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Making skilled attendance at child birth in Tigray region, Ethiopia possible


Document type: mthesis
Download file(s): 185343 (1127 KB)
Abstract: Ethiopia is one of the developing countries with the highest maternal mortality ratio (MMR) at 673 per 100,000 live births. Tigray, the study area and located in the north, is one of the nine regions of Ethiopia. It has a shortage of skilled birth attendants and has a low utilization of obstetric care. In Tigray, rural women have poor access to basic emergency obstetric care and comprehensive emergency obstetric care. The study aims to understand the root cause of low utilization of skilled attendance at birth by examining the socio-economic, socio-cultural, political and facility-based barriers that prevent women from using skilled birth attendant. The study employed literature review using the three delay model of regional data, study reports, reviews and national and international organizations. The study analysis shows that low income, high illiteracy rates of women and/or community and cultural beliefs are some of the factors that hinder decision-making. Inaccessible: long distance to BEmOC and CEmOC, shortage of means of transport for referral and poor road conditions are delays in getting to health facility. There are incompetent skilled attendant, insufficient EmOC poor data management, limited monitoring and evaluation of obstetric care and thus poor quality of care at facility level all these causes delay to use of skilled attendance at child birth including EmOC. In response to this problem, Tigray Regional Health Bureau has low political commitment: low financing per capita health expenditure of 3USD. Tigray health bureau tries to address transport gaps and shortages of skilled attendant but still mothers die due to insufficient EmOC and few numbers of skilled birth attendant, poor quality of care and limited resources. Based on this study, it is recommended to MOH, Tigray regional health bureau and Tigray state of government policy-makers to promote health extension workers through skills building to become skilled birth attendant. I will propose an assessment of EmOC in Tigray and further research on skilled attendance at child birth in order to reduce maternal mortality.
Authors: Nuru, A.Y.
Country: Ethiopia
Category: Research
Department: Development Policy & Practice
Institute: KIT (Royal Tropical Institute)
Keywords: maternal and child health , health services
Language: eng
Organization: KIT - Royal Tropical Institute
PAGE: ix, 52
Year: 2009
Region: East Africa
Right: © 2009 Nuru
Subject: Health and Nutrition
Title: Making skilled attendance at child birth in Tigray region, Ethiopia possible
Training: Master of Public Health / International Course in Health Development (ICHD)