Utilization of pregnant mothers waiting area and factors associated among mothers at damboya district kembata tembaro zone, snnpr Ethiopia

Abstract

Background: - Pregnant women waiting areas are residential facilities where women who live remotely can wait before giving birth at a hospital or health center. It helps to tackle the first and second delays in accessing emergency obstetric care. Thus, plays a great role to intervene in those delays. About 80% of people live in a developing country live in rural areas, where poor access to maternity services accounts for many maternal and perinatal deaths. Although, pregnant women waiting areas are recommended to reduce maternal and infant deaths data on the utilization of pregnant women waiting areas limited in Ethiopia and study area. Objective: This study aimed to assess the utilization of pregnant mothers waiting area and associated factors among pregnant mothers at Damboya district Kembata Tembaro Zone south, Ethiopia in 2020 G.C. Methods: - Community-based cross-sectional study was conducted from March 16 to April 15/ 2020 G.C at Damboya district Kembata Tembaro Zone south Ethiopia. Five hundred one mothers were selected by using a systematic random sampling technique from the seven kebele and the sample size was allocated proportionally for each kebele. Data were collected using a structured interviewer-administered questionnaire. The utilization was assessed by measuring self- report of mothers. Data were coded, edited, and cleaned then double entered into epi data version 3.1 and exported to SPSS version 20 for analysis. Descriptive, Bivariate, and Multivariable logistic regression analysis were done. Finally, variables with p-value <, 0.05 by multivariate logistic regression analysis were reported as independently associated factors for utilization status of mothers. Result: A total of 495 women participated. The mean age of the respondents was 28.25 years with ±4.558 standard deviation. Pregnant women waiting area utilization was 139(28.1%). In the multivariate logistic regression; Distance greater than 30 minutes AOR(95%cCI) 2.29(1.38, 3.62), wealth fourth quintile AOR(95%cCI) 3.66(1.73,7.73), awareness for PWWAs AOR(95%cCI) 2.30(1.12,4.74), Good attitude AOR(95%cCI) 3(1.8,5), Favorable subjective norm AOR(95%cCI) 2.4(1.5, 4) and low perceived barrier AOR(95%cCI) 2.1 (1.3, 3.3) were factors associated with utilization of Pregnant women waiting areas. Conclusion: The utilization of pregnant women waiting areas was, 28.1% in the study area. Distance, wealth, awareness of pregnant women waiting areas, subjective norm, attitude, and perceived barriers were predictors of utilization. To increase their utilization, we need to give focus on; improving the economic status of mothers, awareness creation and work on attitude, subjective norm, and the barriers to utilize Pregnant women waiting areas.