Determinants Of Drop Out From Maternity Care Continuum Among Post Partum Women In Toke Kutaye District, West Shoa Zone, Oromia, Ethiopia, 2022

Abstract

Background: Maternal continuum of care is an integrated service delivery, which a woman receives from pregnancy to post-natal period. It is a key and effective strategy recommended by World Health Organization to reduce maternal and neonatal mortality. Despite this fact, drop out from maternity continuum of care is significantly high in Ethiopia. Studies done more focused on magnitude of drop out and little is known about determinants of drop out from maternity service. Objective: To identify determinants of drop out from maternity continuum of care among women who gave birth in the last one year, in Toke Kutaye district, Oromia, Ethiopia, 2022. Methods: Community based unmatched case-control study was conducted in Toke Kutaye district. A sample of 340 (170 and 170 controls) women was taken using simple random sampling technique. The study population was women who gave birth in the last one year in the district. Data were collected with structured questionnaires, entered into epi info v 7.2.2.6, exported into SPSS V 25.0 for analysis. Bi-variable binary logistic regression analysis done and those variables with P-value of < 0.25 were taken to multi-variable binary logistic regression. Adjusted odds ratio with 95% CI was calculated and P-value of 0.05 was used to declare significance level. Results: This study shows, no prior contraceptive use (AOR=4.44,95% CI; 1.88,10.44), unplanned pregnancy (AOR=3.91,95% CI;1.67,9.14), distance more than 30 minutes (AOR=2.58,95% CI; 1.12,5.92), late initiation of antenatal care (AOR=3.55,95% CI; 1.58,7.98), being in lowest wealth quintile(AOR=6.11,95% CI; 2.08,17.98) and no formal education(AOR=4.68,95% CI; 1.59,13.76) were significantly associated with drop out. In addition, inadequate knowledge on birth preparedness and complication readiness plan(AOR=4.9,95% CI; 2.13,11.27), inadequate respectful maternity care services(AOR=4.53, 95% CI; 1.96,10.47), and not accompanied by partners (AOR=3.91,95% CI; 1.73,8.79) were significant predictors of drop out from maternity continuum of care Conclusion: - The finding from this study shows that, no prior contraceptive use, unplanned Pregnancy, distance of more than 30’, no formal education, inadequate knowledge on birth preparedness and complication readiness plan, inadequate respectful maternity care services, not being accompanied by partners, late initiation of antenatal care and being in lowest wealth quintile were significant predictors of women’s drop out from maternity continuum of care