January 30, 2024 Thesis Open Access

ABRHAM, RIBKA

DCAT Export

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    <dct:title>MATERNAL CONTINUUM OF CARE AND ITS DETERMINANTS AMONG MOTHER WHO GAVE BIRTH IN HABRU DISTRICT, NORTH WOLLO NORTHEAST ETHIOPIA, 2024: A MIXED METHOD STUDY</dct:title>
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    <dct:description>&lt;p&gt;&lt;strong&gt;Abstract&lt;br&gt; Introduction: &lt;/strong&gt;The continuum of care during pregnancy, childbirth, and the postnatal period is essential for improving maternal and neonatal health. However, Ethiopia has one of the lowest completion rates for the maternal continuum of care compared to other sub-Saharan African countries. This shows the need for targeted interventions to improve maternal and newborn health outcomes.&lt;br&gt; Objective: To assess maternal continuum of care and its determinants among mothers who gave birth in Habru district, North Wollo, northeast Ethiopia, in 2024.&lt;br&gt; &lt;strong&gt;Methodology:&lt;/strong&gt; A community-based cross-sectional study was conducted with 429 mothers who gave birth in the last six months, selected using multistage sampling and simple random sampling. Data were analyzed using binary logistic regression, with statistical significance declared at p&amp;lt;0.05. For the qualitative component, a phenomenological study design was employed, using key informant interviews and focus group discussions (FGDs). Thematic analysis was applied to identify determinants of maternal continuum of care.&lt;br&gt; &lt;strong&gt;Results:&lt;/strong&gt; The study revealed that only 92 (45.8%) mothers completed the maternity continuum of care. Factors associated with higher CoC completion included being older than 24 years (AOR = 1.6, 95% CI: 1.1&amp;ndash;2.4), having secondary or higher education (AOR = 2.5, 95% CI: 1.6&amp;ndash;4.0), planned pregnancies (AOR = 2.0, 95% CI: 1.4&amp;ndash;3.0), and exposure to mass media (AOR = 1.7, 95% CI: 1.1&amp;ndash;2.7) were factors associated with maternal continuum of care. Qualitative findings highlighted transportation challenges, long distances to health facilities, and indirect costs as major barriers to completing the maternal continuum of care.&lt;br&gt; &lt;strong&gt;Conclusion and Recommendations:&lt;/strong&gt; The study identified a low rate of maternal continuum of care completion in the district. To address this, targeted interventions are recommended, including improving access to maternal education, promoting family planning, enhancing health communication through mass media, and addressing financial and transportation barriers. Strengthening health service delivery and fostering respectful, culturally sensitive care are also crucial to improving maternal and newborn health outcomes.&lt;br&gt; key words: Maternal continuum of care, determinants, antenatal care, postnatal care, Ethiopia.&lt;/p&gt;</dct:description>
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