Availability and quality of Emergence Obstetric Care among hospitals in Ethiopia

Name: Ayele Bali

Supervisors: Dr Catherine Chojenta, Prof Deborah Loxton


All pregnant mothers are at risk of obstetric complications and nearly 15 percent of pregnancies end in unpredictable obstetric complications. Thus, improving maternal health and reducing maternal mortality, which could be achieved through the provision of high quality emergency obstetric care, became one of the global health priority. Therefore, this research is aimed at assessing the effect of performance of the signal functions of emergency obstetric care and motivation of healthcare providers on maternal deaths in Ethiopia. To achieve this aim, mixed method design will be employed to analyse secondary data that have been collected by the Ethiopian Public Health Institute and will be supplemented with generation and analysis of qualitative data. Data from 293 hospitals will be included to analyse the effect of performance of the signal functions of emergency obstetric care and its effect on maternal mortality. Level of motivation of healthcare providers and its correlation with maternal mortality will also be assessed. Chi-squared test, linear regression, logistic regression models will be employed to assess the effect of independent variables on maternal mortality. A supplementary qualitative study will also be conducted among public and private hospitals in Harari region to assess facility readiness to provide emergency obstetric care in terms of availability of infrastructure, competence of human resources, medical supplies and management of obstetric care. The qualitative data will be thematically analysed using Nvivo 11 software.

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