@article{8685317,
  abstract     = {{Background: Delayed health-seeking continues to contribute to preventable maternal and neonatal deaths in low
resource countries. Some of the strategies to avoid the delay include early preparation for the birth and detection
of danger signs. We aimed to assess the level of practice and factors associated with birth preparedness and
complication readiness (BPCR) in Kenya and Tanzania.
Methods: We conducted community-based multi-stage cross-sectional surveys in Kilifi and Kisii counties in Kenya
and Mwanza region in Tanzania and included women who delivered two years preceding the survey (2016–2017).
A woman who mentioned at least three out of five BPCR components was considered well-prepared. Bivariate and
multivariable proportional odds model were used to determine the factors associated with the BPCR. The STROBE
guidelines for cross-sectional studies informed the design and reporting of this study.
Results: Only 11.4% (59/519) and 7.6% (31/409) of women were well-prepared for birth and its complications in
Kenya and Tanzania, respectively, while 39.7 and 30.6% were unprepared, respectively. Level of education (primary:
adjusted odds ratio (aOR): 1.59, 95% CI: 1.14–2.20, secondary: aOR: 2.24, 95% CI: 1.39–3.59), delivery within health
facility (aOR: 1.63, 95% CI: 1.15–2.29), good knowledge of danger signs during pregnancy (aOR: 1.28, 95% CI: 0.80–
2.04), labour and childbirth (aOR: 1.57, 95% CI: 0.93–2.67), postpartum (aOR: 2.69, 95% CI: 1.24–5.79), and antenatal
care were associated with BPCR (aOR: 1.42, 95% CI: 1.13–1.78).
Conclusion: Overall, most pregnant women were not prepared for birth and its complications in Kilifi, Kisii and
Mwanza region. Improving level of education, creating awareness on danger signs during preconception,
pregnancy, childbirth, and postpartum period, and encouraging antenatal care and skilled birth care among
women and their male partners/families are recommended strategies to promote BPCR practices and contribute to
improved pregnancy outcomes in women and newborns.}},
  articleno    = {{636}},
  author       = {{Orwa, James and Gatimu, Samwel Maina and Mantel, Michaela and Lüchters, Stanley and Mugerwa, Michael A. and Brownie, Sharon and Subi, Leonard and Mrema, Secilia and Nyaga, Lucy and Edwards, Grace and Mwasha, Loveluck and Isangula, Kahabi and Selestine, Edna and Jadavji, Sofia and Pell, Rachel and Mbekenga, Columba and Temmerman, Marleen}},
  issn         = {{1471-2393}},
  journal      = {{BMC PREGNANCY AND CHILDBIRTH}},
  keywords     = {{Birth preparedness,Complications readiness,Obstetric danger signs,Pregnancy,Kenya,Tanzania,Eastern Africa,BPCR,Safe motherhood,Maternal health,PREGNANT-WOMEN,DANGER SIGNS,DISTRICT,KNOWLEDGE,MORTALITY,ETHIOPIA,CARE}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{9}},
  title        = {{Birth preparedness and complication readiness among women of reproductive age in Kenya and Tanzania : a community-based cross-sectional survey}},
  url          = {{http://doi.org/10.1186/s12884-020-03329-5}},
  volume       = {{20}},
  year         = {{2020}},
}

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