Next Article in Journal
Standing Meetings Are Feasible and Effective in Reducing Sitting Time among Office Workers—Walking Meetings Are Not: Mixed-Methods Results on the Feasibility and Effectiveness of Active Meetings Based on Data from the “Take a Stand!” Study
Next Article in Special Issue
Factors Impacting Family Planning Use in Mali and Senegal
Previous Article in Journal
Affordability Assessment from a Static to Dynamic Concept: A Scenario-Based Assessment of Cardiovascular Medicines
Previous Article in Special Issue
Effects of Women’s Work-Family Multiple Role and Role Combination on Depressive Symptoms in Korea
Article

Uptake of Skilled Maternal Healthcare in Ethiopia: A Positive Deviance Approach

1
St Paul’s Hospital Millennium Medical College (SPHMMC), Addis Ababa 22728/1000, Ethiopia
2
Faculty of Medicine, University of Oslo, 1078 Oslo, Norway
3
Department of Global Community Health and Behavioral Sciences, Tulane School of Public Health and Tropical Medicine, New Orleans, LA 70112, USA
4
Institute of Health and Society, HELSAM, University of Oslo, N-0316 Oslo, Norway
5
Department of Nutrition, University of Oslo, 0317 Oslo, Norway
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(5), 1712; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17051712
Received: 11 December 2019 / Revised: 21 January 2020 / Accepted: 3 March 2020 / Published: 5 March 2020
(This article belongs to the Collection Women's Reproductive and Maternal Health)
Risk factor approaches are often used when implementing programs aimed at enforcing advantageous health care behaviors. A less frequently-used strategy is to identify and capitalize on those who, despite risk factors, exhibit positive behaviors. The aim of our study was to identify positive deviant (PD) mothers for the uptake of skilled maternal services and to explore their characteristics. Data for the study came from two waves of the Ethiopian Demographic and Health Surveys conducted in 2011 and in 2016. PD mothers were defined as those reporting no formal education but with adequate use of antenatal care (ANC) and/or institutional delivery services. Two-level multilevel regression analysis was used to analyze the data. Factors associated with PD for the use of ANC services were: partner’s education status, involvement in household decision making, exposure to media, and distance to the health facility. Factors associated with PD for health facility delivery were: partner’s education, woman’s employment status, ANC visit during index pregnancy, exposure to media, and perceived challenge to reach health facility. Rural-urban and time-related differences were also identified. The positive deviance approach provides a means for local policy makers and program managers to identify factors facilitating improved health behaviour and ultimately better health outcomes while acknowledging adverse risk profiles. View Full-Text
Keywords: positive deviance; skilled maternal healthcare; multilevel approach; DHS; Ethiopia positive deviance; skilled maternal healthcare; multilevel approach; DHS; Ethiopia
Show Figures

Figure 1

MDPI and ACS Style

Ousman, S.K.; Magnus, J.H.; Sundby, J.; Gebremariam, M.K. Uptake of Skilled Maternal Healthcare in Ethiopia: A Positive Deviance Approach. Int. J. Environ. Res. Public Health 2020, 17, 1712. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17051712

AMA Style

Ousman SK, Magnus JH, Sundby J, Gebremariam MK. Uptake of Skilled Maternal Healthcare in Ethiopia: A Positive Deviance Approach. International Journal of Environmental Research and Public Health. 2020; 17(5):1712. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17051712

Chicago/Turabian Style

Ousman, Seman K., Jeanette H. Magnus, Johanne Sundby, and Mekdes K. Gebremariam 2020. "Uptake of Skilled Maternal Healthcare in Ethiopia: A Positive Deviance Approach" International Journal of Environmental Research and Public Health 17, no. 5: 1712. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17051712

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop