Factors associated with home births in a selected ward in Mberengwa District, Zimbabwe

Nunu, Wilfred Njabulo; Ndlovu, Vuyelwa; Maviza, Auther; Moyo, Moreblessings; Dube, Oliver

doi:10.1016/j.midw.2018.09.013

Cited by 24 publications

(22 citation statements)

References 26 publications

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“…Globally, about 32% of women give birth at home [ 6 ]. Although the proportion of home-based delivery has substantially reduced in Bangladesh, still 50% of deliveries take place at home with no skilled birth attendants [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Determinants of care-seeking practice for neonatal illnesses in rural Bangladesh: A community-based cross-sectional study

Nu¹,

Pervin²,

Rahman³

et al. 2020

PLoS ONE

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Background Proper utilization of skilled care services in neonatal illnesses is crucial to reduce neonatal morbidity and mortality. The study aimed to evaluate the level and factors associated with seeking care from skilled healthcare service providers for reported neonatal illnesses in rural Matlab, Bangladesh. Methods This community based cross-sectional study was based on data from a randomly selected sample comprised of 2223 women who delivered live-born babies in 2014. Data were collected from June to October 2015 through a structured questionnaire. We used a multivariable logistic regression model and presented the results by adjusted odds ratios (AOR) with 95% confidence intervals (CI). Results Of the neonates, 1361 (61.2%) suffered from at least one complication, and among these, 479 (35.2%) sought care from skilled healthcare service providers. In the multivariable logistic regression analysis, the participants’ husbands’ educational level, number of antenatal care visits, and place of childbirth were significantly associated with seeking skilled care for reported neonatal illnesses. The care-seeking from skilled healthcare service providers for neonatal illness was more than two times higher (AOR = 2.26, 95% CI = 1.51–3.39) in the group in which the participants’ husband had attended school for more than 10 years as compared to the group in which they had attended school for less than six years. The AORs of seeking skilled care were 1.93 (95% CI = 1.42–2.62) and 2.26 (95% CI = 1.51–3.39) with the mothers receiving two to three and four or more antenatal care services, respectively, compared to the mothers with no or one antenatal care visit. Women who gave birth at a health facility were three times (AOR = 3.24, 95% CI = 2.50–4.19) more likely to seek skilled care for sick neonates compared to those who gave birth at home. Conclusion The utilization of skilled care for neonatal sicknesses was low in this rural setting in Bangladesh. The participants' husbands’ higher school attendance, increased number of ANC visits, and facility delivery were positively associated with care-seeking from skilled healthcare providers for neonatal illness. The husbands with low school attendance should be targeted for intervention, and continue efforts to increase ANC coverage and facility delivery to improve neonatal health in this country’s rural area.

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Section: Introductionmentioning

confidence: 99%

Determinants of care-seeking practice for neonatal illnesses in rural Bangladesh: A community-based cross-sectional study

Nu¹,

Pervin²,

Rahman³

et al. 2020

PLoS ONE

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“…On the other hand health practitioners recommended birth place to be at hospital to manage unforeseen complications. This is supported by studies that reveal concerns towards home birth as they advise hospital births even though there is no law restricting home births (Lindgren et al, 2006, Nunu et al, 2019.…”

Section: Traditional Medicine and Concoctions Used During Pregnancymentioning

confidence: 92%

“…Despite the availability of modern health systems in developing countries, women continue seeking care from traditional practitioners during pregnancy (Kyomuhendo, 2003). These services are popular in SSA countries because of accessibility, affordability and being readily available in the communities where people live (Nunu et al, 2019). Negative publicity towards pregnant women who use traditional medicine have been raised by policymakers, government officials, orthodox health professionals and researchers on the efficacy, quality, reliability and safety (Tsui et al, 2001, Wambebe, 2009.…”

Section: Introductionmentioning

confidence: 99%

“…Zimbabwe has two recognised health systems that were adopted after independence in 1980 (Nunu et al, 2020). These are: the traditional health systems that are mannered by herbalists, traditional healers and traditional attendants as guided by different cultural norms and practices (Nunu et al, 2020, Mposhi et al, 2013: the modern health system that is mannered by professionally trained health service providers and services obtainable in designated health facilities (Mposhi et al, 2013, Nunu et al, 2020, Nunu et al, 2019. It has been reported that most health service users prefer to utilise the traditional health system particularly in rural areas and other resource poor setting s in the country as it is cheap and readily available at their local communities (Magaisa, 2007).…”

