scholarly journals Women’s Status and its Association With Home Delivery: A Cross-Sectional Study Conducted in Khyber-Pakhtunkhwa, Pakistan

2022 ◽  
Author(s):  
Hussain Ali ◽  
Qaisar Khalid Mahmood ◽  
Aisha Jalil ◽  
Florian Fischer
Keyword(s):  
Decision Making ◽  
Maternal Health ◽  
Rural Areas ◽  
Partner Violence ◽  
Home Delivery ◽  
Reproductive Age ◽  
Cluster Sampling ◽  
Binary Logistic Regression Model ◽  
Cross Sectional ◽  
Khyber Pakhtunkhwa

Abstract Introduction Home delivery is a predominant driver of maternal and neonatal deaths in developing countries. Despite the efforts of international organizations in Pakistan, home childbirth is common in the remote and rural areas of Khyber Pakhtunkhwa province. We studied women’s position within the household (socio-economic dependence, maternal health decision making, and social mobility) and its association with the preference for home delivery. Methods We conducted a cross-sectional household survey among 503 ever-married women of reproductive age (15–49 years), who have had childbirth in the last twelve months or were pregnant (more than 6 months) at the time of the interview. A two-stage cluster sampling technique has been used for recruitment. Descriptive and bivariate analyses have been conducted. A binary logistic regression model was calculated to present odds ratios and corresponding 95% confidence intervals for factor associated with home delivery. Results An inferior status of women, restrictions in mobility and limited power in decision making related to household purchases, maternal health care, and outdoor socializing are contributing factors of home delivery. Furthermore, women having faced intimate partner violence were much more likely to deliver at home (OR = 2.66, 95% CI: 1.83.3.86, p < 0.001). Discussion We concluded that women are in a position with minimal authority in decision making to access and deliver the baby in any health facility. We recommend that the government should ensure the availability of health facilities in nearby locations to increase institutional deliveries in the study area.

scholarly journals Socio Demographic Determinants of Delivery Practice in Rural Women of Bangladesh

2013 ◽  
Vol 1 (2) ◽  
pp. 42-45 ◽  
Author(s):  
Meherunnessa Begum ◽  
Khondoker Bulbul Sarwar ◽  
Nasreen Akther ◽  
Rokshana Sabnom ◽  
Asma Begum ◽  
...  
Keyword(s):  
Maternal Health ◽  
Rural Women ◽  
Rural Areas ◽  
Urban Areas ◽  
Cross Sectional Study ◽  
Home Delivery ◽  
Reproductive Age ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
At Home

Background: Every year, world wide, 200 million women become pregnant. The development of urban areas allowed women to receive more care and treatment. However, in rural areas such measures are not available to every woman. Data on delivery practice of rural woman may help the social and public health planners and decision makers to minimize and prevent maternal mortality and morbidity ensuring safe motherhood.Objective: The aim of the study was to observe the delivery practice of rural women of Bangladesh. Materials and method: A cross-sectional study was conducted and data were collected from Dhamrai upazila, Dhaka, Bangladesh in April 2008. Total 159 women of reproductive age group at least having one child were selected purposively to elicit information on various demographic, socioeconomic, cultural and selected programmatic variables including maternal health care and delivery practices. Results: Among the respondents about 55% were literate. Majority (80%) of the respondents delivered at home and most of the them (71%) felt that home delivery was comfortable where as about 29% of the respondents were compelled to deliver at home due to family decision and financial constraint. Among the deliveries about 82% occurred normally and 18.2% were by cesarean section. A considerable percentage of deliveries (49%) were attended by traditional birth attendants. Blade was used for cutting umbilical cord in majority of the cases (74%) who delivered at home. Most of the respondents (90%) took ante natal check up and about 74% were vaccinated by tetanus toxoid. Conclusion: The results of the study suggest that a lot of work is still to do for the policy makers and health planners to target, plan, develop and deliver maternal health services to the rural women of Bangladesh. DOI: http://dx.doi.org/10.3329/dmcj.v1i2.15917 Delta Med Col J. Jul 2013;1(2):42-45

scholarly journals Social Determinant of Home Delivery among Ever-Married Women in Khyber Pakhtunkhwa Pakistan

