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Research article
Asressie Molla Tessema
WOLLO UNIVERSITY
Corresponding Author
ORCiD: https://orcid.org/0000-0002-8286-5870
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Studies show home and community-based implementation of intervention packages have significantly reduced neonatal mortality particularly in resource constrained settings. However, due to evidence-practice gap, thousands of neonates are still losing their lives every day mostly from preventable causes. This study aimed to assess focused antenatal care package intervention fidelity and its determinant factors in South Wollo Zone, Northeast Ethiopia.
Methods: A cross-sectional study design was employed and a total of 898 mothers who gave birth in the last six months prior to data collection were included. Also sixteen health extension workers who were working in the health posts (n=10) selected for facility audits were included. Interview and self-administered questionnaires were used to collect data from mothers and health extension workers, respectively. Facility audits were used to assess the availability and functionality of required drugs and supplies for the health posts. Mothers were asked whether or not the required level of care were provided to them. Health extension workers were provided self-administered questionnaires to assess socio-demographic characteristics, reception of trainings, facilitation strategies and ability to classify danger signs. A multilevel linear regression analysis was performed to identify the individual and organizational levels factors influencing focused antenatal care package intervention fidelity.
Results: The overall weighted average focused antenatal care package intervention fidelity was 49.78% (95% CI: 47.73 – 51.83). Of these, 62.02% (95% CI: 59.71 – 64.32) was provided by health extension workers and 56.57% (95% CI: 53.94 – 59.19) by skilled providers (nurses, midwifes, health officers or medical doctors). The overall antenatal care coverage was 83.7% (95% CI: 81.28 – 86.12); 34.97% (95% CI: of 31.56 – 38.39) of them received at least four antenatal visits and 6.12% (95% CI: 4.40-7.83) received all the recommended components of focused antenatal care. Previous pregnancy-related medical problems, paternal education, and implementation of supportive/facilitation strategy were found to be significant facilitators of focused antenatal care package intervention fidelity.
Conclusion: Focused antenatal care package intervention fidelity in the study area was low, which may contribute to the stagnation of neonatal mortality reduction. Improving the implementation of facilitation strategies is highly required to produce a positive result in neonatal mortality reduction.
Keywords
Focused antenatal care, intervention fidelity, South Wollo, Ethiopia
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CURRENT STATUS: Published
View the published article at BMC Pregnancy and Childbirth.
No community comments so far
Editorial decision: Accept
On 08 Feb, 2021
Editor assigned
On 16 Jan, 2021
Submission checks complete
On 16 Jan, 2021
Editor invited
On 16 Jan, 2021
No comments provided
Editorial decision: Minor revision
On 05 Jan, 2021
Editor assigned
On 21 Dec, 2020
Submission checks complete
On 21 Dec, 2020
Editor invited
On 21 Dec, 2020
No comments provided
Editorial decision: Minor revision
On 08 Dec, 2020
Editor assigned
On 19 Oct, 2020
Submission checks complete
On 18 Oct, 2020
Editor invited
On 18 Oct, 2020
No comments provided
Editorial decision: Major revision
On 27 Sep, 2020
Editor assigned
On 01 Sep, 2020
Submission checks complete
On 31 Aug, 2020
Editor invited
On 31 Aug, 2020
Version 2
Posted 01 Jun, 2020
Community comments: 1
Editorial decision: Major revision
On 30 Jul, 2020
Reviewer #1 agreed
On 30 May, 2020
Review #1 received
Received 30 May, 2020
Reviewers invited
Invitations sent on 27 May, 2020
Editor assigned
On 24 May, 2020
Submission checks complete
On 23 May, 2020
Editor invited
On 23 May, 2020
No comments provided
Editorial decision: Minor revision
On 11 May, 2020
Review #2 received
Received 25 Apr, 2020
Review #1 received
Received 25 Apr, 2020
Reviewer #3 agreed
On 21 Apr, 2020
Reviewer #2 agreed
On 19 Apr, 2020
Reviewer #1 agreed
On 11 Apr, 2020
Editor assigned
On 10 Apr, 2020
Reviewers invited
Invitations sent on 10 Apr, 2020
Submission checks complete
On 08 Apr, 2020
Editor invited
On 08 Apr, 2020
First submitted
On 06 Apr, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Maternal & Fetal Medicine
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A new preprint design is coming!
