Birth preparedness and complication readiness among women of reproductive age in Kenya and Tanzania: a community-based c
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(2020) 20:636
RESEARCH ARTICLE
Open Access
Birth preparedness and complication readiness among women of reproductive age in Kenya and Tanzania: a communitybased cross-sectional survey James Orwa1,2* , Samwel Maina Gatimu3, Michaela Mantel1,2,4, Stanley Luchters2,5,6,7, Michael A. Mugerwa8, Sharon Brownie9,10,11, Leonard Subi12, Secilia Mrema13, Lucy Nyaga1, Grace Edwards14, Loveluck Mwasha15, Kahabi Isangula15, Edna Selestine8, Sofia Jadavji16, Rachel Pell16, Columba Mbekenga15 and Marleen Temmerman1,4,5
Abstract Background: Delayed health-seeking continues to contribute to preventable maternal and neonatal deaths in low resource countries. Some of the strategies to avoid the delay include early preparation for the birth and detection of danger signs. We aimed to assess the level of practice and factors associated with birth preparedness and complication readiness (BPCR) in Kenya and Tanzania. Methods: We conducted community-based multi-stage cross-sectional surveys in Kilifi and Kisii counties in Kenya and Mwanza region in Tanzania and included women who delivered two years preceding the survey (2016–2017). A woman who mentioned at least three out of five BPCR components was considered well-prepared. Bivariate and multivariable proportional odds model were used to determine the factors associated with the BPCR. The STROBE guidelines for cross-sectional studies informed the design and reporting of this study. Results: Only 11.4% (59/519) and 7.6% (31/409) of women were well-prepared for birth and its complications in Kenya and Tanzania, respectively, while 39.7 and 30.6% were unprepared, respectively. Level of education (primary: adjusted odds ratio (aOR): 1.59, 95% CI: 1.14–2.20, secondary: aOR: 2.24, 95% CI: 1.39–3.59), delivery within health facility (aOR: 1.63, 95% CI: 1.15–2.29), good knowledge of danger signs during pregnancy (aOR: 1.28, 95% CI: 0.80– 2.04), labour and childbirth (aOR: 1.57, 95% CI: 0.93–2.67), postpartum (aOR: 2.69, 95% CI: 1.24–5.79), and antenatal care were associated with BPCR (aOR: 1.42, 95% CI: 1.13–1.78). (Continued on next page)
* Correspondence: [email protected]; [email protected] 1 Centre of Excellence Women and Child Health/MERL, Aga Khan University, P. O. Box 30270–00010, Nairobi, Kenya 2 Department of Population Health, Aga Khan University, Nairobi, Kenya Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not
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