Magnitude of Home Delivery and Associated Factors among Antenatal Care Booked Mothers in Delanta District, South Wollo Zone, North East Ethiopia: A Cross-Sectional Study, March 2018

Tilahun, Wodaynew; Fekecha, Bekana; Biru, Abdisa

doi:10.23937/2474-1353/1510086

Cited by 13 publications

(8 citation statements)

References 4 publications

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“…On the other hand, the prevalence of home delivery in this study was lower than the findings conducted in Ethiopia, which were 35.2% and 80% [ 18 , 19 ], Liberia, 90.6% [ 20 ], Tanzania, 35.5% [ 21 ]. The differences between prevalence in our study and that in Ethiopia, Liberia, and Tanzania may be due to the fact that our study used secondary data from the DHS report and was conducted at the level of sub-Saharan African countries, whereas the latter studies used primary data sources.…”

Section: Discussioncontrasting

confidence: 83%

Home delivery among women who had optimal ANC follow-up in Sub-Saharan Africa: A multilevel analysis

Zegeye,

Negash,

Kassie

et al. 2023

PLoS ONE

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Background Home deliveries, where most births take place, are significantly responsible for the majority of maternal mortality. In order to develop appropriate policies and methods that could aid in addressing the issue, it is important to understand the scope of home delivery and its determinants in developing countries. Therefore, this study aims to ascertain the prevalence and factors associated with home delivery among women who had optimal ANC follow up in the Sub-Saharan Africa countries. Methods A population based cross-sectional study was conducted. Data from the most recent Demographic and Health Surveys, which covered 23 Sub-Saharan Africa countries from 2014 to 2020, were used. The study used a total of 180,551 women who had optimal ANC follow up weighted sample. Stata 14 was used to analyze the data. The determinants of home delivery were determined using a multilevel mixed-effects logistic regression model. Factors associated with home delivery in the multilevel logistic regression model were declared significant at p-values <0.05. The adjusted odds ratio and confidence interval were used to interpret the results. Results In Sub-Saharan Africa, three in ten (30%) women who had optimal ANC follow-up gave birth at home. Individual-level variables such as maternal age (20 to 35 years) (AOR = 1.27, 95% CI: 1.10, 1.46), no formal education (AOR = 3.10, 95% CI: 2.68, 3.59), pregnancy complications (AOR = 0.74, 95% CI: 0.67, 0.82), distance to a health facility (AOR = 1.43, 95% CI: 1.30, 1.58), and poor wealth status (AOR = 2.71, 95% CI: 2.37, 3.10) had higher odds of home delivery. Community-level variables such as rural residence (AOR = 2.83, 95% CI: 2.48, 3.22), living in central Sub-Saharan Africa (AOR = 7.95, 95% CI: 5.81, 10.9), and eastern Sub-Saharan Africa (AOR = 2.74, 95% CI: 2.09, 3.59), were significantly associated with home delivery. Conclusions and recommendation This study concludes that home delivery in sub-Saharan Africa among women who had optimal ANC follow-up were high. The study identified that both individual and community-level variables were determinants of home delivery. Therefore, the Government and ministries of health in Sub-Saharan Africa countries should give attention to those women who reported distance as a big problem to health facilities and for rural resident women while designing policies and strategies targeting reducing home delivery in sub-Saharan Africa.

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Section: Discussioncontrasting

confidence: 83%

Home delivery among women who had optimal ANC follow-up in Sub-Saharan Africa: A multilevel analysis

Zegeye,

Negash,

Kassie

et al. 2023

PLoS ONE

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“…The rate of noninstitutional delivery in the study was 68.7%. This finding is higher than in studies done in the South Wollo Zone, Delanta District (35.2%) 16 ; Nepal (41.9%) 17 ; and Brazil (11.7%). 18 Findings from the study are in line with the study done in Afar (71%).…”

Section: Discussioncontrasting

confidence: 61%

Practice of Non-Institutional Delivery and Its Associated Factors Among Women Who Gave Birth in Southern Ethiopia, 2022

