Factors associated with delivery at home in Bhutan: findings from the National Health Survey 2012

Gurung, Mongal Singh; Pelzom, Dorji; Wangdi, Sonam; Tshomo, Tashi; Lethro, Pema; Dema, Tashi

doi:10.4103/2224-3151.228426

Cited by 11 publications

(18 citation statements)

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“…Factors like cultural and religious beliefs might have been stronger in rural areas among marginalised groups. This finding is consistent with other studies [31,33].…”

Section: Discussionsupporting

confidence: 94%

“…We could not find any previous studies comparing factors associated with home delivery disaggregated by ethnicity in Nepal. However, several studies demonstrated statistically significant associations of home delivery with mothers age at birth [31], educational level of the mother [32][33][34], wealth status [31,33], province [33], place of residence [31,33], travel time to nearest health facility [32,34,35], and completion of four ANC visits as per national protocol [31,32,34,36].…”

Section: Discussionmentioning

confidence: 99%

“…This emphasises the importance of getting women in contact of the health services during pregnancy which could ultimately also result in women returning to the health facility for giving birth. Several studies demonstrate the positive effects of antenatal care on institutional delivery [31,32,34,36].…”

Section: Discussionmentioning

confidence: 99%

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Determinants of home delivery in Nepal – A disaggregated analysis of marginalised and non-marginalised women from the 2016 Nepal Demographic and Health Survey

et al. 2020

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Conclusion We conclude that poor education, poor economic status, non-completion of four ANC visits and belonging to Province 2 particularly determined either group of women to deliver at home, whereas residing in rural areas, living far from health facility, and belonging to Province 7 determined marginalised women to deliver at home. Preventing mothers from delivering at home would thus require focusing on specific geographical areas besides considering wider socioeconomic determinants.

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“…Factors like cultural and religious beliefs might have been stronger in rural areas among marginalised groups. This finding is consistent with other studies [31,33].…”

Section: Discussionsupporting

confidence: 94%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Determinants of home delivery in Nepal – A disaggregated analysis of marginalised and non-marginalised women from the 2016 Nepal Demographic and Health Survey

et al. 2020

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“…This finding was consistent with evidence indicated in Colombia, Nepal, Bangladesh, Zambia, and Kenya. 27,38 A study from Indonesia also indicated the same findings, women who have achieved higher levels of education were more likely to deliver at health facilities than those of lower educational status. 39 This implies that women have better access to health information and awareness about the negative consequences of not using skilled delivery care if they are educated.…”

mentioning

confidence: 80%

<p>Institutional Delivery Among Young Women in Ethiopia: Further Analysis of Trends and Determinants, from the Four Consecutive Ethiopia Demographic and Health Survey</p>

Terfa¹,

Kebede²,

Belina³

2020

IJWH

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“…However, good knowledge on danger signs alone without easy access to health facilities would hinder receiving timely services. Geographical inaccessibility has been reported as a barrier to using ANC services in Bhutan [12] where women in rural areas were twice as likely to deliver at home than their urban counterparts [27].…”

Section: Reducing Maternal Mortalitymentioning

confidence: 99%

Knowledge and Understanding of Obstetric Danger Signs Among Pregnant Women Attending the Antenatal Clinic at the National Referral Hospital in Thimphu, Bhutan: A Cross-Sectional Study

Tamang

Dorji

Yoezer

et al. 2020

Preprint

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Background: The third Sustainable Development Goal aims to reduce maternal and newborn deaths. Pregnant women’s understanding of danger signs is an important factor in seeking timely care during emergencies. We assessed knowledge of obstetric danger signs using both recall and understanding of appropriate action required during obstetric emergencies.Methods: This was a cross-sectional study among pregnant women attending antenatal clinic at Bhutan’s largest hospital in Thimphu. Recall was assessed against seven obstetric danger signs outlined in the Mother and Child Health Handbook (7 points). Understanding of danger signs was tested using 13 multiple choice questions (13 points). Knowledge was scored out of 20 points and reported as “good” (≥80%), “satisfactory” (60 – 79%) and “poor” (<60%). Association between knowledge score and participant characteristics were tested using Chi-square, Fisher’s Exact and t-tests. Corresponding non-parametric tests were performed where appropriate. Correlation between participant characteristics and knowledge score as well as number of danger signs recalled was tested using Pearson’s correlation coefficient. Results with p<0.05 were considered significant.Results: Four hundred and twenty-two women responded to the survey (response rate = 96.0%). Mean (±SD) knowledge score was 12 (±2.5). Twenty women (4.7%) had “good knowledge”, 245 (58.1%) had “satisfactory knowledge” and 157 (37.2%) had “poor knowledge”. The median number of danger signs recalled was 2 (IQR 1, 3) while 68 (20.3%) women could not recall any danger signs. Women were most knowledgeable about pre-labour rupture of membranes (96.0%) and least knowledgeable about spotting during pregnancy (19.9%). Knowledge level was significantly associated with reading Mother and Child Health Handbook, mother’s education level, husband’s education level, number of antenatal care visits, gestational age and past surgery on reproductive tract. Both knowledge score and number of danger signs recalled significantly correlated with the period of gestation. Conclusions: Most pregnant women had satisfactory knowledge score but recognized the appropriate actions warranted during obstetric emergencies. The MCH Handbook has played a significant role in improving knowledge and understanding of danger signs.

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Factors associated with delivery at home in Bhutan: findings from the National Health Survey 2012

Cited by 11 publications

References 0 publications

Determinants of home delivery in Nepal – A disaggregated analysis of marginalised and non-marginalised women from the 2016 Nepal Demographic and Health Survey

Determinants of home delivery in Nepal – A disaggregated analysis of marginalised and non-marginalised women from the 2016 Nepal Demographic and Health Survey

<p>Institutional Delivery Among Young Women in Ethiopia: Further Analysis of Trends and Determinants, from the Four Consecutive Ethiopia Demographic and Health Survey</p>

Knowledge and Understanding of Obstetric Danger Signs Among Pregnant Women Attending the Antenatal Clinic at the National Referral Hospital in Thimphu, Bhutan: A Cross-Sectional Study

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