2020 ◽  
Vol 20 (1) ◽  
pp. 55-72
Author(s):  
Dr. Hussain Ali
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Maternal Health ◽  
Rural Women ◽  
Home Delivery ◽  
Married Women ◽  
Maternal Health Care ◽  
Decision Makers ◽  
Domestic Sphere ◽  
Khyber Pakhtunkhwa

The poor maternal health is one of the public health issues facing by rural women in Pakistan. There are various socio-demographic and cultural factors which confine women to domestic sphere. The main objective of this research is to study various social factors as determinants of home delivery among ever-married women in Khyber Pakhtunkhwa province of Pakistan. In the present study researchers used the quantitative research design in which the data are collected through household survey in the pakhtun society. The data are collected from 503 ever married women in District Malakand, from May 1, to November 30, 2016. The results show that nearly two third 62.3 percent men’s are key decision maker about antenatal care utilization, more than third forth 76 percent of the husbands are key decision makers about the home delivery due to their women subordinate position within household. The researchers concluded that men’s are key decision makers and their decision affect women maternal health care. In order to achieve Sustainable Development Goal No. 3, the study recommends mainstreaming women in the decision making process in domestic sphere as well as their involvement is decision making about accessing and utilizing of maternal health care services. Keywords: Home delivery, men’s decision, subordinate position, women

scholarly journals Trends of Using Contraceptive Methods among Married Females of Reproductive Age Group in Village Mangokivirkan, District Gujranwala, Pakistan

2019 ◽  
Vol 1 (1) ◽  
pp. 19-24
Author(s):  
Saadia Shahzad ◽  
Anjum Maqsood
Keyword(s):  
Decision Making ◽  
Contraceptive Use ◽  
Reproductive Age ◽  
Family Type ◽  
Cluster Sampling ◽  
Sample Population ◽  
Age Group ◽  
Cross Sectional ◽  
Number Of Children ◽  
Reproductive Age Group

Background: Use of contraceptives in developing countries is very low, particularly in Pakistan it is 34%. Objective: To study trends of contraceptive use among married females of reproductive age group in a rural area ofPakistan and to identify possible risk factors influencing the use of contraceptives among the sample population. Methods: It was a descriptive cross sectional study. A total of 213 married females of reproductive age wereincluded in the study and multistage cluster sampling technique was applied. Study variables included sociodemographic variables along with knowledge and practice of respondents regarding the use of contraceptives. Datacollection instrument was a self-developed questionnaire and data was collected from 220 females. Results: Mean age was 29.6±6.19 and only 38% were using contraceptive method and 62% were not using anycontraceptive method. Among the respondents 40% were counseled for Family Planning (FP) by some source.Highly significant association was found between contraceptive use and duration of marriage, decision making,family type, desired number of children, counseling for FP, in favor of FP, and number of children alive. Probableinfluencing predictors were found to be decision making of females, type of family, desired number of children,counseling for FP, and in favor of FP. Conclusion: FP counseling needs to be enhanced on war footing at all levels with due cooperation of communityparticipation.

scholarly journals Home childbirth among young mothers aged 15–24 years in Nigeria: a national population-based cross-sectional study

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e025494 ◽  
Author(s):  
Emmanuel O Adewuyi ◽  
Vishnu Khanal ◽  
Yun Zhao ◽  
Lungcit David ◽  
Olasunkanmi David Bamidele ◽  
...  
Keyword(s):  
Health Insurance ◽  
Rural Areas ◽  
Home Delivery ◽  
Reproductive Age ◽  
Young Mothers ◽  
Enabling Factors ◽  
Cross Sectional ◽  
North West ◽  
Home Childbirth ◽  
North East

