Accouchements à domicile dans la zone sanitaire de Pobè-Adja-Ouèrè-Kétou en 2011, Bénin

Paraiso, N; Aguèh, Victoire; Nkwidjan, H.; Soglohoun, C.; Makoutodé, Michel

doi:10.1016/j.respe.2012.06.346

Cited by 3 publications

(2 citation statements)

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“…Women who did not make ANC visits were more likely to give birth at home; the more ANC visits a woman makes during her pregnancy, the less likely she is to give birth outside a health facility. This result confirms those found by Gebremichael et al in nine sub-Saharan countries ( 32 ), Kimario et al in Tanzania ( 39 ), Sangho et al in Mali ( 40 ), and Paraiso et al ( 41 ) in Benin. The significant effect of ANC underscores the role that pregnancy care plays in informing women of the benefits of institutional delivery and linking them to appropriate services ( 42 ).…”

Section: Discussionsupporting

confidence: 91%

Factors Associated With Home Births in Benin and Mali: Evidence From the Recent Demographic and Health Surveys

Bado

Brenner

Johnson

et al. 2022

Front. Reprod. Health

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IntroductionIdentifying and understanding the factors associated with homebirths can contribute to improving maternal and child health and achieving the Sustainable Development Goals (SDGs). This study aimed to perform a comparative analysis of the factors associated with homebirths in Benin and Mali.MethodThis study is based on the most recent data from the Demographic Health Surveys conducted in Mali and Benin in 2018. The dependent variable was homebirth, and the explanatory variables were the individual characteristics of the woman, the distance to the health center, the place of residence, the number of prenatal consultations had, the frequency of media exposure, and the use of the Internet. The primary survey unit (PSU) was considered in the analysis to measure the effect of context on the choice of the place of delivery. Further, descriptive statistics and multilevel logistic regression analysis were used in the study.ResultsEducational level was associated with homebirth in Benin and Mali; Women with either no education or primary education are more likely to give birth at home. Women who didn't live close to a health facility were more likely to give birth at home than those who didn't face this problem in both countries. Not making visits for antenatal care (ANC) increases the odds of having a homebirth by 31.3 times (CI = 24.10–40.70) in Benin and 12.91 times (CI = 10.21–16.33) in Mali. Similarly, women who went on 1–2 ANC visits were more likely to give birth at home compared with women who made five or more ANC visits in both countries. The number of children per woman was also a significant factor in both countries. Women who often or regularly paid attention to the media messages were less likely to give birth at home compared with those who did not follow relevant media inputs (aOR = 0.42 [CI = 0.26–0.67] in Benin and aOR = 0.65 [CI = 0.50–0.85] in Mali).ConclusionIncreasing the demand and uptake of women's health services by improving the availability and quality of services and establishing community health centers could help reduce the incidence of homebirths that can be risky and, thus, combat maternal and infant mortality.

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Section: Discussionsupporting

confidence: 91%

Factors Associated With Home Births in Benin and Mali: Evidence From the Recent Demographic and Health Surveys

Bado

Brenner

Johnson

et al. 2022

Front. Reprod. Health

View full text Add to dashboard Cite

show abstract

“…Women who did not make ANC visits were more likely to give birth at home; the more ANC visits a woman makes during her pregnancy, the less likely she is to give birth outside a health facility. This result confirms those found by Gebremichael and Fenta [32] in 9 sub-Saharan countries, Kimario et al [39] in Tanzania, Sangho et al [40] in Mali, and Paraiso et al [41] in Benin. The significant effect of ANC underscores the role that pregnancy care plays in informing women of the benefits of institutional delivery and linking them to appropriate services [42] .…”

Section: Discussionsupporting

confidence: 90%

Factors associated with home births in Benin and Mali: evidence from the recent demographic and health surveys

Bado¹,

Brenner²,

Johnson³

et al. 2022

Global Reproductive Health

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Introduction: Identifying and understanding the factors associated with homebirths can contribute to improving maternal and child health and achieving the Sustainable Development Goals. The objective of this study was to conduct a comparative analysis of the factors associated with homebirths in Benin and Mali. Method: This study is based on the most recent data from the Demographic Health Surveys conducted in Mali and Benin in 2018. The dependent variable was homebirth, and the explanatory variables were the individual characteristics of the woman, distance to the health center, place of residence, number of prenatal consultations had, frequency of media exposure, and the use of the internet. The primary survey unit was considered in the analysis to measure the effect of context on the choice of place of delivery. Further, descriptive statistics and multilevel logistic regression analysis were used in the study. Results: Educational level was associated with homebirth in Benin and Mali; women with either no education or primary education are more likely to give birth at home. Women who did not live close to a health facility were more likely to give birth at home than those who did not face this problem in both countries. Not making visits for antenatal care (ANC) increases the odds of having a homebirth by 31.3 times [confidence interval (CI) = 24.10-40.70] in Benin and 12.91 times (CI = 10.21-16.33) in Mali. Similarly, women who went on 1-2 ANC visits were more likely to give birth at home compared with women who made 5 or more ANC visits in both countries. The number of children per woman was also a significant factor in both countries. Women who often or regularly paid attention to the media messages were less likely to give birth at home compared with those who did not follow relevant media inputs [adjusted odds ratio = 0.42 (CI = 0.26-0.67) in Benin and adjusted odds ratio = 0.65 (CI = 0.50-0.85) in Mali]. Conclusion: Increasing the demand and uptake of women's health services by improving the availability and quality of services and establishing community health centers could help reduce the incidence of homebirths that can be risky and, thus, combat maternal and infant mortality.

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Childbirth and risks to maternal health in the obstetric culture of the Siendji Brong in Côte d’Ivoire

Anoua¹

2021

J His Arch & Anthropol Sci

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This paper examines the typology of childbirth of the Siendji Brong in Côte d'Ivoire, and highlights the associated psychosocial perceptions and medical practices that endanger maternal health. The research was qualitative, with an ethnographic scope. Data was collected from two focus groups, women over 50 and multiparas respectively, in order to identify the community's physiological criteria for classifying childbirth. Semi-structured interviews were also conducted with traditional midwives and parturients' caregivers regarding psychosocial and medical aspects of childbirth. Through content analysis, informants' representations regarding childbirth and the mechanisms underlying the risks to maternal health were brought out. The community distinguished primarily between kou gariogo, "childbirth with complications", and kou tchrêssêguê, "uncomplicated childbirth". Risks to maternal health stemmed from ignorance of warning signs and the practice of home birth, both perpetuated by local obstetrical culture. Communication and education are needed for social change that would reduce reproductive health risks in the community.

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Accouchements à domicile dans la zone sanitaire de Pobè-Adja-Ouèrè-Kétou en 2011, Bénin

Cited by 3 publications

References 0 publications

Factors Associated With Home Births in Benin and Mali: Evidence From the Recent Demographic and Health Surveys

Factors Associated With Home Births in Benin and Mali: Evidence From the Recent Demographic and Health Surveys

Factors associated with home births in Benin and Mali: evidence from the recent demographic and health surveys

Childbirth and risks to maternal health in the obstetric culture of the Siendji Brong in Côte d’Ivoire

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