Women’s determinant factors for preferred place of delivery in Dodoma region Tanzania: a cross sectional study

Ngowi, Agatha Fabian; Kamazima, Switbert R.; Kibusi, Steven; Gesase, Ainory Peter; Bali, Theodora A.L.

doi:10.1186/s12978-017-0373-7

Cited by 37 publications

(47 citation statements)

References 23 publications

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“…In this study, the result revealed that disrespect and abuse during child birth, lack of antenatal care follow up, lack of support to get health service, and unsatisfactory delivery services in the health facilities were found to be reason for preference of home delivery among postnatal mothers. These study finding is in line with other studies results in Ethiopia, Nigeria, Nepal, Kenya and Tanzania respectively [15,18,20,22,[27][28][29][30]32].…”

Section: Discussionsupporting

confidence: 92%

Women’s Preference of Home Delivery in Wonago District, Gedeo Zone, Southern Ethiopia 2018

Alemu¹,

Amenu²,

Feyiso³

2019

JGO

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Introduction: Maternal mortality and morbidity associated with pregnancy related obstetric complications is imposing substantial burden for developing countries. Maternal place of deliver and lack of skilled birth attendant during delivery period is the main determinant indicator for the maternal death. Majority of women of developing country do not decide or make choice on place of delivery before onset of labor. Thus, this study was aimed to assess maternal preference of place of delivery and associated factors among postnatal women in Wonaggo district, Gedeo Zone, Southern Ethiopia, 2018. Methods: Mixed study design; employing community-based cross-sectional study combined with in-depth interviews and focus group discussions was used. Multi-stage sampling technique was used to enroll 772 study participants. A pre-tested structured questionnaire was used to collect data. Data was entered to EpiInfo7 and exported to SPSS 20.0 for analysis. Descriptive and summary statistics were done. Logistic regression analysis was used to identify the association of different variables. Odds ratios and 95% Confidence interval were computed to determine the presence and strength of association. Results: according to this study finding, 25.6% of participants were preferred to deliver at their home. Maternal educational status (AOR=2.1, 95%CI: 1.27-3.6), parity (AOR=1.5, 95%CI: 1.08, 1.6), antenatal care follow up during pregnancy (1.575, 95%CI: 1.203, 5.12), place of last delivery (9.93, 95%CI: 2.355, 4.192) and knowledge towards danger sign of obstetric complications were variables found to be significantly associated with maternal preference of place of delivery. In Conclusion, a significant proportion of respondents were preferred to deliver at home. Thus, improving women education status in the community, accessing quality antenatal care, providing quality obstetric care service and avoiding disrespect and abuse during child birth are toughly suggested directions in order to assure institutional delivery in Wonag Distric, Southern Ethiopia.

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Section: Discussionsupporting

confidence: 92%

Women’s Preference of Home Delivery in Wonago District, Gedeo Zone, Southern Ethiopia 2018

Alemu¹,

Amenu²,

Feyiso³

2019

JGO

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“…Out of the thirty-one women interviewed, twenty-four preferred to deliver at health facilities, six preferred home deliveries and only one preferred delivery at a prayer camp. The preference of majority of the women to deliver in a healthcare facility is consistent with studies that have been conducted in countries such as Democratic Republic of Congo [15], Kenya [16], Nepal [17], Tanzania [18] and even an earlier study across the three ecological zones of Ghana [19]. In all these studies, majority of the women in the sample either delivered or preferred to deliver at a healthcare institution.…”

Section: Preferred Places Of Deliverysupporting

confidence: 85%

"Why We Deliver Elsewhere": Women's Preferred Places of Delivery and Their Effects

Baidoo¹

2018

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Despite the crucial role hospital assisted delivery plays in reducing maternal and perinatal mortality and morbidity rates in Ghana, there continue to exit a gap between women who fully utilize antenatal care service but deliver outside the hospital. This study was conducted in Assin Fosu in the Central Region of Ghana, where maternal mortality rate is higher than the national average. It was to examine why women prefer to deliver outside the hospital. A qualitative approach was adopted to gather data through an in-depth-interview from 45 respondents. The results revealed that the use of TBAs and home delivery were preferred by some women despite the availability of hospitals because a number of them believed that institutional delivery was only aimed at women who experience obstetric complications. Attitude of public health workers and financial constraints were the two major factors that prevented women from accessing and using institutional deliveries.

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“…The proximity of the women to a health facility was not statistically significant ( 2.47 χ 2 = ), (p-0.116), while similar study conducted in Tanzania was found the contrary to this, and they reported that distance to health facility was statistically significant (p-<0.0001), this is due to cultural variation, date variation also that study in Tanzania was conducted at rural area where getting of health facilities was problem and this study was conducted in urban where the distance was not big deal of them 24 .…”

Section: The Factors Influencing the Choice Of Obstetric Home Deliverymentioning

confidence: 62%

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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Women’s determinant factors for preferred place of delivery in Dodoma region Tanzania: a cross sectional study

Cited by 37 publications

References 23 publications

Women’s Preference of Home Delivery in Wonago District, Gedeo Zone, Southern Ethiopia 2018

Women’s Preference of Home Delivery in Wonago District, Gedeo Zone, Southern Ethiopia 2018

"Why We Deliver Elsewhere": Women's Preferred Places of Delivery and Their Effects

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

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