Community and health system factors associated with facility delivery in rural Tanzania: A multilevel analysis

Kruk, Margaret E; Rockers, Peter C.; Mbaruku, Godfrey; Paczkowski, Magdalena; Galea, Sandro

doi:10.1016/j.healthpol.2010.05.002

Cited by 93 publications

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References 44 publications

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“…Our finding that increasing age and parity are associated with less or least adequate care is well established in several studies (Do et al, 2014;Kodzi et al, 2012;Kruk, Rockers, Mbaruku, Paczkowski, & Galea, 2010;Ononokpono, Odimegwu, Imasiku, & Adedini, 2013;Smith, Tawiah, & Badasu, 2012) as these women are likely to assume confidence in themselves for their own maternity needs. This could be evident in environments where cost and access factors (distance/transport) may create a condition of "despair" and lower seeking behavior for them.…”

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confidence: 62%

Unmet reproductive health care needs among rural Ghanaian women

Ayanore¹

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Document Version:Publisher's PDF, also known as Version of record Please check the document version of this publication:• A submitted manuscript is the version of the article upon submission and before peer-review. There can be important differences between the submitted version and the official published version of record. People interested in the research are advised to contact the author for the final version of the publication, or visit the DOI to the publisher's website.• The final author version and the galley proof are versions of the publication after peer review.• The final published version features the final layout of the paper including the volume, issue and page numbers. Link to publication General rightsCopyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from the public portal for the purpose of private study or research.• You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal.If the publication is distributed under the terms of Article 25fa of the Dutch Copyright Act, indicated by the "Taverne" license above, please follow below link for the End User Agreement:www.umlib.nl/taverne-license Take down policyIf you believe that this document breaches copyright please contact us at:repository@maastrichtuniversity.nl providing details and we will investigate your claim. Unmet reproductive health care needs among rural Ghanaian women © Martin Amogre Ayanore, 2017Cover page and layout designed by BRANDHAUZ ADS Ghana +2330244053131Printed by Datawyse All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the written permission from the author. Unmet reproductive health care needs among rural Ghanaian womenDissertation to obtain the degree of Doctor at Maastricht University, on the authority of the Rector Magnificus, Prof. dr. Rianne M. Letschert in accordance with the decision of the board of the Deans, to be defended in public on Friday 7 July, 2017, at 10:00 hours Acknowledgement of fundingThe research presented in this dissertation is made possible through sponsorship from the Ministry of Energy capacity building scholarship scheme, Ghana for Martin Amogre Ayanore PhD studies with University of Maastricht, Netherlands. Additional budgetary support from the Centre for Health Policy Advocacy, Innovation & Research in Africa (CHPAIR-Africa), Accra, Ghana provided additinal research funding to make this work possible. All views presented in this dissertation represent solely that of the author, and do not reflect in any way views from any of ...

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confidence: 62%

Unmet reproductive health care needs among rural Ghanaian women

Ayanore¹

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“…3) [10]. It is envisaged that poverty plays a role on the decision of husbands, in influencing their wives to deliver at home [19,20,21,22]. Due to distance from the health facility, coupled with the souring transport costs ( Fig.…”

Section: Discussionmentioning

confidence: 99%

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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“…In this paper, use of the aforementioned maternal care services was considered synonymous with access because the objective of the analysis and the paper is to draw conclusions on how structural reforms potentially changed the context of health care access in Tanzania. Such an extrapolation is not as misleading since research shows that in lowincome nations, utilization of health services is highly conditioned by access rather than preferences (Kruk, Rockers, et al 2010;Mbaruku, Msambichaka et al 2009;Kowalewski, Mujinja, and Jahn 2002). However, if data on individual preferences for maternal health services from medical professionals were available, stronger conclusions could have been drawn.…”

Section: Discussionmentioning

confidence: 99%

“…There is some evidence that some women in Tanzania would prefer not to use medical professionals for their maternal health needs for varieties of reasons (van Rijsbergen and D'Exelle 2013). However, for the most part, use of professional maternal health services is predicated on accessibility and cost of the given services (Kowalewski, Mujinja, and Jahn 2002), and also on anticipated quality of the services (Kruk, Rockers, et al 2010). In Tanzania, there is a noted preference for medically-based maternal care over other alternatives, such as seeking care from "traditional" midwives (Mbaruku, Msambichaka et al 2009).…”

Section: Literature Reviewmentioning

confidence: 99%

Political-economic Transitions and the Changing Context of Maternal Health Access in Tanzania: Evidence from DHS Data

Herman

2014

APS

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Résumé Ce document démontre comment l'effet des ménages sur l'utilisation de la santé maternelle change avec les transformations sociales (transitions politiques et économiques) en Tanzanie. Les données d'Enquêtes Démographiques de Santé (EDS) et des régressions logistiques multiniveaux indiquent comment la richesse des ménages sur l'utilisation des services d'accouchement (contrôle des attributs individuels

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Community and health system factors associated with facility delivery in rural Tanzania: A multilevel analysis

Cited by 93 publications

References 44 publications

Unmet reproductive health care needs among rural Ghanaian women

Unmet reproductive health care needs among rural Ghanaian women

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

Political-economic Transitions and the Changing Context of Maternal Health Access in Tanzania: Evidence from DHS Data

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