Final Proposal on Maternity Continuum Care Completion and Associated Factors among Women Who Gave Birth in the Last 12 Months in Dubti District, Afar Region, Northeast Ethiopia 2023

Table of Contents

Acknowledgement ii

Acronym and Abbreviation. iii

Table of Contents. iv

List of figures. v

SUMMARY.. vi

1. Introduction. 1

1.2 Background. 1

1.2 Statement of the problem.. 2

1.3 significance of the study. 3

2. Literature review.. 4

2.1. Prevalence of Maternity continuum care completion. 4

2.2. Factors associated with maternity continuum care completion. 5

2.2.1 Socio-demographic characteristics. 5

2.2.2 Reproductive and Obstetrics related factors. 6

2.2.3 Maternal health service-related factors. 7

Conceptual Framework. 8

3. Objectives. 8

3.1 General objective. 8

3.2 Specific objectives. 8

4. Methods. 9

4.1 Study area and period. 9

4.2 Study design. 9

4.3 Population. 9

4.3.1 Source population. 9

4.3.2 Study population. 9

4.3.3 Study unit9

4.3.4 Eligibility criteria. 9

Inclusion criteria. 9

Exclusion criteria. 10

4.4 Sample size determination. 10

4.5 Sampling technique. 11

4.6 Variables. 12

Dependent variable. 12

Independent variables. 12

4.7        Operational definition. 12

4.8 Data collection tool12

4.9. Data collection procedure. 12

4.9.1 Data quality control13

4.9.2 Data processing and analysis. 13

4.9.3 Ethical considerations. 13

4.9.4 Plan for result dissemination. 13

5. WORK PLAN AND BUDGET. 14

5.1 WORK PLAN.. 14

5.2 BudgetPlan. 15

6.     References. 16

Annex I: Information Sheet and Consent Form: (English Version)20

Information Sheet20

Annex II:  Maternity Continuum Care Completion Questionnaire English Version. 21

List of tables

Table 1. Sample size determination for the study on maternity continuum care completion and its associated factors among pastoralist community of Dubti district in Afar region, Northeast Ethiopia, 2023. 10

List of figures

Figure 1. A Conceptual framework adapted from maternity continuum care completion and its associated factors in pastoralist community of Dubti district, Ethiopia, 2023. 8

Figure 2: Schematic presentation of multistage sampling technique of maternity continuum care completion in Dubti district, Ethiopia, 2023.12

SUMMARY

Background

Improving the continuum of maternity care is a key strategy to achieve the new global target of zero preventable maternal deaths by 2030. It is a critical strategy for reducing maternal and newborn mortality and morbidity. Millions of women around the globe do not receive the maternal health care services they must survive pregnancy and succeed.

Objectives: -To assess the completion of maternity continuum care and its associated factors among women who gave birth in the last 12 months in Dubti District, Afar, Ethiopia, 2023.

Methods: - A community-based cross-sectional study will be conducted from  July 19 to August 19, 2023. The total sample size is 567. The study area will be Dubti district, Afar regional state, Northeast Ethiopia. Multistage stage sampling techniques will be used to obtain study participants. Data will be entered into Epi-data software version 4.6 and then exported the SPSS version 26 statistical package for analysis. Descriptive statistics and bivariate and multivariable logistic regression will be used to analyze the data. A significant association declared a p-value < 0.05 and AOR will be used to declare the result.

Work plan and budget:An estimated 22170 ETB is needed for this research project.

Key words: continuum of care, maternity care, Ethiopia,2023