Geta Hardido,

Sugebo Woshimato,

Anjulo Nasero

2023

Women's Health Reports

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Background: Since 2000, the Ethiopian ministries of health and other stakeholders have taken some measures to enhance institutional delivery. However, the Ethiopian Demographic Health Survey 2019 report indicated that more than 50% of Ethiopian reproductive-age women gave birth outside health facilities. Therefore, the purpose of this study was to assess the practice of noninstitutional delivery among women who gave birth at Boloso Bombe Woreda (district) in southern Ethiopia. Methods: A community-based cross-sectional study was carried out on 252 study participants from June to July 2022 in Boloso Bombe Woreda. Data collection was done using a structured questionnaire and systematic sampling techniques were used to select the study subjects. Data were entered into the EPI data, version 3.1, and analyzed using SPSS, version 25. Adjusted odds ratios (AORs), along with 95% confidence intervals (CIs), were used and the level of statistical significance was declared at a p -value of 0.05. Results: In this study, 252 participants completed the survey, with a 97% response rate. The prevalence of noninstitutional delivery among study participants was 68.7% (95% CI: 63.1–72.9). In this study, mother's occupation, such as working as a daily laborer (AOR = 3.6; 95% CI [1.2–11.2]); absence of antenatal care history (AOR = 3.3; 95% CI [1.3–8.6]); poor knowledge of labor complications (AOR = 3.5; 95% CI [2.2–6.1]); and place of first delivery (AOR = 8.7; 95% CI [3.2–23]) were factors that were positively and significantly associated with the practice of noninstitutional delivery. However, last pregnancy planned was negatively associated with the practice of noninstitutional delivery (AOR = 0.4; 95% CI [0.2–0.8]). Conclusions: This study indicated that the majority of study participants practiced noninstitutional delivery in this study area. Therefore, we strongly recommend that all responsible bodies should take immediate action to reduce the practice of noninstitutional delivery and improve those identified factors.

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“…The study population consisted of all ANC-booked mothers who gave birth within the last year and resided in the selected kebeles of the district. The required sample size for home delivery was calculated using the single population proportion formula, considering the following statistical assumptions: margin of error 5% (0.05), Z-value 1.96 corresponding to 95% confidence level, design effect 2, and the prevalence of home delivery was 35.2% [ 18 ], accordingly the sample size was computed as: …”

Section: Methodsmentioning

confidence: 99%

“…Structured interviewer-administered questionnaires developed from reviewing different related literature were used for data collection [ 18 , 28 – 33 ]. First, the questionnaires were developed in English.…”

Section: Methodsmentioning

confidence: 99%

Antenatal care booked rural residence women have home delivery during the era of COVID-19 pandemic in Gidan District, Ethiopia

Asmamaw,

Habitu,

Mekonnen

et al. 2023

PLoS ONE

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Background World Health Organization (WHO) recommends that every pregnant woman receive quality care throughout pregnancy, childbirth, and the postnatal period. It is estimated that institutional delivery could reduce 16% to 33% of maternal deaths. Despite the importance of giving birth at a health institution, in Ethiopia, according to the Ethiopian Demographic Health Survey report, nearly half of the ANC-booked mothers gave birth at home. Therefore, this study aimed to determine the prevalence and associated factors of home delivery among antenatal care-booked women in their last pregnancy during the era of COVID-19. Methods A community-based cross-sectional study was conducted from March 30 to April 29, 2021. A simple random technique was employed to select 770 participants among women booked for antenatal care. Interviewer-administered questionnaires were used to collect the data. A binary logistic regression model was fitted. Adjusted odds ratios with its respective 95% confidence interval were used to declare the associated factors. Results The prevalence of home delivery was 28.8% (95% CI: 25.7, 32.2). Rural residence (AOR = 2.02, 95% CI: 1.23, 3.34), unmarried women (AOR = 11.16, 95% CI: 4.18, 29.79), husband education (AOR = 2.60, 95% CI: 1.72, 3.91), not being involved in the women’s development army (AOR = 1.64, 95% CI: 1.01, 2.65), and fear of COVID-19 infection (AOR = 3.86, 95% CI: 2.31, 6.44) were significantly associated factors of home delivery. Conclusion Even though the government tried to lower the rate of home delivery by accessing health institutions in remote areas, implementing a women’s development army, and introducing maternal waiting home utilization, nearly one in every three pregnant women gave birth at home among ANC booked women in their last pregnancy. Thus, improving the husband’s educational status, providing information related to health institution delivery benefits during antenatal care, and strengthening the implementation of the women’s development army, particularly among rural and unmarried women, would decrease home childbirth practices.

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Magnitude of Home Delivery and Associated Factors among Antenatal Care Booked Mothers in Delanta District, South Wollo Zone, North East Ethiopia: A Cross-Sectional Study, March 2018

Cited by 13 publications

References 4 publications

Home delivery among women who had optimal ANC follow-up in Sub-Saharan Africa: A multilevel analysis

Home delivery among women who had optimal ANC follow-up in Sub-Saharan Africa: A multilevel analysis

Practice of Non-Institutional Delivery and Its Associated Factors Among Women Who Gave Birth in Southern Ethiopia, 2022

Antenatal care booked rural residence women have home delivery during the era of COVID-19 pandemic in Gidan District, Ethiopia

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