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Abstract
Background:Prepregnancy health care is vital to alleviate and prevent maternal and neonatal disability and death.Objectives:The purpose of the study was to measure the levels of knowledge and attitude on preconception care and their determinants among women who delivered at government hospitals in a rural setting in southern Ethiopia.Methods:A facility-based cross sectional study was done from January 01 to February 30, 2017 on a sample of 370 women who delivered at government hospitals in Wolayita zone. The mothers were selected using systematic random sampling technique. The data were collected using structured and pretested interviewer administered questionnaires at the postnatal ward of each hospital. Data were analyzed using bivariate and multivariable techniques.Results:The result showed that 53% (95% confidence interval [CI]: 47.8%, 58.1%) of mothers who delivered at public hospitals had adequate level of knowledge on preconception care, whereas 54.3% (95% CI: 49.2%, 59.5%) possessed positive attitude to preconception care. Mothers who have radio, planned pregnancy and have participated in community meetings related to preconception care had a meaningfully higher odds of good level of knowledge to preconception care. Ordinal regression showed that women who own mobile phone had at least three times significantly higher odds of positive attitude to preconception care, whereas women who have participated community meetings had lower odds of positive attitude on preconception care.Conclusions:The results revealed that the levels of mothers’ knowledge and positive attitude on preconception care are low relative to other studies. Using transistor radio and mobile phone have significant effect in improving the knowledge and attitude of reproductive age women on preconception care. Hence, providing community health education based on radio and/or mobile phone messaging could be useful in positively influencing the knowledge and attitude of women on preconception care.
Highlights
Prepregnancy health care is vital to alleviate and prevent maternal and neonatal disability and death
Socio-demographic characteristic of study participants Three hundred seventy women participated in this study with a 99% response rate
Multivariable ordinal regression showed that women who had mobile phone had a twofold higher chance of a positive attitude (AOR: 2.17, 95% Confidence Interval sustainable development goal (SDG) (CI): 1.31, 3.59) and those who had participated in community meetings related to preconception care had decreased odds of a positive attitude towards preconception care (AOR: 0.36, 95% CI: 0.22, 0.60) (Table 6)
Summary
Prepregnancy health care is vital to alleviate and prevent maternal and neonatal disability and death. Preconception health care is a set of prepregnancy interventions to reduce the influence of biomedical, behavioral and social risks of mothers’ health, and unborn child health [1] It can improve maternal and neonatal outcome by identifying, modifying bad habits and behaviors before conception and decreasing unintended pregnancies [2]. Most of pregnancy and childbirth complications can be alleviated by implementation of preconception care at health institution, in low resource settings preconception care is not regularly implemented [3] Though both governments and civil societies in developing counties frontline agenda is maternal and neonatal health service, newborn and child death and stillbirth, of which 77% are preventable by creating platform for essential packages at community, health center and hospital levels have not yet been reduced to the expected level [4]. In Ethiopia the maternal mortality rate is estimated at 412 per 100,000 live births in 2016, neonatal mortality at 29 deaths per 1000 live births, infant mortality at 48 deaths per 1,000 live births and the under-five mortality rate is estimated at 67 per 1000 live birth in 2016 [8]
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