Health System Responsiveness to Childbirth Care and Its Associated factors in Public Hospitals in Sidama region, Ethiopia: A Multi-Center Study, 2024.

Health System Responsiveness to Childbirth Care and Its Associated factors in Public Hospitals in Sidama region, Ethiopia: A Multi-Center Study, 2024. | Authorea try { document.documentElement.classList.add('js'); } catch (e) { } var _gaq = _gaq || []; _gaq.push(['_setAccount', 'G-8VDV14Y67G']); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); })(); Skip to main content Preprints Collections Wiley Open Research IET Open Research Ecological Society of Japan All Collections About About Authorea FAQs Contact Us Quick Search anywhere Search for preprint articles, keywords, etc. Search Search ADVANCED SEARCH SCROLL This is a preprint and has not been peer reviewed. Data may be preliminary. 23 June 2025 V1 Latest version Share on Health System Responsiveness to Childbirth Care and Its Associated factors in Public Hospitals in Sidama region, Ethiopia: A Multi-Center Study, 2024. Authors : Getahun Tiruye 0000-0002-0441-0440 [email protected] , Shimelis Tamene , and Kasiye Gemechu Authors Info & Affiliations https://doi.org/10.22541/au.175065014.41466172/v1 218 views 136 downloads Contents Abstract Supplementary Material Information & Authors Metrics & Citations View Options References Figures Tables Media Share Abstract Objective : This study aims to identify the level of Health system responsiveness (HSR) to childbirth care and its predictors using a multi-center study approach in public hospitals of Sidama Region, Ethiopia. Design: A multi-center institution based cross-sectional study was employed . Setting: Sidama Region, Ethiopia Population: A 536 postpartum mothers who gave birth at Public hospitals Methods : An institution-based cross-sectional study was conducted among 536 mothers who gave birth in public hospitals in the Sidama region. Systematic random sampling was employed to select study participants. Data were collected using a structured, pretested questionnaire. The HSR was dichotomized, and binary logistic regression was used. Adjusted odds ratios (AOR) with 95% confidence intervals (CI) were calculated to determine the independent predictors of HSR to childbirth care. Level of significance determined at p-value of less than 0.05. Main outcome Measures : determining the level of HSR and its influencing factors Results : The study revealed that 47.9% (95% CI: 43.73% to 52.19%) of mothers reported that health facilities provide good HSR to childbirth care. After controlling for potential confounders, being an urban resident [AOR=1.88; 95% CI (1.30, 2.74)], having ANC follow-up [AOR=1.73; 95% CI (1.15, 2.61)], experiencing obstetric complications [AOR=0.61; 95% CI (0.39, 0.95)], and being satisfied with the services provided [AOR=1.60; 95% CI (1.11, 2.31)] were significantly associated with HSR to childbirth care. Conclusions: Nearly half of the mothers reported receiving responsive childbirth care in Sidama Region. The findings of this study highlights that promoting antenatal care, preventing obstetric complications, and enhancing client satisfaction with services provided by improving the quality of childbirth services are critical for achieving a responsive healthcare system to childbirth care. The finding implies that urban-rural disparities need targeted interventions to tackle inequalities and improve the health system responsiveness to childbirth care regardless of where women reside. Supplementary Material File (figure 1.docx) Download 27.90 KB File (figure 2.docx) Download 16.96 KB File (manuscript-hsr.docx) Download 104.75 KB File (table 1.docx) Download 14.11 KB File (table 2.docx) Download 14.28 KB File (table 3.docx) Download 14.86 KB Information & Authors Information Version history V1 Version 1 23 June 2025 Copyright This work is licensed under a Non Exclusive No Reuse License. Keywords health services research maternal medicine maternal mortality maternal physiology obstetric haemorrhage pre-eclampsia: clinical research reproductive science: polycystic ovary syndrome Authors Affiliations Getahun Tiruye 0000-0002-0441-0440 [email protected] Hamlin Fistula International View all articles by this author Shimelis Tamene Hamlin Fistula International View all articles by this author Kasiye Gemechu Haramaya University College of Health and Medical Sciences View all articles by this author Metrics & Citations Metrics Article Usage 218 views 136 downloads .FvxKWukQNSOunydq8rnd { width: 100px; } Citations Download citation Getahun Tiruye, Shimelis Tamene, Kasiye Gemechu. Health System Responsiveness to Childbirth Care and Its Associated factors in Public Hospitals in Sidama region, Ethiopia: A Multi-Center Study, 2024.. Authorea . 23 June 2025. DOI: https://doi.org/10.22541/au.175065014.41466172/v1 If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download. For more information or tips please see 'Downloading to a citation manager' in the Help menu . Format Please select one from the list RIS (ProCite, Reference Manager) EndNote BibTex Medlars RefWorks Direct import Tips for downloading citations document.getElementById('citMgrHelpLink').addEventListener('click', function() { popupHelp(this.href); return false; }); $(".js__slcInclude").on("change", function(e){ if ($(this).val() == 'refworks') $('#direct').prop("checked", false); $('#direct').prop("disabled", ($(this).val() == 'refworks')); }); View Options View options PDF View PDF Figures Tables Media Share Share Share article link Copy Link Copied! Copying failed. 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