Low level of community readiness prevails in rural northwest Ethiopia for the promotion of institutional delivery

Pan Afr Med J. 2021 Mar 17:38:281. doi: 10.11604/pamj.2021.38.281.27300. eCollection 2021.

Abstract

Introduction: the health benefits of institutional delivery with the support of skilled professional are one of the indicators of maternal health status which have an impact on the health of women and new coming generation. Despite these benefits, many pregnant women in Ethiopia are not actively bringing delivery at health facility. This study was aimed at determining the readiness level of community for promoting child birth at health facility.

Methods: a population-based cross-sectional study was conducted. We interviewed 96 key informants using a semi-structured questionnaire adapted from the community readiness assessment model and translated to Amharic language. The key informants were purposively selected in consultation with the district health office to represent the community. The interviews were transcribed verbatim and survey scores were matched with the readiness stage of 1 of the 9 for the five dimensions using the assessment guidelines.

Results: this study placed nine kebeles at stage 3 (vague awareness), which indicates the need for more institutional delivery service strategy programming; efforts of the community were not focused and low leadership concern and one kebele was in stage 2 (denial/resistance). Six kebeles were placed at high level of readiness i.e. in stage 7 (stabilization), indicating actions are sustained by the local managers or opinion leaders.

Conclusion: evidence derived from the present study can be used to match intervention tactics for promoting health facility child birth service utilization to communities based on their level of readiness.

Keywords: Community level of readiness; community readiness model; institutional delivery.

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Delivery, Obstetric / statistics & numerical data*
  • Ethiopia
  • Female
  • Health Facilities / statistics & numerical data
  • Humans
  • Male
  • Maternal Health Services / statistics & numerical data*
  • Middle Aged
  • Patient Acceptance of Health Care / statistics & numerical data*
  • Pregnancy
  • Rural Population / statistics & numerical data*
  • Surveys and Questionnaires
  • Young Adult