Pregnant Women Perceived Community Acceptance for Deliveries attended by Traditional Birth attendants and its Correlates in Ethiopia: Community based longitudinal follow up Study

Abstract

Abstract Background World health organization (WHO) recommends that all child birth need to attend by professional skilled attendant who at least midwifery skill through the safe motherhood initiative. Many births in developing are being attended by Traditional birth attendants mainly due women and community acceptance of TBA as sole birth attendants. Therefore, measuring the women perceived community acceptance towards births attended by TBA and identifying factors provides evidence for policy makers, health program managers and health care practitioners in their effort to escalate skilled and facility delivery there by improving maternal and new born health outcome. Methods This study used PMA cohort 1 baseline data which enrolled and collected data from currently pregnant women. Frequency was computed to describe the study participant’s characteristics. Multinomial logistics regression was employed to identify correlates of perceived acceptance for births attended by TBA. Results were presented in the form percentages and odds ratio with 95% Confidence Intervals. Candidate variables were selected using p-value of 0.25. Statistical significance was declared at p-value of 0.05. Results One fourth, nearly one in five (18.27%) and 15.05% of the pregnant women reported few people, most and some people in their community think it’s acceptable to deliver with Traditional Birth Attendants (TBA) respectively. attending primary education increases the likelihood of women pregnant women perception that most people in their community thinks that it’s acceptable for deliveries to be attended by TBA. While pregnancy desire that women who intended to have another child have higher likelihood to perceive that few people in their community consider that its acceptable that deliveries to be attended by TBA. On the contrary, religion, residing in the well to HHs, residing in the former SNNP and Addis Ababa have lowered pregnant women perception that people (most, few and some) in their community considers that it’s acceptable for deliveries to be attended by TBA. Conclusions Substantially greater proportion of pregnant women reported that it’s acceptable to delivery for at least few people in their community which call on tremendous work to be done to avert such high level pregnant women acceptance that people in their community thinks births to be attended by TBAs. Activities targeting improving women economic status and empowerment; increasing women enrollment to secondary and higher education; using religious leaders and institutions to promote health service use and skilled delivery are likely to mitigate such huge surge of miss conception towards delivery care.