Institutionalization of limited obstetric ultrasound leading to increased antenatal, skilled delivery, and postnatal service utilization in three regions of Ethiopia: A pre-post study
A minimum of one ultrasound scan is recommended for all pregnant women before the 24th week of gestation. In Ethiopia, there is a shortage of skilled manpower to provide these services. Currently, trained mid-level providers are providing the services at the primary healthcare level. The aims of thi...
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| Veröffentlicht in: | PloS one 2023-02, Vol.18 (2), p.e0281626-e0281626 |
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| creator | Abawollo, Hailemariam Segni Argaw, Mesele Damte Tsegaye, Zergu Taffesse Beshir, Ismael Ali Guteta, Asfaw Adugna Heyi, Atrie Fekadu Mengesha, Birhan Tenaw Mamo, Tsega Teferi Gebremedhin, Zenawork Kassa Damte, Heran Demissie Kibret, Mengistu Asnake Desta, Binyam Fekadu |
| description | A minimum of one ultrasound scan is recommended for all pregnant women before the 24th week of gestation. In Ethiopia, there is a shortage of skilled manpower to provide these services. Currently, trained mid-level providers are providing the services at the primary healthcare level. The aims of this study were to compare antenatal care 1 (ANC1), antenatal care 4 (ANC4), skilled birth attendance (SBA), and postnatal care (PNC) service utilization before and after institutionalizing Vscan limited obstetric ultrasounds at semi-urban health centers in Ethiopia.
A pre and post intervention observational study was conducted to investigate maternal and neonatal health service utilization rates before and after institutionalizing Vscan limited obstetric ultrasound services, between July 2016 and June 2020. The data were extracted from 1st August- 31st December 2020.
The observed monthly increase on the mean rank of first ANC visits after the introduction of Vscan limited obstetric ultrasound services showed a statistically significant difference at KW-ANOVA H (3) = 17.09, P = 0.001. The mean rank of fourth ANC utilization showed a statistically significant difference at KW- ANOVA H (3) = 16.24, P = 0.001. The observed mean rank in skilled birth attendance (SBA) showed a statistically significant positive difference using KW-ANOVA H (3) = 23.6, P |
| doi_str_mv | 10.1371/journal.pone.0281626 |
| format | Article |
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A pre and post intervention observational study was conducted to investigate maternal and neonatal health service utilization rates before and after institutionalizing Vscan limited obstetric ultrasound services, between July 2016 and June 2020. The data were extracted from 1st August- 31st December 2020.
The observed monthly increase on the mean rank of first ANC visits after the introduction of Vscan limited obstetric ultrasound services showed a statistically significant difference at KW-ANOVA H (3) = 17.09, P = 0.001. The mean rank of fourth ANC utilization showed a statistically significant difference at KW- ANOVA H (3) = 16.24, P = 0.001. The observed mean rank in skilled birth attendance (SBA) showed a statistically significant positive difference using KW-ANOVA H (3) = 23.6, P<0.001. The mean rank of increased utilization in postnatal care showed a statistically significant difference using KW-ANOVA H (3) = 17.79, P<0.001.
