ArticleArchives of public health = Archives belges de sante publique2022
Maternal social support and health facility delivery in Southwest Ethiopia.
Article in Archives of public health = Archives belges de sante publique, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 10 citations in OpenAlex.
- Effectiveness and cost-effectiveness of health belief model-based companion education on maternal childbirth satisfaction and outcomes: cluster randomized controlled trial.BMC public health · 2026Trial
- Predicting facility delivery and its determinants among reproductive-age women in Ethiopia using machine learning algorithm: evidence from performance monitoring for action Ethiopia 2019 dataset.BMC pregnancy and childbirth · 2026Article
- Exploring evidence of healthcare-seeking pathways for maternal complications in Sub-Saharan Africa: a scoping review.BMC pregnancy and childbirth · 2025Article
- Article
- Visible and invisible cultural patterns influencing women's use of maternal health services among Igala women in Nigeria: a focused ethnographic study.BMC public health · 2025Article
- Social realities in remote villages: Infant and young child feeding in Kirewa, Uganda.PLOS global public health · 2024Article
- Utilization of birth companionship and its associated factors among laboring mothers during facilities birth in sub-Saharan Africa. Systematic review and meta-analysis.SAGE open medicine · 2024Review
- Companionship care and associated factors among childbirth women in Ethiopia: a systematic review and meta-analysis.Therapeutic advances in reproductive healthReview
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Authors and funding
15 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundMaternal mortality continues to decrease in the world but remain the most important health problems in low-income countries. Although evidence indicates that social support is an important factor influencing health facility delivery, it has not been extensively studied in Ethiopia. Therefore, this study aimed to assess the effect of maternal social support and related factors on health facility delivery in southwest Ethiopia.
methodsA cross-sectional survey data on 3304 women aged 15-47 years in three districts of Ethiopia, were analyzed. Using multivariable logistic regression, we assessed the association between health facility birth, social support, and socio-demography variables. Adjusted odds ratios with 95% confidence intervals were used to identify statistically significant associations at 5% alpha level.
resultOverall, 46.9% of women delivered at health facility in their last pregnancy. Average travel time from closest health facility (AOR: 1.51, 95% CI 1.21 to 2.90), mean perception score of health facility use (AOR: 1.83, 95% CI 1.44 to 2.33), involvement in final decision to identify their place of childbirth (AOR: 2.12, 95% CI 1.73 to 2.58) had significantly higher odds of health facility childbirth. From social support variables, women who perceived there were family members and husband to help them during childbirth (AOR: 3.62, 95% CI 2.74 to 4.79), women who received continuous support (AOR: 1.97, 95% CI 1.20 to 3.23), women with companions for facility visits (AOR: 1.63, 95% CI 1.34 to 2.00) and women who received support from friends (AOR: 1.62, 95% CI 1.16 to 3.23) had significantly higher odds of health facility childbirth.
conclusionsSocial support was critical to enhance health facility delivery, especially if women's close ties help facility delivery. An intervention to increase facility delivery uptake should target not only the women's general social supports, but also continuous support during childbirth from close ties including family members and close friends as these are influential in place of childbirth. Also actions that increase women's healthcare decision could be effective in improving health facility delivery.
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