IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0183739.html
   My bibliography  Save this article

Birth preparedness and complication readiness among the women beneficiaries of selected rural primary health centers of Dakshina Kannada district, Karnataka, India

Author

Listed:
  • Kibballi Madhukeshwar Akshaya
  • Siddharudha Shivalli

Abstract

Introduction: Birth preparedness and complication readiness (BPCR) is a strategy to promote timely use of skilled maternal and neonatal care during childbirth. According to World Health Organization, BPCR should be a key component of focused antenatal care. Dakshina Kannada, a coastal district of Karnataka state, is categorized as a high-performing district (institutional delivery rate >25%) under the National Rural Health Mission. However, a substantial proportion of women in the district experience complications during pregnancy (58.3%), childbirth (45.7%), and postnatal (17.4%) period. There is a paucity of data on BPCR practice and the factors associated with it in the district. Exploring this would be of great use in the evidence-based fine-tuning of ongoing maternal and child health interventions. Objective: To assess BPCR practice and the factors associated with it among the beneficiaries of two rural Primary Health Centers (PHCs) of Dakshina Kannada district, Karnataka, India. Methods: A facility-based cross-sectional study was conducted among 217 pregnant (>28 weeks of gestation) and recently delivered (in the last 6 months) women in two randomly selected PHCs from June -September 2013. Exit interviews were conducted using a pre-designed semi-structured interview schedule. Information regarding socio-demographic profile, obstetric variables, and knowledge of key danger signs was collected. BPCR included information on five key components: identified the place of delivery, saved money to pay for expenses, mode of transport identified, identified a birth companion, and arranged a blood donor if the need arises. In this study, a woman who recalled at least two key danger signs in each of the three phases, i.e., pregnancy, childbirth, and postpartum (total six) was considered as knowledgeable on key danger signs. Optimal BPCR practice was defined as following at least three out of five key components of BPCR. Outcome measures: Proportion, Odds ratio, and adjusted Odds ratio (adj OR) for optimal BPCR practice. Results: A total of 184 women completed the exit interview (mean age: 26.9±3.9 years). Optimal BPCR practice was observed in 79.3% (95% CI: 73.5–85.2%) of the women. Multivariate logistic regression revealed that age >26 years (adj OR = 2.97; 95%CI: 1.15–7.7), economic status of above poverty line (adj OR = 4.3; 95%CI: 1.12–16.5), awareness of minimum two key danger signs in each of the three phases, i.e., pregnancy, childbirth, and postpartum (adj OR = 3.98; 95%CI: 1.4–11.1), preference to private health sector for antenatal care/delivery (adj OR = 2.9; 95%CI: 1.1–8.01), and woman’s discussion about the BPCR with her family members (adj OR = 3.4; 95%CI: 1.1–10.4) as the significant factors associated with optimal BPCR practice. Conclusion: In this study population, BPCR practice was better than other studies reported from India. Healthcare workers at the grassroots should be encouraged to involve women’s family members while explaining BPCR and key danger signs with a special emphasis on young (