The introduction of limited obstetric ultrasound services by trained mid-level providers at the primary healthcare level was found to have improved the utilization of ANC, SBA, and postnatal care (PNC) services. It is recommended that the institutionalization of limited obstetric ultrasound services be scaled up and a further comparative study between facilities with and without ultrasound services be conducted to confirm causality and assess effects on maternal and perinatal outcomes.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0281626</identifier><identifier>PMID: 36791077</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Biology and Life Sciences ; Childbirth & labor ; Comparative studies ; Data collection ; Delivery, Obstetric ; Ethiopia ; Evaluation ; Female ; Health care ; Health care facilities ; Health care policy ; Health facilities ; Health services ; Health Services Accessibility ; Humans ; Infant, Newborn ; Institutionalization ; Manpower ; Maternal Health Services ; Maternal mortality ; Medical care ; Medical personnel ; Medicine and Health Sciences ; Neonates ; Newborn babies ; Observational studies ; Obstetrics ; Parturition ; People and Places ; Pregnancy ; Prenatal Care ; Primary care ; Public health ; Research and Analysis Methods ; Services ; Statistical analysis ; Ultrasonic imaging ; Ultrasonography, Prenatal ; Ultrasound ; Utilization ; Variance analysis ; Womens health</subject><ispartof>PloS one, 2023-02, Vol.18 (2), p.e0281626-e0281626</ispartof><rights>Copyright: © 2023 Abawollo et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2023 Public Library of Science</rights><rights>2023 Abawollo et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 Abawollo et al 2023 Abawollo et al</rights><rights>2023 Abawollo et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c627t-a3b00dc3ed16543e0b1942f5e674aba21b4d7b020c7dbd42ddb5f4223e1365d63</citedby><cites>FETCH-LOGICAL-c627t-a3b00dc3ed16543e0b1942f5e674aba21b4d7b020c7dbd42ddb5f4223e1365d63</cites><orcidid>0000-0002-9558-6619</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10045583/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10045583/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,865,886,2929,23871,27929,27930,53796,53798</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36791077$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Mbachu, Ikechukwu Innocent</contributor><creatorcontrib>Abawollo, Hailemariam Segni</creatorcontrib><creatorcontrib>Argaw, Mesele Damte</creatorcontrib><creatorcontrib>Tsegaye, Zergu Taffesse</creatorcontrib><creatorcontrib>Beshir, Ismael Ali</creatorcontrib><creatorcontrib>Guteta, Asfaw Adugna</creatorcontrib><creatorcontrib>Heyi, Atrie Fekadu</creatorcontrib><creatorcontrib>Mengesha, Birhan Tenaw</creatorcontrib><creatorcontrib>Mamo, Tsega Teferi</creatorcontrib><creatorcontrib>Gebremedhin, Zenawork Kassa</creatorcontrib><creatorcontrib>Damte, Heran Demissie</creatorcontrib><creatorcontrib>Kibret, Mengistu Asnake</creatorcontrib><creatorcontrib>Desta, Binyam Fekadu</creatorcontrib><title>Institutionalization of limited obstetric ultrasound leading to increased antenatal, skilled delivery, and postnatal service utilization in three regions of Ethiopia: A pre-post study</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>A minimum of one ultrasound scan is recommended for all pregnant women before the 24th week of gestation. In Ethiopia, there is a shortage of skilled manpower to provide these services. Currently, trained mid-level providers are providing the services at the primary healthcare level. The aims of this study were to compare antenatal care 1 (ANC1), antenatal care 4 (ANC4), skilled birth attendance (SBA), and postnatal care (PNC) service utilization before and after institutionalizing Vscan limited obstetric ultrasounds at semi-urban health centers in Ethiopia.
A pre and post intervention observational study was conducted to investigate maternal and neonatal health service utilization rates before and after institutionalizing Vscan limited obstetric ultrasound services, between July 2016 and June 2020. The data were extracted from 1st August- 31st December 2020.
The observed monthly increase on the mean rank of first ANC visits after the introduction of Vscan limited obstetric ultrasound services showed a statistically significant difference at KW-ANOVA H (3) = 17.09, P = 0.001. The mean rank of fourth ANC utilization showed a statistically significant difference at KW- ANOVA H (3) = 16.24, P = 0.001. The observed mean rank in skilled birth attendance (SBA) showed a statistically significant positive difference using KW-ANOVA H (3) = 23.6, P<0.001. The mean rank of increased utilization in postnatal care showed a statistically significant difference using KW-ANOVA H (3) = 17.79, P<0.001.
