PERSON- CENTERED MATERNITY CARE AND ASSOCIATED FACTORS AMONG MOTHERS WHO GAVE BIRTH AT PUBLIC HEALTH FACILITIES IN DAWRO ZONE, ESSERA DISTRICT,2022

Abstract

Background: Person-centered maternity care (PCMC) is providing maternity care that‟s responsive and respectful to individual women‟s preferences, values, and needs; ensuring that women‟s values guide all clinical decisions during labor and childbirth. Several studies have been conducted to identify determinant factors of person centered maternity care in different countries. However, there is a paucity of data regarding in the person centered maternity care study area. Objectives: The study aimed to assess person Centered Maternity Care and Associated Factors among Mothers Who gave Birth at Public Health Facilities in Dawro zone, Essera District, 2022 Methods: a community-based cross-sectional study was conducted among randomly selected 387 mothers from April 29 to June 20/ 2022. Pretested structured questionnaire was used to collect data from postpartum mothers. The data were checked for completeness, cleaned, coded, and entered into Epi-data version 4.6software, and exported to SPSS version 25 for further analysis. Descriptive statistics were presented in proportion using tables and figures. Multivariable linear regression analysis was used to identify factors associated with Person center maternity care. Variables with a P value of < 0.05 were taken as statistically significant. Result; Overall, 380 respondents participated with a response rate of 98.2%.The percentage mean score of the person centered maternity care of the respondents was 42.7%. In multivariable linear regression, respondents having no ANC follow-up (β=-11.644, 95% CI: -15.775, -7.514), night-time delivery (β= -10.361, 95% CI: -13.790,-6.932), gave birth by female health provider (β= -4.642, 95% CI: -8.320, -9.64), complication during delivery (β= -18.7, 95% CI: -27.99, 9.4) , respondents who are unable to read and write (β= -7.579, 95% CI: -11.776, -3.383), primary educational level (β= -7.462, 95% CI: -11.859, -3.125) ,secondary educational level (β= -8.557,95% CI:-12.535,-4.579), gave birth by midwife (β= -5.462, 95% CI:( -10.006, -9.17),and gave birth by Nurse, or health extension (β=8.683, 95% CI: -16.262,-0.495), were significantly decreased person centered maternity care score. Conclusion and Recommendation; the percentage mean score of the person centered maternity care of the respondents was 42.7%. The result of this study showed that respondents who had no ANC follow, nighttime delivery, educational level, female sex of delivery attendant, the profession of delivery attendant, and complications during delivery were decreased score; Therefore, Health care providers should provide person-centered maternity care for mothers who gave birth in the health facility.