Suggested Citation

  • Kibballi Madhukeshwar Akshaya & Siddharudha Shivalli, 2017. "Birth preparedness and complication readiness among the women beneficiaries of selected rural primary health centers of Dakshina Kannada district, Karnataka, India," PLOS ONE, Public Library of Science, vol. 12(8), pages 1-15, August.
    • Handle: RePEc:plo:pone00:0183739
    DOI: 10.1371/journal.pone.0183739
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0183739
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0183739&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0183739?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Shelah Bloom & David Wypij & Monica Gupta, 2001. "Dimensions of women’s autonomy and the influence on maternal health care utilization in a north indian city," Demography, Springer;Population Association of America (PAA), vol. 38(1), pages 67-78, February.
    2. Thaddeus, Sereen & Maine, Deborah, 1994. "Too far to walk: Maternal mortality in context," Social Science & Medicine, Elsevier, vol. 38(8), pages 1091-1110, April.
    3. Jerome K Kabakyenga & Per-Olof Östergren & Eleanor Turyakira & Karen Odberg Pettersson, 2012. "Influence of Birth Preparedness, Decision-Making on Location of Birth and Assistance by Skilled Birth Attendants among Women in South-Western Uganda," PLOS ONE, Public Library of Science, vol. 7(4), pages 1-8, April.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. María del Carmen Pérez-Peña & Mercedes Jiménez-García & José Ruiz-Chico & Antonio Rafael Peña-Sánchez, 2021. "Transport Poverty with Special Reference to Sustainability: A Systematic Review of the Literature," Sustainability, MDPI, vol. 13(3), pages 1-13, January.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. So O'Neil & Katie Naeve & Rajani Ved, "undated". "An Examination of the Maternal Health Quality of Care Landscape in India," Mathematica Policy Research Reports b4ac5292bf6148798f37782c2, Mathematica Policy Research.
    2. Saifuddin Ahmed & Andreea A Creanga & Duff G Gillespie & Amy O Tsui, 2010. "Economic Status, Education and Empowerment: Implications for Maternal Health Service Utilization in Developing Countries," PLOS ONE, Public Library of Science, vol. 5(6), pages 1-6, June.
    3. Kyi Mar Wai & Akira Shibanuma & Nwe Nwe Oo & Toki Jennifer Fillman & Yu Mon Saw & Masamine Jimba, 2015. "Are Husbands Involving in Their Spouses’ Utilization of Maternal Care Services?: A Cross-Sectional Study in Yangon, Myanmar," PLOS ONE, Public Library of Science, vol. 10(12), pages 1-13, December.
    4. Van Rijsbergen, Bart & D’Exelle, Ben, 2013. "Delivery Care in Tanzania: A Comparative Analysis of Use and Preferences," World Development, Elsevier, vol. 43(C), pages 276-287.
    5. Dotun Ogunyemi & Gabriel Ganyaglo & Godfrey Mugyenyi, 2019. "Maternal Mortality: Case Reviews and Lessons Learned from the Global Partnerships and the Maternal Fetal Medicine Scientific Forum on Global Health," Global Journal of Reproductive Medicine, Juniper Publishers Inc., vol. 7(1), pages 1-82:7, September.
    6. Premchand Dommaraju & Victor Agadjanian & Scott Yabiku, 2008. "The Pervasive and Persistent Influence of Caste on Child Mortality in India," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 27(4), pages 477-495, August.
    7. Gayen, Kaberi & Raeside, Robert, 2007. "Social networks, normative influence and health delivery in rural Bangladesh," Social Science & Medicine, Elsevier, vol. 65(5), pages 900-914, September.
    8. S Anukriti & Catalina Herrera‐Almanza & Praveen K. Pathak & Mahesh Karra, 2020. "Curse of the Mummy‐ji: The Influence of Mothers‐in‐Law on Women in India†," American Journal of Agricultural Economics, John Wiley & Sons, vol. 102(5), pages 1328-1351, October.
    9. Lídia Farré, 2013. "The Role of Men in the Economic and Social Development of Women: Implications for Gender Equality," The World Bank Research Observer, World Bank, vol. 28(1), pages 22-51, February.
    10. Levine, David & Kevane, Michael, 2003. "Are Investments in Daughters Lower when Daughters Move Away? Evidence from Indonesia," World Development, Elsevier, vol. 31(6), pages 1065-1084, June.
    11. Sheetal Sharma & Edwin van Teijlingen & José M Belizán & Vanora Hundley & Padam Simkhada & Elisa Sicuri, 2016. "Measuring What Works: An Impact Evaluation of Women’s Groups on Maternal Health Uptake in Rural Nepal," PLOS ONE, Public Library of Science, vol. 11(5), pages 1-16, May.
    12. World Bank, 2011. "Empowering Women through BISP," World Bank Publications - Reports 27367, The World Bank Group.
    13. Kusuma, Dian & Cohen, Jessica & McConnell, Margaret & Berman, Peter, 2016. "Can cash transfers improve determinants of maternal mortality? Evidence from the household and community programs in Indonesia," Social Science & Medicine, Elsevier, vol. 163(C), pages 10-20.
    14. Allendorf, Keera, 2007. "Do Women's Land Rights Promote Empowerment and Child Health in Nepal?," World Development, Elsevier, vol. 35(11), pages 1975-1988, November.
    15. Jayanta Kumar Bora & Rajesh Raushan & Wolfgang Lutz, 2019. "The persistent influence of caste on under-five mortality: Factors that explain the caste-based gap in high focus Indian states," PLOS ONE, Public Library of Science, vol. 14(8), pages 1-20, August.
    16. David E Bloom & Michael Kuhn & Klaus Prettner, 2020. "The contribution of female health to economic development [The costs of missing the Millennium Development Goal on gender equity]," The Economic Journal, Royal Economic Society, vol. 130(630), pages 1650-1677.
    17. Sushma Rajbanshi & Mohd Noor Norhayati & Nik Hussain Nik Hazlina, 2021. "Perceptions of Good-Quality Antenatal Care and Birthing Services among Postpartum Women in Nepal," IJERPH, MDPI, vol. 18(13), pages 1-13, June.
    18. Fatema, Kaniz & Lariscy, Joseph, 2020. "Mass media exposure and maternal healthcare utilization in South Asia," SocArXiv 5dhyr_v1, Center for Open Science.
    19. Vani K. Borooah & Anirudh Tagat, 2017. "Political Participation in Rural India: A Village Level Study," Studies in Political Economy, in: Norman Schofield & Gonzalo Caballero (ed.), State, Institutions and Democracy, pages 159-191, Springer.
    20. Uche Eseosa Ekhator-Mobayode & Lucia C. Hanmer & Eliana Carolina Rubiano Matulevich & Diana Jimena Arango, 2020. "The effect of armed conflict on Intimate Partner Violence (IPV): Evidence from the Boko Haram (BH) Insurgency in Nigeria," HiCN Working Papers 321, Households in Conflict Network.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0183739. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.