Abstract

A very Poor attention is given to reproductive health issues of pregnant women in rural regions of African countries. Ethiopia is one of the countries in horn of Africa representing highest maternal mortality rate in the continent. The Government of Ethiopia has reformed health policy and program to promote community involvement in maternal health, promotion of emergency obstetric health care, health seeking behavior for optimal utilization of maternal health services by women during pregnancies. The women living in pastoralist and small land holders’ communities are exposed to high risks of reproductive health hazards. Material delays comprising of delay in making the decision for referral, delay in arriving at hospital and delay in receiving appropriate maternal health services are major contributing factors for growing maternal deaths in Ethiopia. The illiteracy of woman, exposure to frequent pregnancies at adolescent age, poor decision making power of women in patriarchal society, poor employment status of women are main predicators of low utilization of maternal services and high ,maternal death in rural regions of the country. This article is based on synthesis of research projects completed by different authors on multiple dimensions of maternal mortality in Ethiopia. The promotion of referral support service and bridging up the referral gaps would address issues of maternal mortality and growing unsafe abortions among young mothers in rural regions of the country. This paper examines critically different socio – cultural barriers that prevent women living in rural area for accessing appropriate utilization of maternal and health services and infrastructure available. Int. J. Soc. Sc. Manage. Vol. 4, Issue-1: 32-37

Highlights

  • Ethiopia, located in horn of Africa, is second most populous country in sub- Saharan Africa and ranked as 171 out of 182 poorest countries of the world (2009 Human Development Index) The maternal health and quality of life of women is most deplorable in this country where not less than 93% of deliveries are conducted at home

  • An innovative health intervention under package of Health Development Programme was introduced in phased manner from 2012 to accelerate primary health care for mothers and children and per prevention and control of communicable diseases. Such innovative intervention addressed promoting quality and equitable health services available to large chuck of Ethiopians apart from implementing health financing mechanism directed towards reducing the barriers hindering optimal utilization of health infrastructure and maternal health services available

  • It is reported that pregnant women experiencing emergency obstetric complications admitted that hospitals more quickly and offered services more effectively if they are registered in an antenatal care system

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Summary

Introduction

Ethiopia, located in horn of Africa, is second most populous country in sub- Saharan Africa and ranked as 171 out of 182 poorest countries of the world (2009 Human Development Index) The maternal health and quality of life of women is most deplorable in this country where not less than 93% of deliveries are conducted at home. The utilization of health services has been characterized with service of one doctor per 1,00,000 population, annual maternal death of 20,000 mothers with non availability of skilled birth attendants to 94% of pregnant women and poor accessibility to emergency obstetric care. As many as 89% of woman in Ethiopia fail to avail proper obstetric care for which annually not less than 350 pregnant mothers die per 100,000 live birth. This is highest record in the world. It is recommended that provisions of antenatal care coupled with timely services of trained personnel attending deliveries and doses of tetanus toxoid injection prior to birth will scale down high level maternal mortality and morbidity in this region (Ethiopia Mini Demographic and Health survey, 2014)

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