Determinant factors of home delivery among women in Northern Ethiopia: a case control study

Abstract

BackgroundMaternal mortality remains a major challenge to health systems worldwide. Although most pregnancies and births are uneventful, approximately 15% of all pregnant women develop potentially life-threatening complications. Home delivery in this context can be acutely threatening, particularly in developing countries where emergency care and transportation are less available. This study identifies factors associated with home delivery in Tanqua-Abergele District, Tigray, northern Ethiopia.MethodsUnmatched case-control study was conducted in April 2014 in Tanqua-Abergele, Tigray, northern Ethiopia. Simple random sampling was employed to select study participants. Data were analyzed using SPSS 20. Multi variable logistic regression analysis was used to identify independent predictors of home delivery.ResultsA total of 275 women (92 cases and 183 controls) participated in the study, giving a response rate of 96.5%. Not owning a radio or television (AOR: 7.2, 95% CI: 2.7–19.3), not pursuing ANC visits at all (AOR: 10.4, 95% CI: 2.9–37.1) orhaving1–3 ANC visits only (AOR: 4.75, 95% CI: 1.69–13.31),poor knowledge of obstetric complications (AOR: 8.7, 95% CI: 2.3–32.9) and walking time greater than two hours to the nearest health center (AOR: 5.1, 95% CI: 1.2–20.7) were strong predictors of home delivery.ConclusionUnable to meet the minimum requirement WHO of ANC service had a potential to give birth at home. Investing in infrastructure will contribute to improving maternal health. Having a different source of media (radio or television) could have a role in increasing the institutional delivery. Policy makers and other concerned bodies should give due attention to the fulfillment of infrastructure and educate women on the importance of institutional delivery.

Understanding factors influencing home delivery in the context of user‐fee abolition in Northern Ghana: Evidence from 2014 DHS

“…Studies have shown that mothers' socio‐demographic characteristics, such as educational status, occupation, and residential area, influence their choice of place of delivery . In different contexts, it has been shown that the educational status of the pregnant woman does influence the woman's perception of home delivery and health seeking behaviour . Kitui et al analysed the 2008/2009 Kenya DHS data and demonstrated that women who were more educated, lived in urban residence, and had lower parity were less likely to deliver at home .…”

“…[15][16][17] In different contexts, it has been shown that the educational status of the pregnant woman does influence the woman's perception of home delivery and health seeking behaviour. [18][19][20][21] Kitui et al analysed the 2008/2009 Kenya DHS data and demonstrated that women who were more educated, lived in urban residence, and had lower parity were less likely to deliver at home. 22 Also, women who are Muslims were more likely to deliver at home compared with other religions.…”

Improving Practice of Institutional Delivery in Southern Ethiopia

“…In Eastern and Southern Africa, about 38% deliveries occurred at home [2]. In Ethiopia, community based surveys conducted in various regions of the country reported the magnitude of home deliveries to range from 31% to 96% [5][6][7][8][9][10][11][12]. Similarly, according to the Ethiopian Demographic Health Survey (EDHS) 2016, the prevalence of home delivery was reported to be 73% [3].…”

Magnitude of Home Delivery and Associated Factors Among Child Bearing Age Mothers in Sherkole District, Benishangul Gumuz Regional State-Western-Ethiopia

“…The rate of home delivery is attributed to many factors. Among these are low socioeconomic status [9][10][11][12][13][14][15][16], women illiteracy, lack of pregnancy monitoring, inaccessibility of health facilities [17][18][19][20][21][22][23][24] and women's position in the society [25][26][27][28][29][30][31][32], which confers little decision-making power. Accurate epidemiological information is necessary to understand the magnitude home delivery among women of child bearing age, to guide interventions that helps to improve institutional delivery and improve women's wellbeing and to monitor trends over time.Thus,the aim of this study was to assess the magnitude of home delivery and associated factors among women of child bearing age in Sherkole district, Western Ethiopia.…”