Choice of place for childbirth: prevalence and correlates of utilization of health facilities in Chongwe district, Zambia

Hazemba, AN; Siziya, S

doi:10.4314/mjz.v35i2.46513

Cited by 25 publications

(33 citation statements)

References 6 publications

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“…This trend concurs with what other studies in Ethiopia, Nigeria and Zambia have found, that is, in every 10 women delivery in these countries, about 4 of them do occur in health care facility [10][11][12] . Conversely, the study reveals that the position of Malawi in terms of women uptake of delivering their babies in the health care facility was slightly lower as compared to findings of other studies conducted in neighbouring Tanzania (46.7%) and Zambia (42.8%) 13,11 .…”

Section: Discussionsupporting

confidence: 77%

Factors influencing women’s utilization of public health care services during childbirth in Malawi Public health facility utilization

Machira¹,

Palamuleni²

2017

Afr H. Sci.

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Background: Maternal mortality remains a public health challenge claiming many lives at the time of giving birth lives. However, there have been scanty studies investigating factors influencing women's use of public health facilities during childbirth. Objective: The aim of the study was to explore the factors associated with women choice of public health facility during childbirth. Methods: The study used 2010 Malawi Demographic Health Survey dataset and a binary logistics regression analysis to estimate the determinants influencing women's use of public health facilities at the time they give birth. Results: Of 23020 women respondents, 8454(36.7%) chose to give birth in public health facilities. Multivariate analysis reported that frequency of antenatal care (ANC), birth order, women's education, wealth status and quality of care were the major predictors increasing women's choice to use public health facilities at childbirth. Conclusion:There is need to use multimedia approach to engage women on significance of utilizing public health facilities during childbirth and promote quality of care in facilities if their health outcome is to improve in Malawi.

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Section: Discussionsupporting

confidence: 77%

Factors influencing women’s utilization of public health care services during childbirth in Malawi Public health facility utilization

Machira¹,

Palamuleni²

2017

Afr H. Sci.

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“…2 &5; Table 2), [11,12]. Despite that the educational standard factor of women in our study was not found significant (Fig.…”

Section: Discussioncontrasting

confidence: 38%

“…To our knowledge, child deliveries in most rural areas of Zambia is home based [10,12], having been mainly influenced by a number of factors such as distance from the health facility and based on advice from the woman's husband on a place of delivery (Figs. 2 &5; Table 2), [11,12].…”

Section: Discussionmentioning

confidence: 99%

“…However, this proportion declined sharply with an increase in birth order so that, women in urban areas were about three times more likely to deliver in public sector facilities than their rural counterparts (79 and 28 percent, respectively) [10]. Generally, the prevailing situation in Zambia is that women resident in urban areas, mostly deliver in health facilities, while a variety of factors including: (i) Distance from the health facility, (ii) spouse decisions, (iii) womens' educational standards and (iv) the poverty situations have been associated with the choice of place of delivery in rural areas [11,12,13]. For most rural women, certain unpalatable behaviours presented by care providers on delivering mothers, coupled with other negative birth stories heard from family members and friends can completely make them lose confidence in delivering at a health facility [14].…”

mentioning

confidence: 99%

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Factors and determinants associated with home based deliveries among women in Muteteshi area, a peri-urban of Kapiri, Zambia

John¹,

Sichilima²

2017

APJHS

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Background:In most rural areas of Zambia, over two thirds of births recorded annually, occurred at home than in health facilities. This study was aimed at determining the factors associated with home based deliveries among women at Muteteshi peri-urban locality,in Kapiri district of the country. Consequently, it was vital to ascertain whether the female's literacy standards, age groups, husband or other reasons might influence their preference in place of delivery (pod). Study design and methodology: Structured questionnaires were used to collect data from a cross-section, involving a target sample of 120 females, aged in ranges of 16-24, 25-34 and those more than 35 years old. Data entry and analysis was done using IBM SPSS Statistics version 22. Multivariate analyses were performed to compare variable proportions on crosstabs, using the Pearson Chi-square tests. Only results yielding the p-value of less than 0.05 were considered to be of statistical significance. Results: The child deliveries associated with age groups were found significant at p-value 0.004, between home and health facility deliveries and were categorized with 68.8-31.3%, respectively, from the women age group of 25-34 n=48; 44.4-55.6%, respectively, from the women age group of 16-24 n=36 and 80.6-19.4%, respectively, from the women age group above 35 n=36. The influence from the woman's husband on the choice of place of delivery, was significant at p -value 0.022, with only 30.8% of respondents getting an affirmative authority for using either a home or health centre delivery(51.4-48.6% n=37) while the majority of 67.5% of respondents got negative answers in using health facilities from their spouses (72.8 -27.2% n=81. Factors associated with home deliveries were: distance, computed at 64.1%; emergency abrupt labor at 17.9% and with no reason at 17.9%.Overall, 65% of women delivered at home while only 35% delivered from health facilities. Conclusion; Home based deliveries are still very common in comparison to health centre based deliveries, among the muteteshi peri-urban community. Major factors hindering the health facility deliveries for women were the distance from health facilities and the influence of choice from their husbands.

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“…Different rates of institutional delivery and various barriers to institutional delivery (e.g. distance, higher cost, illiteracy of the mother, higher parity, and fewer prenatal care visits) have been reported in many settings [2–6]. The aim of the present study was to investigate the prevalence of and predictors for institutional delivery in Kassala, eastern Sudan.…”

Section: Factors Associated With Home Delivery and Institutional Delimentioning

confidence: 93%

Use of institutional delivery services in Kassala, eastern Sudan

Abbaker¹,

Salih²,

Ali³

et al. 2013

Intl J Gynecology & Obste

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Choice of place for childbirth: prevalence and correlates of utilization of health facilities in Chongwe district, Zambia

Cited by 25 publications

References 6 publications

Factors influencing women’s utilization of public health care services during childbirth in Malawi Public health facility utilization

Factors influencing women’s utilization of public health care services during childbirth in Malawi Public health facility utilization

Factors and determinants associated with home based deliveries among women in Muteteshi area, a peri-urban of Kapiri, Zambia

Use of institutional delivery services in Kassala, eastern Sudan

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