ObjectiveTo estimate the prevalence and identify factors associated with home childbirth (delivery) among young mothers aged 15–24 years in Nigeria.DesignA secondary analysis of cross-sectional data from the 2013 Nigeria Demographic and Health Survey (NDHS).SettingNigeria.ParticipantsA total of 7543 young mothers aged 15–24 years.Outcome measurePlace of delivery.ResultsThe prevalence of home delivery among young mothers aged 15–24 years was 69.5% (95% CI 67.1% to 71.8%) in Nigeria—78.9% (95%CI 76.3% to 81.2%) in rural and 43.9% (95%CI 38.5% to 49.5%, p<0.001) in urban Nigeria. Using the Andersen’s behavioural model, increased odds of home delivery were associated with the two environmental factors: rural residence (adjusted OR, AOR: 1.39, 95% CI 1.06 to 1.85) and regions of residence (North-East: AOR: 1.97, 95% CI 1.14 to 3.34; North-West: AOR: 2.94, 95% CI 1.80 to 4.83; and South-South: AOR: 3.81, 95% CI 2.38 to 6.06). Three of the enabling factors (lack of health insurance: AOR: 2.34, 95% CI 1.16 to 4.71; difficulty with distance to healthcare facilities: AOR: 1.48, 95% CI 1.15 to 1.88; and <4 times antenatal attendance: AOR: 3.80, 95% CI 3.00 to 4.85) similarly increased the odds of home delivery. Lastly, six predisposing factors—lack of maternal and husband’s education, poor wealth index, Islamic religion, high parity and low frequency of listening to radio—were associated with increased odds of home delivery.ConclusionsYoung mothers aged 15–24 years had a higher prevalence of home delivery than the national average for all women of reproductive age in Nigeria. Priority attention is required for young mothers in poor households, rural areas, North-East, North-West and South-South regions. Faith-based interventions, a youth-oriented antenatal care package, education of girls and access to health insurance coverage are recommended to speed up the reduction of home delivery among young mothers in Nigeria.

scholarly journals Cultural, social and demographic determinants of seeking family planning knowledge, and practice among a Sudanese community

2018 ◽  
Vol 5 (8) ◽  
pp. 3248
Author(s):  
Samia S. Abdulmageed ◽  
Mustafa Khidir Elnimeri
Keyword(s):  
Family Planning ◽  
Rural Areas ◽  
Urban Areas ◽  
Multinomial Logistic Regression ◽  
Reproductive Age ◽  
Cluster Sampling ◽  
Health Seeking ◽  
Cross Sectional ◽  
Modern Contraceptives ◽  
Contraception Use

Background: About 214 million women in the reproductive age in the developing countries who need to prevent and plan for their pregnancy are not using methods of modern contraceptives. The aim of this study was to investigate the socio-demographic and cultural elements that inform the health-seeking behavior towards family planning among Sudanese women in Sharq-Alneel locality in the Sudan-Africa. Furthermore, the study aimed to identify individuals within Sudanese families, who predominantly interfered with the decision of the women in using of contraceptives for family planning.Methods: A cross-sectional community based study was conducted in September-2017 to February-2018 using structured questionnaire to 576 Sudanese women age of 15-49 years from 4 administrative units. A multistage cluster sampling technique was adopted. Binary and multinomial logistic regression models were used to analyze the results using SPSS version 22.Results: Women respondents were (57.1%), and (42.9%) from rural and urban areas respectively. Women (89.3%) of respondents were married for more than five years. A 381 (66%) women respondents were not using contraception at the time of the study. Women in rural areas were 0.9 less likely to obtain information from other sources than from PHC. There was significant association (p<0.001) between women’s educational level and awareness about contraception.Conclusions: Women use of contraception in Sharq-Alneel was low. Barrier to contraception use for majority of women was that they believe their healths are at risk for using modern contraceptives. There was also high prevalence of respondents’ husbands refused the use of contraceptives.

scholarly journals Coverage of intermittent preventive treatment of malaria in pregnancy in four sub-Saharan countries: findings from household surveys

