Determinants of Access to Skilled Birth Attendants by Women in Galkacyo District, Somalia

Yusuf, Mohamed H; Kodhiambo, Maurice O; Muendo, Fidelis; Kariuki, John

doi:10.9734/ajmah/2017/32364

Cited by 7 publications

(8 citation statements)

References 3 publications

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“…Women whose husband/partner had completed secondary or higher education were more likely to have a skilled assistant delivery. This is consistent with the results of studies conducted in Kenya and Somalia ( Gitimu et al, 2015 ; Yusuf et al, 2017 ). Husbands with a higher level of education will have more knowledge about health, including safe delivery ( Kifle et al, 2018 ).…”

Section: Discussionsupporting

confidence: 93%

“…Husbands with a higher level of education will have more knowledge about health, including safe delivery ( Kifle et al, 2018 ). As the head of the household, the husband’s knowledge will affect the reproductive health decisions ( Yusuf et al, 2017 ). Engagement of the husband in the issue of maternal health should be expanded in all levels of the community.…”

Section: Discussionmentioning

confidence: 99%

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Determinants of safe delivery utilization among Indonesian women in eastern part of Indonesia

et al. 2020

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Background: Improving maternal health and reducing maternal mortality are part of the United Nations global Sustainable Development Goals for 2030. Ensuring every woman’s right to safe delivery is critical for reducing the maternal mortality rate, especially in Indonesia. Our study aimed to identify determinants of safe delivery utilization among women in the eastern Indonesia. Methods: This study was cross-sectional and used data from the 2017 Indonesian Demographic and Health Survey (IDHS). A total of 2,162 women who had their last child in the five years preceding the survey and lived in the eastern part of Indonesia were selected as the respondents. Chi-squared test and binary logistic regression were used to understand the determinants of safe delivery. Results: Higher child rank and interval ≤2 years (OR: 0.30, 95% CI: 0.19-0.47), unwanted pregnancy at time of becoming pregnant (OR: 1.48, 95% CI: 1.05-2.08), richest wealth quintile (OR: 5.59, 95% CI: 3.37-9.30), more than four antenatal care visits (OR: 3.62, 95% CI: 2.73-4.79), rural residence (OR: 0.49, 95% CI: 0.36-0.66), good composite labor force participation (OR: 1.47, 95% CI: 1.15-1.89), and a good attitude towards domestic violence (OR: 1.33, 95% CI: 1.04-1.69) were found to be significantly associated with facility-based delivery. Higher child rank and interval ≤2 years (OR: 0.49, 95% CI: 0.29-0.83), husband/partner having completed secondary or higher education (OR: 2.18, 95% CI: 1.48-3.22), husband/partner having a non-agricultural occupation (OR: 1.35, 95% CI: 1.00-1.81), being in the richest wealth quintile (OR: 15.69, 95% CI: 5.53-44.50), and three other factors were found to be significantly associated with skilled assistance delivery. Conclusions: Safe delivery and facility-based delivery among women in the eastern part of Indonesia were determined by several individual and household factors. An open innovation and partnership process that engages the full range of stakeholders should be developed based on local needs.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Determinants of safe delivery utilization among Indonesian women in eastern part of Indonesia

et al. 2020

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“…Another argument is that women have limited access to health services due to the burden of their economic situation (Ononokpono & Odimegwu, 2014). The results for delivery with a skilled birth attendant are similar to those of studies conducted in Sudan and Ethiopia (Mustafa & Mukhtar, 2015;Wilunda et al, 2015). Women with a higher birth rank tend to rely on their experience from previous pregnancies, believing they already know about childbirth.…”

