Bypassing nearby Health Centers for Childbirth Services and its Associated Factors among Mothers Attending Postnatal Care at the University of Gondar Comprehensive Specialized Hospital, 2018: A Facility-based Cross-sectional Study
Background: In the health care system, bypassing affects both the primary level and higher-level health care institutions. It compromises the quality of care rendering to the clients of lower and higher level health care system by causing an overcrowded. And overflow of delivering mothers to higher level causes unnecessary workload, overcrowding, shortage of medical supplies, equipment, drugs, and service dalliance in the health facility which may contribute to institutional maternal and neonatal morbidities and mortalities. Moreover, it causes a client to wait a long time, yet the health care providers devoted their time to looking at minor cases which decreases access to the needy clients. Therefore, this study aimed at assessing all these gaps, which are an important indicator of the quality of care in the health system.
Method: Facility based cross-sectional study was conducted from August 1-30/2018. A systematic random sampling technique was used to select 391 study participants. Data were entered into Epi Info version-7 and exported to SPSS version 20 for analysis. Logistic regression was computed. Variables whose P-value is < 0.2 in the bi-variable analysis were fitted to the multivariable analysis, and an adjusted odds ratio with their corresponding 95% confidence interval was calculated to determine the statistical association.
Results: 422 mothers were invited to participate in this study out of which 391 mothers respond properly giving a response rate of 96.65%. Overall 246 (62.9%, 95% CI: (58.1, 67.5)) mothers bypassed their catchment health center. Age of the mother, resident, educational status of unable to read and write and primary education, marital status, first time parity, informed where to deliver during ANC follow up and mothers who have no information about the availability of childbirth service at the health center were factors associated with bypassing of nearest health center.
Conclusion: The proportion of women bypassing health centers is high. The individual characteristics that predicted increase in proportion of respondents who bypassed health facilities includes, age, educational and marital status, resident and first time parity. On top of these, information given to the pregnant mother where to deliver and the service availability were found to be important predictor variables; therefore, efforts has to be made with regard to these variables, and a special attention has to be given on information provision by the care provider during ANC care.
Keywords
Authors
How to Cite
Download Citation
License
Copyright © 2023 The Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Similar Articles
- Yigzaw Kebede, Gashaw Andarge, Tesfahun Melesse, Temesgen Azmeraw, Takele Tadesse, Yiforkir Tefera, Abebaw Gebeyehu, Tadesse Awoke, Kassahun Alemu, Sisay Yifru, Afework Kassu, Tefera Abula, Mengesha Admassu, Shitaye Alemu, Solomon Meseret, Digsu Negesse, Getu Degu, Solomon Mekonnen, Berihun Megabiaw, Wondwosen Zemene, Assefa Getachew, Belaynew Wassie, Solomon Amsalu, Mamo Wubshet, Mezgebu Yitayal, Fasil Tessema, Yihunie Lakew, Tariku Dejene, Ejigu Gebeye, Melkamu Birku, Yosef Fekadu, Population Dynamics in Dabat Health and Demographic Surveillance System Sites, Dabat District, Northwest Ethiopia: A Four-year Surveillance Report (2009 To 2012) , Ethiopian Journal of Health and Biomedical Sciences: Vol. 7 No. 1 (2015)
- Feleke Mekonnen, Tigist Engida, Yalemwork Gashaye, Yitayih Wondimeneh, Mulat Dagnaw, The Prevalence of Tuberculosis among HIV/AIDS Patients Attending the Art Clinic at Gondar Health Center, Northwest Ethiopia , Ethiopian Journal of Health and Biomedical Sciences: Vol. 9 No. 1 (2019)
- Bethel Tagesse, Alemu Tamiso, Kaleb Mayisso, Andualem Zenebe, Prevalence and Associated Factors of Disrespectful and Abusive Care during Childbirth among Women Who Gave Birth in Health Facilities in Hawassa City, Southern Ethiopia. A Cross - Sectional Study , Ethiopian Journal of Health and Biomedical Sciences: Vol. 11 No. 1 (2021)
- Bogale Desta , Abaineh Munshia, Desalegn Adisu, Alemayehu Abate, Seroprevalence of Hepatitis B Virus Infection among people Living with HIV Attending at the Dangila Health Center, Northwest Ethiopia , Ethiopian Journal of Health and Biomedical Sciences: Vol. 15 No. 2 (2025)
- Jemal Ali, Huda Mohammed, Adugna Abera, Yohannes Mengistu, Beverley Singh, Adrian Puren, Dawit Wolday, Comparison of the Bed-Igg Captured EIA HIV-1 Incidence Assay with the Who-Criteria for Identifying Recently HIV Infected Individuals for Enrollment in the HIVDR-TS , Ethiopian Journal of Health and Biomedical Sciences: Vol. 5 No. 1 (2012)
- Takele Tadesse, Assefa Getachew, Mengesha Admassu, Yigzaw Kebede, Tadesse Awoke, Tesfahun Melese, Solomon Amsalu, Shitaye Alemu, Gashaw Andargie, Belaynew Wassie, Yifokir Tefera, Sisay Yifru, Kassahun Alemu, Samuel G/ Selassie, Solomon Meseret, Demographic and Health Survey at Dabat District in Northwest Ethiopia: Report of the 2008 Baseline Survey , Ethiopian Journal of Health and Biomedical Sciences: Vol. 4 No. 1 (2011)
- Amare Minyihun, Measho G /selassie, Yalemzewod Assefa, Ayal Debie, Getasew Amare, Willingness to Join Community-Based Health Insurance among Rural Households of Bugna District, Northeast Ethiopia , Ethiopian Journal of Health and Biomedical Sciences: Vol. 10 No. 1 (2020)
- Sisay Getie, Abebe Genetu , Abebe A. Fola, Ligabaw Worku, Gebeyaw Getnet , Meseret Birhanie, Yitayih Wondimeneh, Getachew Ferede, Mengistu Endris, Agersew Alemu, Biniam Mathewos, Aberham Abere, Robert Burton, Dylan R Pillai, Preventive Measures and Diagnosis of Asymptomatic Malaria in Northwest Ethiopia , Ethiopian Journal of Health and Biomedical Sciences: Vol. 8 No. 1 (2017)
- Adane Kebede, Measho Gebreslassie, Mezgebu Yitayal, Willingness to Enroll For Community-Based Health Insurance and Associated Factors among Household Heads in the Rural Community of Fogera District, Northwest Ethiopia , Ethiopian Journal of Health and Biomedical Sciences: Vol. 10 No. 1 (2020)
- Mezgebu Yitayal , Yemane Berhane, Alemayehu Worku, Yigzaw Kebede, Job Satisfaction of Health Extension Workers in West Gojjam Zone, Amhara Region, Ethiopia , Ethiopian Journal of Health and Biomedical Sciences: Vol. 8 No. 1 (2017)
You may also start an advanced similarity search for this article.