Assessment of delays during emergency obstetric care and their determinants among women who gave birth in three public hospitals of Bahir Dar North West Ethiopia 2025: Across-Sectional Study

Zeleke, Mesfin Bayu

dc.contributor.author	Zeleke, Mesfin Bayu
dc.date.accessioned	2026-10-08T07:19:53Z
dc.date.available	2026-10-08T07:19:53Z
dc.date.issued	2026-01-20
dc.identifier.uri	http://ir.bdu.edu.et/handle/123456789/17428
dc.description.abstract	Abstract Background-Maternal and perinatal mortality remains a major challenge in Ethiopia largely due to delays in receiving timely and appropriate emergency obstetric care. The three delay model helps to identify the critical points where women may experience life threatening delays. Although many studies in Ethiopia show the prevalence of delays are significant there is limited evidence on the pooled prevalence of all the three delays at a time andthe factors that contribute to these delays. So Understanding the extent and the factors which cause these delays is essential to improving maternal and neonatal outcome. Objective-This study aimed to assess the prevalence and determinants of delays(over all delay and types of delays) during emergency obstetric care among women who gave birth in three public hospitals of Bahir Dar Northwest Ethiopia. Method-Facility basedcross-sectional study was conducted from August-October 2025 involving 395 women who experienced emergency obstetric conditions participants were selected using systemic random sampling technique data was collected through intervieweradministered structured questionnaires after women give birth and become stable within 24-48 hours ofbirth. Data was analyzed using SPSS version 27.2. Descriptive statistics was used to summarize data. Both bivariate and multivariatelogistic regression analysis was performed to identify factors associated with the three types of delay. The Adjusted Odds ratio was used to determine the statistical association with delays during emergency obstetric care at p-value<0.05 with 95%CI. Result-A total of 374 respondents were involved in the study with response rate of 94.6%.The proportion of overall delay during emergency obstetric care were found to be 67.1%(n=251) in this study. Delay1 was the most common delay experienced by 45.2 %( n=169) of women followed by delay2 34.5 %( n=129) and delay3 27.5 %( n=103).The mean age of respondents is27.85±5.75 years.Having ANC visit(AOR=.296,95%CI=.144-.596), women whose decision making power to seek care made by husband(AOR=1.985,95%CI=1.096-3.595) or family(AOR=3.729,95%CI=2.035-6.834) and planned pregnancy(AOR=2.056,95%CI=1.154-3.663)were all significantly associated with delay 1.While good knowledge of danger signs (AOR= .405,95%CI=.201-.818),distance to health facility(AOR=1.751,95%CI=.717-4.278)and transportation problem(AOR=4.599,95%CI=2.426-8.721) were statistically significant with delay 2.For maternal third delay availability of necessaryequipment’s and supplies(AOR=.325,95%CI=.191-.555) and shortage of health professionals(AOR=3.74,95%CI=2.110-6.630) were significantly associated variables. Conclusion-In this study the proportion of overall delay was found 67.1% which is high compared to other studies done in other parts of Ethiopia.Delay1 was the most common delay accounting for (45.2% ) followed by delay2(34.5%) and delay 3(27.5%). ANC visit ,decision making power, whether pregnancy is planned or unplanned ,knowledge of danger signs, living far from health facility, lack of transportation ,availably of equipment’s and supplies and shortage of health professionals were factors that contribute to delays in emergency obstetric care in the study area.	en_US
dc.publisher	Bahir Dar University	en_US
dc.subject	Three delays, associated factors, emergency obstetric cares, Bahir Dar Ethiopia	en_US
dc.title	Assessment of delays during emergency obstetric care and their determinants among women who gave birth in three public hospitals of Bahir Dar North West Ethiopia 2025: Across-Sectional Study	en_US
dc.type	Thesis	en_US