Facility-Based Delivery Service Utilisation Among Women of Childbearing Age in Nguti Health District, Cameroon: Prevalence and Predictors

Annette, Chingwa Shiri; Wung, Buh Amos; Ivo, Keumami Katte

doi:10.4172/2161-0932.1000416

Cited by 4 publications

(5 citation statements)

References 13 publications

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“…Generally, study ndings indicated that the knowledge on the need to receive best care and actual care by pregnant women in uenced their choice of place of facility delivery. The ndings of this study corroborate previous studies including Nepal [11], Ghana [12], Cameroun [14], Ethiopia [31], and Zimbabwe [32]. Study ndings recommend that health policies, which protect patients, should be adopted alongside more user-friendly approaches and methods that are able to attract pregnant women who use home delivery be implemented.…”

Section: Need Factorssupporting

confidence: 87%

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Knowledge on Place of Delivery and Postnatal Care Among Reproductive Women in Urban Ghana: A Qualitative Thematic Synthesis

Akowuah¹,

Ama²,

Addai³

et al. 2021

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Background Place of birth delivery continues to be a canker to maternal healthcare despite the introduction of interventions and policies aimed to promote maternal health. Otutcomes on the choice of place of delivery has not been captured using rigorous qualitative approaches, which are empirically proven. This study investigated the accounts of mothers who have delivered in the last five years either home, assisted by TBAs or health facilities backed by care providers during labour and delivery and to evaluate the reasons for choice of delivery in urban Ghana. Methods Using an in-depth interview and two focus groups conducted with women of reproductive age (15–49) who had delivered in the past five years in the study area. The study investigated women's opinions, perceptions and experiences of care in terms of factors that influenced place of delivery, satisfaction with services and whether they would recommend services to neighbours. Results 2 out of 16 mothers delivered home assisted TBA’s by despite the introduction of the free maternal delivery in addition to other available interventions such as focused ANC aimed at improving maternal healthcare. Conclusion The findings suggest that enabling factors to healthcare delivery are key to women's expectations, which in turn build up satisfaction. Service improvements, which address aspects of care, are likely to have an impact on health seeking behaviour and utilisation. Findings recommend that the Municipal health directorate adopt more user-friendly approaches and interventions to attract mothers who use home delivery and retain those who deliver in facilities.

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Section: Need Factorssupporting

confidence: 87%

“…There have been extensive research on the in uences of health facility delivery including [6,7,9,10,11,12,13,14,15,16,17,18]. Most of these studies dwell extensively in the quantitative tradition of enquiry with the exception of a very few.…”

Section: Introductionmentioning

confidence: 99%

Knowledge on Place of Delivery and Postnatal Care Among Reproductive Women in Urban Ghana: A Qualitative Thematic Synthesis

Akowuah¹,

Ama²,

Addai³

et al. 2021

Preprint

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“…5 The WHO recommends that all pregnant Open access women develop a written plan for dealing with birth and any unexpected adverse events such as complications or emergencies that may occur during pregnancy, childbirth or the immediate postnatal period. 36 Birth preparedness is the process of planning for a normal birth while complications readiness refers to anticipating the actions needed in case of an emergency. Emergency planning is the process of identifying and agreeing with all the actions that need to take place quickly in the event of an emergency, that the details are understood by everyone involved, and the necessary arrangements are made.…”

Section: Perceived Benefits Of Home Deliverymentioning

confidence: 99%

Why some women who attend focused antenatal care fail to deliver in health facilities: a qualitative study of women’s perspectives from slums of Addis Ababa, Ethiopia

2020

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ObjectiveThe purpose of this study was to explore why some women who attend focused antenatal care (FANC) fail to deliver in health facilities from slums of Addis Ababa, Ethiopia.SettingPublic health facilities (three health centres and one district hospital).Study designA qualitative exploratory and descriptive research design was used.Study participantsStudy participants comprised women of reproductive age (18–49 years) living in slum areas of Addis Ababa, Ethiopia. We used 20 in-depth audio-recorded interviews. Data were analysed concurrently with data collection. Thematic analysis was done for the study. A multilevel life-course framework of facility-based delivery in low-income and middle-income countries developed by Bohren et al was used to frame the current study and link the findings of the study to the body of knowledge.ResultsFrom the analysis of in-depth interview data, four themes emerged, namely, perceived benefits of home delivery, knowledge deficit about health facility-based delivery, poor access to healthcare facilities and inadequate (demand side) resources. These themes were identified as rich and detailed accounts of the perspectives of facility-based and home delivery among attendees of FANC in Addis Ababa, Ethiopia.ConclusionThe findings of this qualitative study revealed that perceived benefits of home delivery, knowledge deficit about health facility-based delivery, poor access to healthcare facilities and inadequate (demand side) resources were related to low uptake of facility-based delivery services. Use of ANC visits to advise women about birth preparedness and complication readiness, the use of facility deliveries to reduce risks of home delivery to the mother and the newborn should be stressed.