2020 ◽  
Author(s):  
Clara Pons-Duran ◽  
Mireia Llach ◽  
Charfudin Sacoor ◽  
Sergi Sanz ◽  
Eusebio Macete ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Intermittent Preventive Treatment ◽  
Preventive Treatment ◽  
Malaria Prevention ◽  
Reproductive Age ◽  
Cluster Sampling ◽  
Household Surveys ◽  
Cross Sectional ◽  
Sub Saharan ◽  
In Pregnancy

Abstract Background Intermittent preventive treatment in pregnancy (IPTp) with sulphadoxine-pyrimethamine (SP) is a key malaria prevention strategy in areas with moderate to high transmission. As part of the TIPTOP (Transforming IPT for Optimal Pregnancy) project, baseline information about IPTp coverage was collected in eight districts from four sub-Saharan countries: Democratic Republic of Congo (DRC), Madagascar, Mozambique and Nigeria. Methods Cross-sectional household surveys were conducted using a multistage cluster sampling design to estimate the coverage of IPTp and antenatal care attendance. Eligible participants were women of reproductive age who had ended a pregnancy in the 12 months preceding the interview and who had resided in the selected household during at least the past 4 months of pregnancy. Coverage was calculated using percentages and 95% confidence intervals. Results A total of 3911 women were interviewed from March to October 2018. Coverage of at least three doses of IPTp (IPTp3+) was 22% and 24% in DRC project districts; 23% and 12% in Madagascar districts; 11% and 16% in Nigeria local government areas; and 63% and 34% in Mozambique districts. In DRC, Madagascar and Nigeria, more than two-thirds of women attending at least four antenatal care visits during pregnancy received less than three doses of IPTp. Conclusions The IPTp3+ uptake in the survey districts was far from the universal coverage. However, one of the study districts in Mozambique showed a much higher coverage of IPTp3+ than the other areas, which was also higher than the 2018 average national coverage of 41%. The reasons for the high IPTp3+ coverage in this Mozambican district are unclear and require further study.

scholarly journals Determinants of duration of breastfeeding amongst women in Manipur

1970 ◽  
Vol 10 (4) ◽  
pp. 235-239 ◽  
Author(s):  
N Sanajaoba Singh ◽  
N Sharat Singh
Keyword(s):  
Employment Status ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Cluster Sampling ◽  
Proportional Hazard ◽  
Cross Sectional ◽  
Explanatory Variables ◽  
Analysis Technique ◽  
Two Factors ◽  
Duration Of Breastfeeding

Objective: The purpose of present study is to investigate the differentials and determinants of duration breastfeeding (BF) according to various socio-economic and demographic factors. Methods: A cross sectional study of 1225 ever-married women of reproductive age with at least one live birth was conducted in four valley districts of Manipur under cluster sampling scheme. Survival analysis technique has been adopted through SPSS vs 16. Results: The median duration of BF is found to be 20.37 months. Among the six explanatory variables of interest, only two factors - place of residence (relative risk (RR) =1.35) and employment status RR = 1.88) have highly significant effect (P<0.01) on BF and only two factors educational level (RR=1.02) and parity (RR = 0.83) are found to be statistically significant (P<0.05) on BF. Conclusion: The residence, education, employment status and parity have significant effects on the present duration of BF that is about 20 months which is below the India's national figure of 25 months and WHO recommended figure of 24 months. Key words: Fertility; censored case; parity; life table; proportional hazard model DOI: http://dx.doi.org/10.3329/bjms.v10i4.9493 BJMS 2011; 10 (4): 235-239

scholarly journals Screening of Gestational Diabetes and Hypertension Among Antenatal Women in Rural West India

2014 ◽  
Vol 3 (1) ◽  
Author(s):  
Viral R. Dave ◽  
Bhavik M. Rana ◽  
Kantibhai N. Sonaliya ◽  
Suraj J. Chandwani ◽  
Samkit V. Sharma ◽  
...  
Keyword(s):  
Risk Factors ◽  
Gestational Diabetes ◽  
Rural Areas ◽  
Screening Program ◽  
Cross Sectional Study ◽  
Sampling Procedure ◽  
Cluster Sampling ◽  
Cross Sectional ◽  
Screening Guidelines ◽  
History Of

