, J., 2013. Early relationships and marriage in conflict and post-conflict settings: Vulnerability of youth in Uganda. Reproductive health matters, 21(41), pp.234-242.

[29] Kabakyenga, J.K., Östergren, P.O., Turyakira, E. and Pettersson, K.O., (2012). Influence of birth preparedness, decision-making on the location of birth and assistance by skilled birth attendants among women in south-western Uganda. PloS one, 7(4), p.e35747.

[30] Schlecht, J., Rowley, E. and Babirye, J., 2013. Early relationships and marriage in conflict and post-conflict settings: Vulnerability of youth in Uganda. Reproductive health matters, 21(41), pp.234-242.

[31] Kalule, I., 2016. Using learning exhibitions in teaching learning of food production: An Action Research project aimed at improving quality of graduates through skills development at the Hotel and Tourism training Institute Jinja, Uganda (Master’s thesis, Høgskolen i Oslo og Akershus. Institutt for yrkesfaglærerutdanning).

[32] Makunyi, e.g., 2014. Birth preparedness among women in Tharaka Nithi County, Kenya (doctoral dissertation, Kenyatta university).

[33] Mugambi, C.K., (2014). Determinants of utilization of free maternal health care in Muhuru and Nyatike divisions, Nyatike sub-county, Kenya (Doctoral dissertation, University of Nairobi).

[34] Atekyereza, P.R., 2001. Atekyereza/Educating Girls and Women in Uganda the education of girls and women in Uganda. Journal of Social Development in Africa, 16(2).

[35] Lee, A.C., Lawn, J.E., Cousens, S., Kumar, V., Osrin, D., Bhutta, Z.A., Wall, S.N., Nandakumar, A.K., Syed, U., and Darmstadt, G.L., 2009. Linking families and facilities for care at birth: What works to avert intrapartum‐related deaths? International Journal of Gynecology & Obstetrics, 107(Supplement).

[36] Ngugi, D., (2015). Influence of Informal Finance on Mothers’ Healthcare in Mtwara, Tanzania (Doctoral dissertation, Kenyatta University).

[37] Magoma, M., Requejo, J., Campbell, O.M., Cousens, S. and Filippi, V., 2010. High ANC coverage and low skilled attendance in a rural Tanzanian district: a case for implementing a birth plan intervention. BMC pregnancy and childbirth, 10(1), p.13.