Assessment of knowledge and practice towards birth preparedness and complication readiness among women in Northern Ghana: a cross-sectional study

Authors

  • Pius Kaba Affipunguh USAID Systems for Health Project, North Kanvili- Tamale, Northern Region, Ghana
  • Alexander Suuk Laar C/o PATH-Ghana, PMB CT 307, Cantonments, No.74 Osu Badu Street, Airport West, Accra, Greater Accra, Ghana

DOI:

https://doi.org/10.18203/issn.2454-2156.IntJSciRep20161878

Keywords:

Birth preparedness, Complication readiness, Antenatal, Postnatal, Women, Ghana

Abstract

Background: The principle and practice of birth preparedness and complication readiness (BP&CR) in resource-poor settings have the potential of reducing maternal and neonatal morbidity and mortality rates. The purpose of this study was to assess BP and CR among pregnant women and women who gave birth in the12 months preceding the study and the socio-demographic factors affecting BP and CR.

Methods: The study was a health facility-based cross-sectional survey using pre-tested and structured questionnaires to gather data among 422 currently pregnant women and women who gave birth in the 12 months preceding the study and attending antenatal or postnatal care in health facilities in the Kassena-Nankana Districts in Northern Ghana. Data were analysed using State version 10.

Results: For the 422 respondents, 50% were rural and 50% urban residents. Having at least a primary education and living in a rural area were significantly associated with birth preparedness plan (BPP) (P = 0.044) and (P = 0.007). There was no association between age group, occupation, marital status and religion to BPP (P=0.907), (P=0.397), (P=0.573) and (P=0.564) respectively. The study also revealed that identification of a potential blood donor and a skilled birth attendant were not considered crucial by the respondents.

Conclusions: The study identified poor knowledge and practices of identification of a potential blood donor and skilled birth attendant preparation for birth preparedness and its complication in the study area. Antenatal care education should place emphasis on birth preparedness and complication readiness to improve access to skilled and emergency obstetric care.

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References

UNICEF. Half a million women die from pregnancy complications each year, 20 January 2009. Available at http://www.wsws.org/en/articles/ 2009/01/chil-j20.html. Accessed 10 January 2016.

WHO, UNICEF, UNFPA. The World Bank, United Nations population division. Trends inmaternalmortality: 1990 to 2013. WHO. 2014. Available at http://www.who.int/reproductivehealth/ publications/monitoring/9789241503631/en/index.htm. Accessed 20 December 2015.

WHO, UNICEF, UNFPA and The World Bank, Trends in Maternal Mortality. 1990-2010, 2012. Available at http://www.unfpa.org/publications/ trends-maternal-mortality1990-2010. Accessed 5 November 2015.

Centre for the study of adolescence (CSA) and population action international (PAI). A measure of commitment - women’s sexual and reproductive risk. Index for sub Saharan Africa. ISBN: 2009 9966-9845-3-4. Available at http://pai.org/wp- content/uploads/2011/12/Measure_if_Commitment.pdf. Accessed 9 November 2015. Accessed 5 November 2015.

WHO, Fact Sheet No 348, WHO Media Centre 2010. Available at www.who.int/entity/pmnch/ media/publications/aonsectionIII_2.pdf. Accessed 3 February 2016.

Biritwum BR. Promoting and monitoring safe motherhood in Ghana. Ghana Med J. 2006;40(3):78-9.

WHO. Standards for maternal and neonatal care: provision of effective maternal care 2006. Available at http://www.who.int/making pregnancy safer/publications/standards1.6. Accessed 20 January 2016.

McPherson AR, Khadka N, Moore MJ, Sharma M. Are birth preparedness programmes effective? Results from a field trial in Siraha District, Nepal. J Health Popul Nutr. 2006;24(4):479-88.

Debelew GT, Afework MF, Yalew AW. Factors affecting birth preparedness and complication readiness in Jimma Zone, Southwest Ethiopia: a multilevel analysis. Pan Afr Med J. 2014;19:272.

Kuganab-Lem RB, Dogudugu R, Kanton L. Birth preparedness and complication readiness: a study of postpartum women in a rural district of Ghana. Public Health Research. 2014;4(6):225-33.

Markos D, Bogale D. Birth preparedness and complication readiness among women of child bearing age group in Goba woreda, Oromia region, Ethiopia. BMC Pregnancy and Childbirth. 2014;14:282.

