Dropout from maternity continuum of care and associated factors in Gida Ayana District, Western Ethiopia: Mixed method study
DOI:
https://doi.org/10.20372/star.v12i1.02Keywords:
Dropout, Maternity, Continuum of Care, Antenatal Care, Delivery Services, Post Natal CareAbstract
To find the proportion of mothers in the Gida Ayana area who discontinue their care during pregnancy, 370 randomly selected mothers took part in an institution-based cross-sectional study design that ran from January 15 to February 30, 2023. Pretested questionnaires and interviewers were used. The data were imported into Epi Data Version 4.6 and exported to SPSS Version 26.0. P-values less than 0.05 indicated the presence of significant relationships in the multivariable model, which were displayed as adjusted odds ratio accompanied by a 95% confidence interval. The qualitative data were transcribed, thematically processed, presented, and cross-checked and then evaluated. It was found that 78.38% of women left the maternal continuum of care (95% CI: 74.19, 82.57). The dropouts were associated with mothers living in a rural area (AOR = 3.68, 95% CI: 1.87, 7.25), rarely exposed to the media (AOR = 3.52, 95% CI: 1.69, 7.36), having no access to transportation (AOR = 2.82, 95% CI: 1.49, 5.34), distance from medical facility (AOR = 4.67, 95% CI: 1.55, 14.10), and internal displacement (AOR = 4.82, 95% CI: 1.35, 17.25). Health service delivery by focusing on the highlighted criteria helps improve the utilization and completion of the maternal continuum of care.
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