Background: Hypertension and gestational diabetes are among the leading causes of maternal and perinatal mortality, especially in rural areas of developing countries with meager health facilities. With early diagnosis and timely treatment, these adverse events can be decreased. The primary aim of this study was to implement a screening program for gestational diabetes and hypertension, and to assess risk factors associated with these conditions among antenatal women in the rural area of the Gujarat province in India.Methods: A cross–sectional study was conducted at one of the rural areas of Gujarat province in India. Following a random  cluster sampling procedure, the village of Davas was selected. A multistage random sampling method was utilized, resulting in a sample of 346 antenatal women. Screening guidelines from the American Diabetes Association were followed for gestational diabetes screening.Results: The majority of antenatal mothers (55.50%) were between 21-25 years of age. 242 antenatal women were multigravida, and among them, 85.96% had institutional delivery at their last pregnancy. Of the total 346 women, 17.60% were prehypertensive. The prevalence of systolic hypertension was 1.40%, diastolic hypertension was 0.90%, and gestational diabetes was 1.73%.Conclusion: Socioeconomically upper class, a family history of hypertension, and BMI ≥ 25 were strong risk factors for hypertension during pregnancy and gestational diabetes. Health education should be made readily available to antenatal mothers by paramedical workers regarding symptoms of hypertension and gestational diabetes mellitus for early self identification.

scholarly journals Knowledge and practices about breastfeeding in rural areas of Rajshahi District, Bangladesh: A cross-sectional study

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 1903
Author(s):  
Ruhani Mat Min ◽  
Md Mosharaf Hossain
Keyword(s):  
Rural Areas ◽  
Family Income ◽  
Service Providers ◽  
Composite Index ◽  
Good Knowledge ◽  
Binary Logistic Regression Model ◽  
Cross Sectional ◽  
Important Indicator ◽  
Knowledge And Practice ◽  
Child Age

Background: Breastfeeding is an important indicator for child health and mortality. The aim of this study was to determine the level of knowledge and practices regarding EBF and its relation to various socio-economic and demographic factors among mothers with at least one child age (6-12 years) in the rural areas of the Rajshahi district in Bangladesh. Methods: A study based at village hospitals was conducted and a semi-structured questionnaire was used. A total of 513 mothers who had at least one child's age (6-12) months from 32 different village hospitals in rural areas of the Rajshahi District, Bangladesh from September to December 2015. The composite index, chi-square test and binary logistic regression model were used in this study. Results: The incidence of EBF good knowledge and practices was 32.0% and 27.9% among mothers with at least one child age (6-12) months. The analysis shows that the age of mothers ≥ 31 years have less knowledge and practice about EBF compared to mothers aged ≤ 30 years. Mothers who are housewives had a higher probability of good knowledge and practice than mothers who were service providers. Nursing mothers at home have less knowledge and practices about EBF than mothers who gave birth in the hospital. Mothers that had a monthly family income of ≤ 6 699 BDT had less knowledge and practices about EBF compared to mothers with a family income of >6 699 BDT. Conclusions: This study showed a huge gap in EBF knowledge and practices among mothers who have at least one child age (6-12) months. This study suggests that EBF education and interventions can play an important role in increasing EBF good knowledge and practices among mothers with at least one-to-one (6-12) months of age children. Malnutrition will be reduced if the EBF is widely established in Bangladesh.

scholarly journals Experience of intimate partner violence of women at reproductive age group in india and their decision-making power

2021 ◽  
Vol 11 (1) ◽  
pp. 89
Author(s):  
Russell Kabir ◽  
Harshini Harish ◽  
Angi Alradie-Mohamed ◽  
Solomon Afework ◽  
Masoud Mohammadnezhad ◽  
...  
Keyword(s):  
Decision Making ◽  
Intimate Partner Violence ◽  
Partner Violence ◽  
Intimate Partner ◽  
Reproductive Age ◽  
Age Group ◽  
Reproductive Age Group
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