Abstract

Back ground: Ethiopia still suffers high levels of neonatal and maternal mortality so maternity continuum of care is a continuous framework for the delivery of maternal care from pregnancy to postnatal period. Skilled care during pregnancy, childbirth and the postpartum period are important interventions in reducing maternal and neonatal morbidity and mortality.

Objective: To assess completion of maternity continuum of care and factors associated with it among mothers who gave birth in the last one year in Enemay district, North West Ethiopia.

Method and materials: A community based cross sectional study was conducted from February 25-March 10, 2019 on 651 women who gave birth in the last one year. The data were collected by face to face interview through pretested and structured questionnaires. Binary logistic regression was used to identify predictors of completion of maternity continuum of care. Variables with P-value<0.05 in multivariable analysis were declared as statistically significant associated factors.

Result: This study revealed that about 45% (95% CI: 40.9%,  48.8%) of respondents completed the continuum of care. Women with secondary education (AOR=6, 95% CI:2.26,16.6),Women whose occupation is farming (AOR=0.18 95%, CI: 0.1,0.32),Women who have autonomy on health care decision (AOR=4 , 95% CI: 2.26,7.2), Women whose have exposure to media (AOR=1.97, 95% CI: 1.2, 3.27), Women with wanted pregnancy (AOR=3.33, 95% CI: 1.87, 5.9), para five and above women (AOR=2.85 95% CI: 1.28, 6.3) and Women whose husband are employer (AOR=4.97 95% CI: 1.16, 21.2) were significantly associated with completion of maternity continuum of care.

Conclusion and recommendation: This study showed that less than half of the participants had achieved continuum of care and education level, both respondents and husband occupation, parity, autonomy to health care decision, exposure to the mass media, and wontedness of pregnancy were associated with completion of maternity continuum of care, therefore working on enhancing of the capacity of women autonomy in health care decision making and preventing unintended pregnancy helps to improve completion of maternity continuum of care.

Keywords: Maternity continuum of care; Antenatal care; Skill birth attendant; Postnatal care; Ethiopia