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Risk factors of dropout from institutional delivery among HIV positive antenatal care booked mothers within one year postpartum in Ethiopia: a case-control study.
- Source :
- Archives of Public Health; 2/25/2022, Vol. 80 Issue 1, p1-10, 10p
- Publication Year :
- 2022
-
Abstract
- <bold>Background: </bold>The uptake of maternal healthcare services remains suboptimal in Ethiopia. Significant proportions of antenatal care attendees give birth at home in the context of HIV. However, in Ethiopia, evidence is scarce on the predictors of dropout from maternity continuum of care among HIV-positive mothers. Therefore, this study aimed to supply valuable information on risk factors regarding dropout of HIV-positive mothers for institutional delivery services in northwest Ethiopia.<bold>Methods: </bold>A multicenter case-control study was conducted at governmental health facilities in Gondar City from May one to June 30/2018. A total of 222 HIV-positive women were included in the study. Data were collected using structured questionnaires and checklists through face-to-face interview and chart review; entered into EPI INFO version seven, and then exported to SPSS version 25. Both descriptive and analytical procedures were performed. Binary logistic regression analysis was undertaken. A significant association was declared based on the adjusted odds ratio (AOR) with its 95% CI and p-value of ≤ 0.05.<bold>Results: </bold>This study illustrates that maternal age of ≥ 35 years (AOR = 2.37; 95%CI: 1.13,5.13), unmarried marital relation (AOR = 3.28; 95%CI: 1.51, 7.13), unemployed spousal occupation (AOR = 3.91; 95%CI: 1.54, 9.91), family monthly income of ≤ 36 US dollar (AOR = 4.87; 95%CI: 2.08, 11.42) and no obstetric complication in the index pregnancy (AOR = 13.89; 95%CI: 2.73, 27.71) were positively associated with dropout from institutional delivery among HIV positive antenatal care booked mothers.<bold>Conclusion: </bold>In this study, the risk factors of dropout from institutional delivery in the context of HIV-positive women were connected to social determinants of health such as advanced maternal age, unmarried marital status, unemployed husband occupation, and low family income. Therefore, interacting with the health system by focusing on these women in lower socio-economic strata and unmarried HIV-positive ANC attendees, and increasing access to information on obstetric complications during the antenatal care visit would retain clients in the continuum of maternity services. [ABSTRACT FROM AUTHOR]
- Subjects :
- HIV-positive persons
MATERNAL health services
ACQUISITION of data methodology
CONFIDENCE intervals
SOCIAL determinants of health
RESEARCH methodology
PREGNANT women
CASE-control method
INTERVIEWING
RISK assessment
INCOME
MEDICAL records
DESCRIPTIVE statistics
MATERNAL age
EMPLOYMENT
DELIVERY (Obstetrics)
PRENATAL care
POSTNATAL care
LOGISTIC regression analysis
DATA analysis software
ODDS ratio
MARITAL status
Subjects
Details
- Language :
- English
- ISSN :
- 07787367
- Volume :
- 80
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Archives of Public Health
- Publication Type :
- Academic Journal
- Accession number :
- 155465553
- Full Text :
- https://doi.org/10.1186/s13690-022-00819-0