Section: Discussionsupporting

confidence: 58%

Determinants of safe delivery utilization among Indonesian women in eastern part of Indonesia

et al. 2020

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Background: Improving maternal health and reducing maternal mortality are part of the United Nations global Sustainable Development Goals for 2030. Ensuring every woman’s right to safe delivery is critical for reducing the maternal mortality rate. Our study aimed to identify determinants of safe delivery utilization among women in the eastern Indonesia. Methods: This study was cross-sectional and used a secondary data from the 2017 Indonesian Demographic and Health Survey (IDHS). A total of 2,162 women who had their last child in the five years preceding the survey and lived in the eastern part of Indonesia were selected as the respondents. Chi-squared test and binary logistic regression were used to understand the determinants of safe delivery. Results: Higher child rank and interval ≤2 years (OR: 0.30, 95% CI: 0.19-0.47), unwanted pregnancy at time of becoming pregnant (OR: 1.48, 95% CI: 1.05-2.08), richest wealth quintile (OR: 5.59, 95% CI: 3.37-9.30), more than four antenatal care visits (OR: 3.62, 95% CI: 2.73-4.79), rural residence, good composite labor force participation, and a good attitude towards domestic violence were found to be significantly associated with delivery at health facility. Higher child rank and interval ≤2 years (OR: 0.49, 95% CI: 0.29-0.83), husband/partner having completed secondary or higher education (OR: 2.18, 95% CI: 1.48-3.22), being in the richest wealth quintile, and four other factors were found to be significantly associated with the assistance of skilled birth attendants. Conclusions: This research extends our knowledge on the determinants of safe delivery among women in the eastern part of Indonesia. This study revealed that the economic status of household remains an important issue in improving safe delivery among women in eastern part of Indonesia. An open innovation and partnership process to improve safe delivery program that engages the full range of stakeholders should be developed based on economic situation.

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“…In Somalia, only one out of six pregnant women receive appropriate care due to lack of accessible basic and obstetric emergency care resulting in high levels of maternal mortality and morbidity. 6 The Federal government of Somalia reported that 53% of women in reproductive age deliver in their homes. 7 In Somalia, the infant mortality rate is 132/1000 live births and the maternal mortality rate is 732/100 000 live births.…”

Section: Case In Somalimentioning

confidence: 99%

Factors Influencing Obstetric Home Delivery and Outcome Among Women of Reproductive Age in Dusmareb District, Somalia

Jama

Arowojolu

Ajay

2019

Preprint

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Background: Homebirth (home delivery) is a birth that takes place in a residence rather than in a hospital or a birth center. Aims: The aim of the study is to determine factors influencing obstetric home delivery and the outcomes among women of reproductive age in Dusmareb district, Somalia. Methods: The study was used a descriptive cross-sectional study in Dusamreb district of Somalia with both qualitative and quantitative techniques of data collections and random technique was used to select 228 women of reproductive age. Well-structured questionnaires were administered by the interviewer to participants who gave their consent and also two focus group discussion sessions were conducted with discussion guides. Data were analysed using the Statistical Package for Social Sciences version 20.0. Descriptive , and Inferential statistics were used to test association, with the level of significance set at 5%. Results: The findings of this study show that 41% have had at least one child delivery at home. The mean age of the respondents was 32.9 ± 8.1 years; 15(6.6%) had tertiary education and Women with 4 – 6 children were four times more likely to have a home delivery (OR = 3.65, p = 0.002), Women with employment were 59% less likely to have a home delivery (OR = 0.41, p = 0.009); the study also found as outcome of home delivery that 22% of the women reported their baby was not okay and have taken to hospital, while 41(73.2%) reported the child died within 28 days following delivery while 24 (42.8%), women experienced prolonged labour during their last delivery at home.in the focus group discussion the women reported that there is poor communication relationship between the mothers and health staff. Conclusion: the study is highly recommended the government to create employment for the women,also the hospital directors were recommended to monitor the relationship between the care giver and the pregnant mother.

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Determinants of Access to Skilled Birth Attendants by Women in Galkacyo District, Somalia

Cited by 7 publications

References 3 publications

Determinants of safe delivery utilization among Indonesian women in eastern part of Indonesia

Determinants of safe delivery utilization among Indonesian women in eastern part of Indonesia

Determinants of safe delivery utilization among Indonesian women in eastern part of Indonesia

Factors Influencing Obstetric Home Delivery and Outcome Among Women of Reproductive Age in Dusmareb District, Somalia

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