COMPLETION OF MATERNITY CONTINUUM OF CARE AND FACTORS ASSOCIATED WITH IT AMONG MOTHERS WHO GAVE BIRTH IN THE LAST ONE YEAR IN ENEMAY DISTRICT, NORTH WEST ETHIOPIA

Abstract

Background: Ethiopia still suffers high levels of neonatal and maternal mortality so maternity continuum of care is a key continuous framework for the delivery of maternal care from pregnancy to postnatal period. Skilled care during pregnancy, childbirth, and the postpartum period are important interventions in reducing maternal and neonatal morbidity and mortality. Objective:This study isto assess completion of maternity continuum of care and factors associated with it among mothers who gave birth in the last one year in Enemay district, North West Ethiopia. Method and Materials: A community based cross sectional study was conducted from February 25- March 10 on 651 women who gave birth in the last one year. The data were collected by face to face interview through pretested and structured questionnaires. Binary logistic regression was used to identify predictors of completion of maternity continuum of care. Bivariable and multivariable analyses were used to see the association between the outcome variable and independent variable. Variables with P-value < 0.05 in multivariable analysis were considered as statistically significant associated factors. Results: This study revealed that about 45%(95% CI: 40.9%,48.8%) of respondents completed the continuum of care .Women with secondary education (AOR= 6, 95% CI:2.26,16.6),Women whose occupation is farming (AOR=0.18 95%, CI: 0.1,0.32),Women who have autonomy on health care decision (AOR= 4 , 95%CI: 2.26,7.2), Women whose have exposure to media (AOR= 1.97, 95% CI: 1.2, 3.27),Women with wanted pregnancy (AOR=3.33,95% CI:1.87, 5.9) , para five and above women (AOR=2.85 95%CI: 1.28, 6.3) and Women whose husband are employer (AOR= 4.97 95%CI: 1.16, 21.2) were significantly associated with completion of maternity continuum of care. Conclusions and Recommendation: The study shows that less than half of the participants had achieved continuum of care and education level, both respondents and husband occupation, parity, autonomy to health care decision, exposure to the mass media, and wantedness of pregnancy were associated with completion of maternity continuum of care ,there fore working on enhancing of the capacity of women autonomy in health care decision making and preventing unintended pregnancy helps to improve completion of maternity continuum of care