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See the published version of this preprint at BMC Pregnancy and Childbirth.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Asressie Molla Tessema
WOLLO UNIVERSITY
Corresponding Author
ORCiD: https://orcid.org/0000-0002-8286-5870
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Pregnancy and Childbirth.
No community comments so far
Editorial decision: Accept
On 08 Feb, 2021
Editor assigned
On 16 Jan, 2021
Submission checks complete
On 16 Jan, 2021
Editor invited
On 16 Jan, 2021
No comments provided
Editorial decision: Minor revision
On 05 Jan, 2021
Editor assigned
On 21 Dec, 2020
Submission checks complete
On 21 Dec, 2020
Editor invited
On 21 Dec, 2020
No comments provided
Editorial decision: Minor revision
On 08 Dec, 2020
Editor assigned
On 19 Oct, 2020
Submission checks complete
On 18 Oct, 2020
Editor invited
On 18 Oct, 2020
No comments provided
Editorial decision: Major revision
On 27 Sep, 2020
Editor assigned
On 01 Sep, 2020
Submission checks complete
On 31 Aug, 2020
Editor invited
On 31 Aug, 2020
Version 2
Posted 01 Jun, 2020
Community comments: 1
Editorial decision: Major revision
On 30 Jul, 2020
Reviewer #1 agreed
On 30 May, 2020
Review #1 received
Received 30 May, 2020
Reviewers invited
Invitations sent on 27 May, 2020
Editor assigned
On 24 May, 2020
Submission checks complete
On 23 May, 2020
Editor invited
On 23 May, 2020
No comments provided
Editorial decision: Minor revision
On 11 May, 2020
Review #2 received
Received 25 Apr, 2020
Review #1 received
Received 25 Apr, 2020
Reviewer #3 agreed
On 21 Apr, 2020
Reviewer #2 agreed
On 19 Apr, 2020
Reviewer #1 agreed
On 11 Apr, 2020
Editor assigned
On 10 Apr, 2020
Reviewers invited
Invitations sent on 10 Apr, 2020
Submission checks complete
On 08 Apr, 2020
Editor invited
On 08 Apr, 2020
First submitted
On 06 Apr, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Maternal & Fetal Medicine
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Pregnancy and Childbirth.
Background: Studies show home and community-based implementation of intervention packages have significantly reduced neonatal mortality particularly in resource constrained settings. However, due to evidence-practice gap, thousands of neonates are still losing their lives every day mostly from preventable causes. This study aimed to assess focused antenatal care package intervention fidelity and its determinant factors in South Wollo Zone, Northeast Ethiopia.
Methods: A cross-sectional study design was employed and a total of 898 mothers who gave birth in the last six months prior to data collection were included. Also sixteen health extension workers who were working in the health posts (n=10) selected for facility audits were included. Interview and self-administered questionnaires were used to collect data from mothers and health extension workers, respectively. Facility audits were used to assess the availability and functionality of required drugs and supplies for the health posts. Mothers were asked whether or not the required level of care were provided to them. Health extension workers were provided self-administered questionnaires to assess socio-demographic characteristics, reception of trainings, facilitation strategies and ability to classify danger signs. A multilevel linear regression analysis was performed to identify the individual and organizational levels factors influencing focused antenatal care package intervention fidelity.
Results: The overall weighted average focused antenatal care package intervention fidelity was 49.78% (95% CI: 47.73 – 51.83). Of these, 62.02% (95% CI: 59.71 – 64.32) was provided by health extension workers and 56.57% (95% CI: 53.94 – 59.19) by skilled providers (nurses, midwifes, health officers or medical doctors). The overall antenatal care coverage was 83.7% (95% CI: 81.28 – 86.12); 34.97% (95% CI: of 31.56 – 38.39) of them received at least four antenatal visits and 6.12% (95% CI: 4.40-7.83) received all the recommended components of focused antenatal care. Previous pregnancy-related medical problems, paternal education, and implementation of supportive/facilitation strategy were found to be significant facilitators of focused antenatal care package intervention fidelity.
Conclusion: Focused antenatal care package intervention fidelity in the study area was low, which may contribute to the stagnation of neonatal mortality reduction. Improving the implementation of facilitation strategies is highly required to produce a positive result in neonatal mortality reduction.
Figure 1
This is a list of supplementary files associated with this preprint. Click to download.
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