Tosi Jones Nkwain

University of Bamenda, Cameroon

Title: Predictors of Delays in Emergency Obstetric Care among Reproductive Age Women at Tubah Health District

Abstract

Background: Delay to timely healthcare contributes to high maternal mortality and morbidity especially in developing countries. The “three delay model” has been used extensively to investigate factors relating to maternal mortality. In developing countries, 1 in 16 dies daily compared to one in 2800 in the developed countries due to pregnancy related complication. The aim of this study was to determine the predictors of delays in Emergency Obstetric Care in order to contribute to a reduction in maternal and infant mortality.

Methods: This was a community based cross sectional study. The participants were women of reproductive age selected from four villages of Tubah Health District. Sampling was done using multistage sampling technique using structured questionnaire. Delay was considered at three levels which included: delay in making decision to seek care (first delay), delay in reaching the health facility (second delay) and delay in receiving care at the level of the Health facility (third delay). Multivariate regressions was used to determine the predictors of delay at each level. P-value less than 0.05 was considered statistically significant

Results: Out of 420 participants, 226(53.8%) delayed at the first level with maternal age (p=0.002), Household income (p= 0.003), decision maker for obstetric care (p= 0.042) and antenatal care (p= 0.022) as significant predictors. The second level 124 (29.5%) delayed with maternal age (p=0.022) the only predictor and third level had 246 (58.6%) delayed participants with low maternal age (p=0.018) as the only predictor.

Conclusion: Low maternal age was the unique significant predictor of Emergency Obstetric Care at all three levels with Household income, decision maker for obstetric care and antenatal at the first level. There is need for multi-dimensional interventions and a comprehensive approach, including improving the decision-making capacity of most women, transportation access and equipping health facilities with the necessary resources.

Biography

Tosi Jones Nkwain is 29 years old, a holder of BSc in Nursing and Midwifery, Masters in Midwifery science and currently a PhD student in Public health administration and advocacy. He is currently working with International Medical Corps as a Nurse a hard to reach area in the North West Region of Cameroon that has been highly affected by the Anglophone crisis for the past 6 years. He also provides maternal and child services to women and children.

3rd International Conference on Midwifery and Neonatal Care

Tosi Jones Nkwain

Title: Predictors of Delays in Emergency Obstetric Care among Reproductive Age Women at Tubah Health District

Abstract

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