2.50
Hdl Handle:
http://hdl.handle.net/10755/621047
Category:
Full-text
Format:
Text-based Document
Type:
Dissertation
Level of Evidence:
Cross-Sectional Study
Research Approach:
Pilot/Exploratory Study
Title:
Women and men's preferences for delivery services in rural Ethiopia
Author(s):
Beam, Nancy K.
Lead Author STTI Affiliation:
Alpha Eta
Abstract:

Aims: This study aims to determine the combination of facility-based delivery care attributes preferred by women and men; if gender differences exist in attribute preferences; and key demographic factors associated with attribute preferences.
Background: Despite programs to promote facility-based delivery, which has been shown to decrease maternal and neonatal mortality, 80% of women in rural Ethiopia deliver at home without a skilled birth attendant. A review of the Ethiopian literature on factors associated with delivery location revealed several weaknesses in research methods that need to be addressed. First, research participants were almost exclusively women, although male partners often make decisions about delivery location. Second, most quantitative study designs are similar in content to the Ethiopian Demographic Health Survey, limiting the generation of new knowledge. Third, cultural practices identified in qualitative studies as barriers to facility-based delivery have not been included in quantitative studies. This study addressed these weaknesses by using discrete choice experiment methodology to elicit preferences for delivery service attributes, including support persons in the delivery room, staff training and attitude, cost, distance and transportation availability.
Methods: A cross-sectional, discrete choice experiment was conducted in 109 randomly selected households in rural Ethiopia in Septembe October 2015. Women, who were pregnant or who had a child < 2 years old, and their male partners were interviewed. After completing a demographic questionnaire, male and female respondents were asked separately to choose between facility-based scenarios that reflected various attributes for delivering their next baby. Data were analyzed using a multilevel mixed-effects logistic regression model.
Results: Both women and men preferred health facilities where medications and supplies were available, a support person was allowed in the delivery room, cost was low, and doctors performed the delivery. Women also valued free ambulance service, while men favored nearby facilities with friendly providers. Men are disproportionately involved in making household decisions, including decisions about whether their wives seek health care. Yet, men are often unaware of their partners’ prenatal care attendance.
Implications: The Ethiopian government and health facilities could increase facility births in rural areas by responding to families’ delivery service preferences.

Keywords:
ethiopia
CINAHL Headings:
Obstetric Care; Obstetric Care--Utilization; Obstetric Care--Utilization--Ethiopia; Patient Attitudes; Patient Attitudes--Ethiopia; Rural Areas; Rural Areas--Ethiopia; Maternal Health Services; Maternal Health Services--Utilization; Maternal Health Services--Utilization--Ethiopia
Repository Posting Date:
18-Oct-2016
Sponsors:
Sigma Theta Tau International; Sigma Theta Tau International, Alpha Eta Chapter; Century Fund
Description:
STTI Small Grant, Alpha Eta Chapter STTI, Century Fund
Note:
The author, as copyright holder, has also disseminated this dissertation in the ProQuest Dissertations and Theses database.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typeDissertationen
dc.evidence.levelCross-Sectional Studyen
dc.research.approachPilot/Exploratory Studyen
dc.titleWomen and men's preferences for delivery services in rural Ethiopiaen_US
dc.contributor.authorBeam, Nancy K.en
dc.contributor.departmentAlpha Etaen
dc.identifier.urihttp://hdl.handle.net/10755/621047-
dc.description.abstract<p>Aims: This study aims to determine the combination of facility-based delivery care attributes preferred by women and men; if gender differences exist in attribute preferences; and key demographic factors associated with attribute preferences.<br />Background: Despite programs to promote facility-based delivery, which has been shown to decrease maternal and neonatal mortality, 80% of women in rural Ethiopia deliver at home without a skilled birth attendant. A review of the Ethiopian literature on factors associated with delivery location revealed several weaknesses in research methods that need to be addressed. First, research participants were almost exclusively women, although male partners often make decisions about delivery location. Second, most quantitative study designs are similar in content to the Ethiopian Demographic Health Survey, limiting the generation of new knowledge. Third, cultural practices identified in qualitative studies as barriers to facility-based delivery have not been included in quantitative studies. This study addressed these weaknesses by using discrete choice experiment methodology to elicit preferences for delivery service attributes, including support persons in the delivery room, staff training and attitude, cost, distance and transportation availability.<br />Methods: A cross-sectional, discrete choice experiment was conducted in 109 randomly selected households in rural Ethiopia in Septembe October 2015. Women, who were pregnant or who had a child < 2 years old, and their male partners were interviewed. After completing a demographic questionnaire, male and female respondents were asked separately to choose between facility-based scenarios that reflected various attributes for delivering their next baby. Data were analyzed using a multilevel mixed-effects logistic regression model.<br />Results: Both women and men preferred health facilities where medications and supplies were available, a support person was allowed in the delivery room, cost was low, and doctors performed the delivery. Women also valued free ambulance service, while men favored nearby facilities with friendly providers. Men are disproportionately involved in making household decisions, including decisions about whether their wives seek health care. Yet, men are often unaware of their partners’ prenatal care attendance.<br />Implications: The Ethiopian government and health facilities could increase facility births in rural areas by responding to families’ delivery service preferences.</p>en
dc.subjectethiopiaen
dc.subject.cinahlObstetric Careen
dc.subject.cinahlObstetric Care--Utilizationen
dc.subject.cinahlObstetric Care--Utilization--Ethiopiaen
dc.subject.cinahlPatient Attitudesen
dc.subject.cinahlPatient Attitudes--Ethiopiaen
dc.subject.cinahlRural Areasen
dc.subject.cinahlRural Areas--Ethiopiaen
dc.subject.cinahlMaternal Health Servicesen
dc.subject.cinahlMaternal Health Services--Utilizationen
dc.subject.cinahlMaternal Health Services--Utilization--Ethiopiaen
dc.date.available2016-10-18T19:00:06Z-
dc.date.accessioned2016-10-18T19:00:06Z-
dc.description.sponsorshipSigma Theta Tau Internationalen
dc.description.sponsorshipSigma Theta Tau International, Alpha Eta Chapteren
dc.description.sponsorshipCentury Funden
dc.descriptionSTTI Small Grant, Alpha Eta Chapter STTI, Century Funden
dc.description.noteThe author, as copyright holder, has also disseminated this dissertation in the ProQuest Dissertations and Theses database.-
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