Hailu M, Gebremariam A, Alemseged F, Deribe K. Birth preparedness and complication readiness among pregnant women in Southern Ethiopia. PLoS ONE. 2011;6(6):e21432.

Murira N, Munjanja SP, Zhanda I, Lindmark G, Nystrom L. Health education for pregnancy care in harare: a survey in seven primary health care clinics. Central African Journal of Medicine. 1996;42:297-301.

Bansah M, O'Brien B, Oware-Gyekye F. Perceived prenatal learning needs of multigravid Ghanaian women. Midwifery. 2009;25(3):317-26.

Gagnon AJ, Sandall J. Individual or group antenatal education for childbirth or parenthood, or both. Cochrane Database Syst Rev. 2007;18(3):CD002869.

Virtanen H, Leino-Kilpi H, Salanterä S. Empowering discourse in patient education. Patient Educ Couns. 2007;66(2):140-6.

Jahn A, Dar Iang M, Shah U, Diesfeld HJ. Maternity care in rural Nepal: a health service analysis. Trop Med Int Health. 2000;5(9):657-65.

Von Both C, Flessa S, Makuwani A, Mpembeni R, Jahn A. How much time do health services spend on antenatal care? Implications for the introduction of the focused antenatal care model in Tanzania. BMC Pregnancy Childbirth. 2006;6:22.

Hailu M, Gebremariam A, Alemseged F, Deribe K. Birth preparedness and complication readiness among pregnant women in Southern Ethiopia. Jimma University. 2011;6(6):e21432.

Agarwal S, Sethi V, Srivastava K, Jha PK, Baqui AH. Birth preparedness and complication readiness among slum women in Indore city, India. J Health Popul Nutr. 2010;28(4):383-91.

Markos D, Bogale D. Birth preparedness and complication readiness among women of child bearing age group in Goba woreda, Oromia region, Ethiopia. BMC Pregnancy and Childbirth. 2014;14:282.

Mutiso SM, Qureshi Z, KinuthiaJ. Birth Preparedness among antenatal clients. East Afr Med J. 2008;85(6):275-83.

Acharya AS, Kaur R, Prasuna JG, Rasheed N. Making pregnancy safer-birth preparedness and complication readiness study among antenatal women attendees of a primary health center, Delhi. Indian J Community Med. 2015;40(2):127-34.

GSS, GHS, Macro, I.C.F. Ghana demographic and health survey 2008. Accra, Ghana: Ghana Statistical Service, Ghana Health Service, and ICF Macro; 2009.

Nour NM. An introduction to maternal mortality. Rev Obstet Gynecol. 2008;1(2):77-81.

Khan KS, Wojdyla D, Say L, Gülmezoglu AM, Look PFAV. WHO analysis of cause of maternal death: asystematic review. Lancet. 2006;367(9516):1066-74.

Iliasu Z, Abubakar SI, Galadanci SH, Aliyu HM. Birth preparedness, complication readiness and fathers’ participation in maternity care in a northern Nigerian community. Afr J Reprod Health. 2010;14(1):21-32.

Mullick S, Kunene B, Wanjiru M. Involving men in maternity care; health service delivery issues in Kwa Zulu Natal. Available at www.popcouncil.org/frontiers.

Odimegwu C, Adewuyi A, Odebiyi T, Aina B, Adesina Y, Olatubara O, et al. Men’s role in emergency obstetric care in Osun State of Nigeria. Afr J Reprod Health. 2005;9(3):59-71.

Olayemi O, Bello FA, Aimakhu CO, Obajimi GO, Adekunle AO. Male participation in pregnancy and delivery in Nigeria: a survey of antenatal attendees. J Biosoc Sci. 2009;41(4):493-503.

Awasthi S, Nandan D, Mehrotra AK, Shankar R. Male participation in maternal care in urban slums of district Agra. Indian J Prev Soc Med. 2008;39:3-4.

Dharitri S. Birth preparedness, complication readiness and participation in maternity care among men in a rural community, Odisha, India. International Journal of Nursing Education and Research. 2015;3(1):56-63.

Tweheyo R, Konde-Lule J, Tumwesigye NM, Sekandi JN. Male partner attendance of skilled antenatal care in peri-urban Gulu district, Northern Uganda. BMC Pregnancy and Childbirth. 2010;10:53.

Mullany BC, Becker S, Hindin MJ. The impact of including husbands in antenatal health education services on maternal health practices in urban Nepal: results from a randomized controlled trial. Health Educ. Res. 2007;22(2):166-76.

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Published

2016-06-14

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Original Research Articles