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“…A notable nding is that women who attended FANC did not make plans for preparedness for emergencies and complications, as planned following WHO [4]. The WHO advises that all pregnant women prepare a written plan to deal with birth and any unforeseen adverse events that may occur during pregnancy, birth, or the immediate postnatal period, such as complications or emergencies [25].…”

Section: Increase Awarenessmentioning

confidence: 99%

“…Emergency preparation is the mechanism by which all the measures that need to take place immediately in the case of an emergency are identi ed and decided, and the speci cs are known by all concerned and the appropriate preparations are made. At each FANC evaluation and one month before the planned date of birth, arrangements should be discussed with the eligible attendant [25][26].…”

Section: Increase Awarenessmentioning

confidence: 99%

Strategies to Improve Facility-based Attendance of Skilled Birth Among Slum Residents, Addis Ababa, Ethiopia: a Qualitative Study.

Sendo¹,

Chauke²,

Ganga-Limando³

2021

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Background: Global strategies to target high maternal mortality ratios are focused on providing skilled attendance at delivery along with access to emergency obstetric care. Research that examines strategies to increase facility-based skilled birth attendance among slum residents in Addis Ababa, Ethiopia, is limited.Objective: The objective of the study was to explore women’s views on measures needed to enhance the utilization of health facility-based delivery services. Methods: A qualitative exploratory and descriptive research design was used. The design was contextual. Participants in the study were women in the reproductive age group (18-49 years of age) living in the slum areas of Addis Ababa, Ethiopia. A purposive sampling strategy was used to select study participants. Four audio-recorded Focus Group Discussions [FGDs] were conducted with 32 participants from the three public health centers chosen and one district hospital. The number of participants in FGDs was between 6 to 10 women. Data were analyzed simultaneously with data collection. Thematic analysis was done for the study. The qualitative data were analyzed in three phases: exploring and creating initial codes; searching for themes by collecting coded data addressing particular themes, and identifying and naming themes found. To explain the study results, verbatim excerpts from participants were given. The researcher used Techs' eight steps of qualitative data analysis method for analysing the data. The analysis involved the use of both a priori codes (from the question guide) and emergent inductive codes. A multi-level life-course framework of facility-based delivery in low- and middle-income countries (LMICs) developed by Bohren, et al was used to frame the current study and link the findings of the study to the body of knowledge. Results: The Focus Group Discussions included a total of 32 participants. The mean age of the overall sample was 32.6 years (±SD = 5.2). Participants' educational characteristics indicate that the majority (24 out of 32) was found to have no formal education, and two-thirds of participants were found to have one to five children. Three-fourths of them attended the ANC twice and they all gave birth to their last child at home. Two themes emerged from the analysis of focus group interviews data, namely provision of quality, respectful and dignified midwifery care, and increased awareness of FANC. These themes were described as a rich and comprehensive account of the views and suggestions made by FANC participants on measures required to improve the use of delivery services based on health facilities. The findings of the study raise concerns about the effectiveness of FANC in encouraging facility-based deliveries since FANC participants had not used health facilities for their last childbirth. According to the findings of the focus groups, women who took part in this study identified measures required to increase the use of health facility-based delivery services among FANC participants in Addis Ababa's slum residents. It is to be expected that diligent counseling during antenatal care about birth plans would facilitate prompt arrival at facilities consistent with the desires of women.

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Facility-Based Delivery Service Utilisation Among Women of Childbearing Age in Nguti Health District, Cameroon: Prevalence and Predictors

Cited by 4 publications

References 13 publications

Knowledge on Place of Delivery and Postnatal Care Among Reproductive Women in Urban Ghana: A Qualitative Thematic Synthesis

Knowledge on Place of Delivery and Postnatal Care Among Reproductive Women in Urban Ghana: A Qualitative Thematic Synthesis

Why some women who attend focused antenatal care fail to deliver in health facilities: a qualitative study of women’s perspectives from slums of Addis Ababa, Ethiopia

Strategies to Improve Facility-based Attendance of Skilled Birth Among Slum Residents, Addis Ababa, Ethiopia: a Qualitative Study.

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