Outcomes
REGRESSION, SECONDARY, COMPLICATIONS
The primary outcome examined in this study was delivery location (health facility vs. home). Institutional birth was used to indicate health facility delivery and skilled birth attendance, as trained health workers do not conduct deliveries outside of health facilities in these areas. Postnatal visits were also a key indicator. The questionnaire was adapted from the Ethiopia Demographic Health Survey (wealth index) [Descriptions of variables and measurements for the multilevel logistic regression analysis in the Gamo Zone, southern Ethiopia, 2022The secondary outcomes examined in this report include knowledge of obstetric danger signs and birth preparedness practices. Knowledge of obstetric danger signs was measured by asking pregnant women: "Do you know any danger signs for a woman during pregnancy, who has begun labor and delivery, or after delivery? If yes, which danger signs does she know?" The pregnant woman's unprompted responses were recorded. Danger signs and their explanations were listed on the questionnaire. Adequate knowledge was defined as the ability to recall three or more obstetric danger signs during pregnancy, delivery, and the postpartum period.Birth preparedness was measured by coding the pregnant women's unprompted responses to the questions, "Did you make any plans or preparations for the delivery and potential complications before your most recent birth? If yes, what type of preparations did she make?" Identifying the nearest health facility where one would go if there were problems, arranging transportation to the health facility, setting aside money to pay for transportation and medical care, talking with the nearest trained health worker about the upcoming birth, deciding who would assist with the birth, and planning to stay at an MWH. Adequate knowledge/preparation was defined as the ability to recall or prepare three or more birth preparedness activities and having made three or more birth preparations [