The introduction of limited obstetric ultrasound services by trained mid-level providers at the primary healthcare level was found to have improved the utilization of ANC, SBA, and postnatal care (PNC) services. It is recommended that the institutionalization of limited obstetric ultrasound services be scaled up and a further comparative study between facilities with and without ultrasound services be conducted to confirm causality and assess effects on maternal and perinatal outcomes.</description><subject>Biology and Life Sciences</subject><subject>Childbirth & labor</subject><subject>Comparative studies</subject><subject>Data collection</subject><subject>Delivery, Obstetric</subject><subject>Ethiopia</subject><subject>Evaluation</subject><subject>Female</subject><subject>Health care</subject><subject>Health care facilities</subject><subject>Health care policy</subject><subject>Health facilities</subject><subject>Health services</subject><subject>Health Services Accessibility</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Institutionalization</subject><subject>Manpower</subject><subject>Maternal Health Services</subject><subject>Maternal 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Innocent</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Institutionalization of limited obstetric ultrasound leading to increased antenatal, skilled delivery, and postnatal service utilization in three regions of Ethiopia: A pre-post study</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2023-02-15</date><risdate>2023</risdate><volume>18</volume><issue>2</issue><spage>e0281626</spage><epage>e0281626</epage><pages>e0281626-e0281626</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>A minimum of one ultrasound scan is recommended for all pregnant women before the 24th week of gestation. In Ethiopia, there is a shortage of skilled manpower to provide these services. Currently, trained mid-level providers are providing the services at the primary healthcare level. The aims of this study were to compare antenatal care 1 (ANC1), antenatal care 4 (ANC4), skilled birth attendance (SBA), and postnatal care (PNC) service utilization before and after institutionalizing Vscan limited obstetric ultrasounds at semi-urban health centers in Ethiopia.
A pre and post intervention observational study was conducted to investigate maternal and neonatal health service utilization rates before and after institutionalizing Vscan limited obstetric ultrasound services, between July 2016 and June 2020. The data were extracted from 1st August- 31st December 2020.
The observed monthly increase on the mean rank of first ANC visits after the introduction of Vscan limited obstetric ultrasound services showed a statistically significant difference at KW-ANOVA H (3) = 17.09, P = 0.001. The mean rank of fourth ANC utilization showed a statistically significant difference at KW- ANOVA H (3) = 16.24, P = 0.001. The observed mean rank in skilled birth attendance (SBA) showed a statistically significant positive difference using KW-ANOVA H (3) = 23.6, P<0.001. The mean rank of increased utilization in postnatal care showed a statistically significant difference using KW-ANOVA H (3) = 17.79, P<0.001.
The introduction of limited obstetric ultrasound services by trained mid-level providers at the primary healthcare level was found to have improved the utilization of ANC, SBA, and postnatal care (PNC) services. It is recommended that the institutionalization of limited obstetric ultrasound services be scaled up and a further comparative study between facilities with and without ultrasound services be conducted to confirm causality and assess effects on maternal and perinatal outcomes.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>36791077</pmid><doi>10.1371/journal.pone.0281626</doi><tpages>e0281626</tpages><orcidid>https://orcid.org/0000-0002-9558-6619</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2023-02, Vol.18 (2), p.e0281626-e0281626 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2776985605 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Biology and Life Sciences Childbirth & labor Comparative studies Data collection Delivery, Obstetric Ethiopia Evaluation Female Health care Health care facilities Health care policy Health facilities Health services Health Services Accessibility Humans Infant, Newborn Institutionalization Manpower Maternal Health Services Maternal mortality Medical care Medical personnel Medicine and Health Sciences Neonates Newborn babies Observational studies Obstetrics Parturition People and Places Pregnancy Prenatal Care Primary care Public health Research and Analysis Methods Services Statistical analysis Ultrasonic imaging Ultrasonography, Prenatal Ultrasound Utilization Variance analysis Womens health |
| title | Institutionalization of limited obstetric ultrasound leading to increased antenatal, skilled delivery, and postnatal service utilization in three regions of Ethiopia: A pre-post study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-11T16%3A23%3A40IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Institutionalization%20of%20limited%20obstetric%20ultrasound%20leading%20to%20increased%20antenatal,%20skilled%20delivery,%20and%20postnatal%20service%20utilization%20in%20three%20regions%20of%20Ethiopia:%20A%20pre-post%20study&rft.jtitle=PloS%20one&rft.au=Abawollo,%20Hailemariam%20Segni&rft.date=2023-02-15&rft.volume=18&rft.issue=2&rft.spage=e0281626&rft.epage=e0281626&rft.pages=e0281626-e0281626&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0281626&rft_dat=%3Cgale_plos_%3EA737340303%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2776985605&rft_id=info:pmid/36791077&rft_galeid=A737340303&rfr_iscdi=true |