Section: Introductionmentioning

confidence: 99%

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Traditional and health practitioners perspective on traditional medicine utilisation during antenatal care in Bulilima, Plumtree, Zimbabwe

Mudonhi¹,

Nunu²

2020

Preprint

Self Cite

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Background: Traditional Health System has been reported to be the most accessible, affordable, and acceptable in resource poor settings particularly in Sub Saharan Africa (SSA). It is utilised for different health needs including pregnancy management. This study sought to explore traditional and health practitioner’s perspective on traditional medicine utilisation during antenatal care in Bulilima District, Plumtree, Zimbabwe.Methods: A qualitative cross-sectional survey was conducted on purposively selected health practitioners and snowballed traditional health practitioners who responded to unstructured interviews. Data was collected using a digital tape recorder, transcribed and thematically analysed on MAXQDA.Results: Findings reported that Eel Fish/Water snake, Donkey Placenta, Elephant Dung, Holy water and Holy tea were common traditional remedies used during pregnancy. Reasons for traditional remedy utilisation were reported to be: protection from witchcraft, chasing of evil spirits, preventing breeching, stabilisation of embryo and shortening of labour period. Health service expressed their scepticism on the safety of traditional medicine utilisation during pregnancy.Conclusion: Women utilise traditional medicines and remedies during pregnancy for different reasons. There are concerns regarding their safety from the health service providers though traditional practitioners do not concur. There is need for investing on research that would ascertain the safety of these traditional medicines in a cohort format as this system has been a cheaper alternative for those who cannot afford or access modern health services.

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“…Exposure to an outgroup has also been shown to influence the adoption of perinatal care practices. Existing studies on facility-based births have linked years of education with increased use of medical delivery services [ 37 ], while previous experiences of mistreatment, discrimination and inadequacies in care have been shown to decrease women’s use of services [ 38–40 ]. The effects of exposure to outgroup norms can be strengthened through interethnic assortment on norms: individuals that already hold more outgroup norms are likely to interact more with that outgroup.…”

Section: Introductionmentioning

confidence: 99%

Adoption of outgroup norms provides evidence for social transmission in perinatal care practices among rural Namibian women

Hagen

Scelza

2020

Evolution, Medicine, and Public Health

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Background and objectives How do new ideas spread in social groups? We apply the framework of cultural evolution theory to examine what drives change in perinatal care norms among Himba women in the Kunene region of Namibia. Access to formal medical care is on the rise in this region, and medical workers regularly visit communities to promote WHO-recommended perinatal care practices. This study investigates how various forms of social transmission affect women’s uptake of medical recommendations concerning perinatal care. Methodology Based on interviews with one hundred Himba mothers, we used Bayesian multi-level logistical regression models to examine how perceptions of group preferences, prestige ascribed to outgroup conformers, interaction with the outgroup, and access to resources affect norm adoption. Results Women who perceive medical recommendations as common in their group prefer, plan and practice these recommendations more often themselves. We observed a shift towards medical recommendations regarding birth location and contraception use that was in line with conformity bias predictions. Practices that serve as cultural identity markers persist in the population. Conclusions and implications Norm changes, and the cultural evolutionary processes that can lead to them, are not uniform, either in process or pace. Empirical studies like this one provide important examples of how these changes reflect local culture and circumstance, and are critical for better understanding the models that currently predominate in cultural evolution work. These cases can also help bridge the gap between evolutionary anthropology and public health by demonstrating where promotion and prevention campaigns might be most effective. Lay summary The recent promotion of WHO-recommended perinatal care practices in Namibia provides an opportunity to empirically study norm change using a cultural evolution framework. We found women adopt medical recommendations when they believe these are common in their social group. Local norms that were not discouraged persisted in the study group.

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Factors associated with home births in a selected ward in Mberengwa District, Zimbabwe

Cited by 24 publications

References 26 publications

Determinants of care-seeking practice for neonatal illnesses in rural Bangladesh: A community-based cross-sectional study

Determinants of care-seeking practice for neonatal illnesses in rural Bangladesh: A community-based cross-sectional study

Traditional and health practitioners perspective on traditional medicine utilisation during antenatal care in Bulilima, Plumtree, Zimbabwe

Adoption of outgroup norms provides evidence for social transmission in perinatal care practices among rural Namibian women

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