Factors associated with home births in Peru 2015–2017: A cross-sectional population-based study

Hernández-Vasquéz, Akram; Chacón-Torrico, Horacio; Vargas-Fernández, Rodrigo; Bendezú-Quispe, Guido

doi:10.1016/j.heliyon.2021.e06344

Cited by 6 publications

(5 citation statements)

References 31 publications

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“…The results of our study showed that distance to the health center is an important factor influencing the place of delivery; the risk of giving birth at home was higher among women in both countries who considered the distance to the health facility to be a problem. This finding is consistent with the results of several previous studies in Africa ( 5 , 9 , 10 , 12 , 31 – 34 ), Peru ( 35 ), and India ( 36 ). The distance to health services certainly has a dual influence on their use: it is used as a reason for not seeking care in the first place and is a real barrier to accessing care ( 37 ).…”

Section: Discussionsupporting

confidence: 93%

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: 93%

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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show abstract

“…The results of our study showed that distance to the health center is an important factor influencing the place of delivery; the risk of giving birth at home was higher among women in both countries who considered the distance to the health facility to be a problem. This finding is consistent with the results of several previous studies in Africa [5,9,10,12,[31][32][33][34] , Peru [35] , and India [36] . The distance to health services certainly has a dual influence on their use: it is used as a reason for not seeking care in the first place and is a real barrier to accessing care [37] .…”

Section: Discussionsupporting

confidence: 93%

“…Concerning the place of residence, living in a rural area was associated with a higher proportion of homebirths in both Mali and Benin. This can be attributed mainly to poorer geographical access and transport difficulties in reaching health facilities, which generally also lack adequate infrastructure for care [35] .…”

Section: Discussionmentioning

confidence: 99%

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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“…This study sought to determine those factors that are associated with the practice of home birth in Peru, owing to, despite the fact that the proportion has been decreasing, this reduction is not homogeneous in all regions of the country. It was found that those regions that are part of the Peruvian amazon and Andes are more likely to present cases of home births, which matches with a similar study that had the same geographical area (19). It should be noted that these regions are characterized by sociodemographic hurdle, which leads to the inaccessibility of health services (20)(21)(22).…”

Section: Discussionsupporting

confidence: 82%

“…It was found that having no education or having primary education increases the probability of a home birth, while having a higher education level reduces this probability. Data that is similar to those found in Peruvian studies (19) and in African countries, where reinforces the need to implement educational programs, that emphasizes the importance of institutional care and friendly services focused on those with limited economic resources, during pregnancy. (36,40).…”

Section: Discussionsupporting

confidence: 79%

Factors associated with home birth in Peru: An analysis of the Demographic and Health Survey, 2019

J¹,

Santos-Rosales²,

Moquillaza-Alcantara³

2021

Preprint

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Objective: To determine the proportion and factors associated with home birth in Peru, 2019. Material and methods: Cross-sectional analytical design study where the 2019 Peruvian Demographic and Family Health Survey was analyzed. The association was evaluated using Poisson Regression, supplemented with the crude prevalence ratio (cPR) and adjusted (aPR). Results: The records of 18,401 women were evaluated, where 5.39% (95%CI:4.83-6.03%) presented home birth. The probability of a home birth occurs increases when the pregnant woman is from the andean (aPR:1.24; 95%CI:1.02-1.48) and amazon region (aPR:1.38; 95%CI:1.16-1.64), resides in rural areas (aPR:3.34; 95%CI:2.61-4.29), presents less than 6 prenatal care (aPR:1.66; 95%CI:1.39 -1.96), it is very poor (aPR:9.62; 95%CI:5.13-18.1) or poor (aPR:2.39; 95%CI:1.26-4.52), it has not studied (aPR:2.66; 95%CI:2.02-3.50) or reached primary education (aPR:2.18: 95%CI:1.85-2.58) and has 2 children (aPR:1.64; 95%CI:1.46-1.85) or 3 or more children (aPR:2.18; 95%CI:1.67-2.87). On the other hand, having higher educational instruction (aPR:0.49; 95%CI:0.31-0.78) is associated with a lower probability of a home birth. Conclusions: There is a low proportion of home births; however, this indicator increases significantly according to various geographical, sociodemographic, and obstetric factors that have been identified.

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Factors associated with home births in Peru 2015–2017: A cross-sectional population-based study

Cited by 6 publications

References 31 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

Factors associated with home birth in Peru: An analysis of the Demographic and Health Survey, 2019

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