ArticleBMC research notes2018
Skilled delivery service utilization and its association with the establishment of Women's Health Development Army in Yeky district, South West Ethiopia: a multilevel analysis.
Article in BMC research notes, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.
- Community health workers and health equity in low- and middle-income countries: systematic review and recommendations for policy and practice.International journal for equity in health · 2022Pooled it
- Contribution of women's development army to maternal and child health in Ethiopia: a systematic review of evidence.BMJ open · 2019Pooled it
- Obstetric violence informed by theories of intersectionality, oppression, and power dynamics-a Ghanaian's perspectives.AJOG global reports · 2025Article
- Article
- Spatial variation and determinants of skilled birth attendant delivery among women of reproductive age in Ethiopia: a spatial and multilevel analysis.BMC pregnancy and childbirth · 2025Article
- Perspectives on midwife-led care as a solution to reduce obstetric violence in health facilities in Ghana.Frontiers in global women's health · 2025Article
- Predictors of Knowledge, Attitude, and Practice of Kangaroo Mother Care Among Mothers in a Ghanaian Tertiary Care Center.International journal of pediatrics · 2025Article
- Layers of inequality: gender, medicalisation and obstetric violence in Ghana.International journal for equity in health · 2024Article
- Factors Associated with Use of Traditional Birth Attendants for Child Delivery: A Cross-Sectional Study.Global journal on quality and safety in healthcare · 2024Article
- Early Postnatal Home Visit Coverage by Health Extension Workers and Associated Factors Among Postpartum Women in Gidan District, Northeast Ethiopia.International journal of public health · 2023Article
- Abuse and humiliation in the delivery room: Prevalence and associated factors of obstetric violence in Ghana.Frontiers in public health · 2023Article
- Determinants of Kangaroo Mother Care among low-birth-weight infants in low resource settings.PLOS global public health · 2023Article
- Antenatal care booked rural residence women have home delivery during the era of COVID-19 pandemic in Gidan District, Ethiopia.PloS one · 2023Article
- Determining factors associated with the prevalence of knowledge, attitude, and practice in seeking skilled maternal healthcare services among women in a remote area of Gesha district.BMC health services research · 2022Article
- Exploring the Influence of Sociodemographic Characteristics on the Utilization of Maternal Health Services: A Study on Community Health Centers Setting in Province of Jambi, Indonesia.International journal of environmental research and public health · 2022Article
- Article
- Trend and decomposition analysis of risk factors of childbirths with no one present in Nigeria, 1990-2018.BMJ open · 2021Article
- Childbirth at home and associated factors in Ethiopia: a systematic review and meta-analysis.Archives of public health = Archives belges de sante publique · 2021Article
- The Association Between Pregnancy-Related Factors and Health Status Before and After Childbirth With Satisfaction With Skilled Delivery in Multiple Dimensions Among Postpartum Mothers in the Akatsi South District, Ghana.Frontiers in public health · 2021Article
- Determinants of Health Facility Delivery in Northwest Ethiopia: A Community-Based Case-Control Study.International journal of general medicine · 2021Article
Corrections and comments
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Authors and funding
4 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBecause of the unacceptably high maternal and perinatal morbidity and mortality, the government of Ethiopia has established health extension program with a community-based network involving health extension workers (HEWs) and a community level women organization which is known as "Women's Health Development Army" (WHDA). Currently, the HEWs and WHDA network is the approach preferred by the government to register pregnant women and encourage them to link in the healthcare system. However, its association with skilled delivery service utilization is not well known.
methodsA community-based cross-sectional study was conducted from January to February 2015. Within 380 clusters of WHDA, a total of 748 reproductive-age women who gave birth in 1 year preceding the study, were included using multistage sampling technique. The data were entered into EPI info version 7 statistical software and exported to STATA version 11 for analysis. Multilevel analysis technique was applied to check for an association of selected variables with a utilization of skilled delivery service.
resultsAbout 45% of women have received skilled delivery care. A significant heterogeneity was observed between "Women's Health Development Teams (clusters)" for skilled delivery care service utilization which explains about 62% of the total variation. Individual-level predictors including urban residence [AOR (95% CI) 35.10 (4.62, 266.52)], previous exposure of complications [AOR (95% CI) 3.81 (1.60, 9.08)], at least four ANC visits [AOR (95% CI) 7.44 (1.48, 37.42)] and preference of skilled personnel [AOR (95% CI) 8.11 (2.61, 25.15)] were significantly associated with skilled delivery service use. Among cluster level variables, the distance of clusters within 2 km radius from the nearest health facility was significantly associated [AOR (95% CI) 6.03 (1.92, 18.93)] with skilled delivery service utilization.
conclusionsIn this study, significant variation among clusters of WHDA was observed. Both individual and cluster level variables were identified to predict skilled delivery service utilization. Encouraging women to have frequent ANC visits (- 4 and above), enhancing awareness creation towards the delivery care attendance, constructing more health facilities and roads in hard to reach areas and establishing telemedicine services are recommended.
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