scholarly journals Advantages and disadvantages of institutional delivery and home delivery: A qualitative study in northern Nigeria

2020 ◽  
Vol 5 (3) ◽  
Author(s):  
Ryoko Sato
Keyword(s):  
Qualitative Study ◽  
Institutional Delivery ◽  
Home Delivery ◽  
Northern Nigeria ◽  
Advantages And Disadvantages

scholarly journals Why institutional delivery is still the last option to rural women in North West Ethiopia: Qualitative study

2019 ◽  
Author(s):  
Netsanet Fentahun Babbel ◽  
Wubegzier Mekonnen ◽  
Yosef Wasihun ◽  
Mulunesh Alemayehu
Keyword(s):  
Risk Perception ◽  
Qualitative Study ◽  
Health Facility ◽  
Rural Women ◽  
Institutional Delivery ◽  
Cultural Beliefs ◽  
Home Delivery ◽  
Health Facilities ◽  
Care Providers ◽  
Related Factors

Abstract Background: whatever the actions has been implemented, home delivery preference in Ethiopia is still over 72%. To date, no studies explored why institutional delivery is still the last option to rural women in Ethiopia. This study was conducted to explore the reason why institutional delivery is still the last option to rural women in Awi Zone Northwest Ethiopia.Methods: An explanatory qualitative study was conducted from February to March 2014. Participants were selected purposively and written informed consent was sought. Twelve reproductive aged females, ten religious and twelve community leaders and sixteen key informants were participated. Data were collected by using semi-structured questionnaire using focused group discussion and in-depth interview guides. Thick description and peer debriefing were applied to assure data quality. Thematic analysis framework was used to analyse the data. Results: The study revealed that institutional delivery is still the last option to the study area. Individual related factors like information gap, low risk Perception to pregnancy and delivery have been mentioned as drive factors for not using institutional delivery. Community related factors of women’s poor position to decision, beliefs and cultural practices for home delivery preference affects institutional delivery. In addition, health facility related barriers like inaccessibility of health facility, infrastructure, lack of privacy during delivery, misconducts of health care providers and high risk perception to health facility delivery were repeated raised as reasons of last option of institutional delivery. Conclusion: This study elucidated that home delivery preference was existed, given high social and cultural price for home delivery and misconceptions towards institutional delivery. Thus, the Ethiopian government together with its partners should focus on accessing health facilities, infrastructure, equipping health facilities with essential materials and skilled health professionals and increasing knowledge of the community, avert communities’ misconceptions and deep-rooted socio-cultural beliefs towards institutional delivery.

scholarly journals Why institutional delivery is still the last option to rural women in North West Ethiopia:  Qualitative study

2020 ◽  
Author(s):  
Netsanet Fentahun Babbel ◽  
Yosef Wasihun ◽  
Wubegzier Mekonnen ◽  
Mulunesh Alemayehu Mulunesh Alemayehu
Keyword(s):  
Risk Perception ◽  
Qualitative Study ◽  
Health Facility ◽  
Rural Women ◽  
Institutional Delivery ◽  
Cultural Beliefs ◽  
Home Delivery ◽  
Health Facilities ◽  
Care Providers ◽  
Related Factors

Abstract Background: Whatever the actions has been implemented, home delivery preference in Ethiopia is still over 72%. To date, no studies explored why institutional delivery is still the last option to rural women in Ethiopia. This study was conducted to explore the reason why institutional delivery is still the last option to rural women in Awi Zone Northwest Ethiopia. Methods : An explanatory qualitative study was conducted from February to March 2014. Participants were selected purposively and written informed consent was sought. Twelve reproductive aged females, ten religious and twelve community leaders and sixteen key informants were participated. Data were collected by using semi-structured questionnaire using focused group discussion and in-depth interview guides. Thick description and peer debriefing were applied to assure data quality. Thematic analysis framework was used to analyse the data. Results : The study revealed that institutional delivery is still the last option to the study area. Individual related factors like information gap, low risk Perception to pregnancy and delivery have been mentioned as drive factors for not using institutional delivery. Community related factors of women’s poor position to decision, beliefs and cultural practices for home delivery preference affects institutional delivery. In addition, health facility related barriers like inaccessibility of health facility, infrastructure, lack of privacy during delivery, misconducts of health care providers and high risk perception to health facility delivery were repeated raised as reasons of last option of institutional delivery. Conclusion: This study elucidated that home delivery preference was existed, given high social and cultural price for home delivery and misconceptions towards institutional delivery. Thus, the Ethiopian government together with its partners should focus on accessing health facilities, infrastructure, equipping health facilities with essential materials and skilled health professionals and increasing knowledge of the community, avert communities’ misconceptions and deep-rooted socio-cultural beliefs towards institutional delivery.

scholarly journals COVID-19 Shutdown: A Qualitative Study on Pearls and Pitfalls

Proceedings ◽  
2021 ◽  
Vol 74 (1) ◽  
pp. 4
Author(s):  
Naciye Güliz Uğur
Keyword(s):  
Qualitative Study ◽  
Human Health ◽  
Social Distance ◽  
The Other ◽  
Adoption Of Technology ◽  
Family Ties ◽  
Advantages And Disadvantages ◽  
Modern Period ◽  
Long Term Impact

The extraordinary and tragic conditions that humanity has not experienced before in the modern period have become ordinary, namely, a “new normal” with the presence of the COVID-19 pandemic. COVID-19 has had frightening consequences for human health and has caused one million deaths as of September 2020. On the other hand, it has set a new standard of good habits, approaches, and benefits. Due to its global and long-term impact, this unique virus has laid the groundwork for unprecedented helping and sharing behaviors between people and countries. In this study, findings are compiled from the open-ended responses of 626 individuals, all of whom live in Turkey. Within the study’s scope, individuals were asked about the unique advantages and disadvantages of the restrictions imposed under COVID-19. While the categories of economy, social distance, and health came to the fore among the harms, the strengthening of family ties, adoption of technology, and the spread of solidarity culture were mentioned among the advantages.

scholarly journals A qualitative study of factors impacting accessing of institutional delivery care in the context of India's cash incentive program

2017 ◽  
Vol 178 ◽  
pp. 55-65 ◽  
Author(s):  
Sukumar Vellakkal ◽  
Hanimi Reddy ◽  
Adyya Gupta ◽  
Anil Chandran ◽  
Jasmine Fledderjohann ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Institutional Delivery ◽  
Delivery Care ◽  
Incentive Program ◽  
Cash Incentive

scholarly journals Non-use of Janani Avam Bal Suraksha Yojana in a district of Bihar: ensuring safe deliveries needs strategy modification

2018 ◽  
Vol 5 (8) ◽  
pp. 3311 ◽  
Author(s):  
Madhumita Mukherjee ◽  
Rashmi Singh ◽  
Amrita Mukherjee ◽  
Madhulekha Bhattacharya
Keyword(s):  
Institutional Delivery ◽  
Conditional Cash Transfer ◽  
Home Delivery ◽  
Cash Transfer ◽  
Health Staff ◽  
Cross Sectional ◽  
Emergency Transport ◽  
The Status ◽  
Home Deliveries ◽  
One Year

Background: India’s Janany Surakhsha Yojana (JSY) is the largest conditional cash transfer (CCT) program in the world in terms of the number of beneficiaries - covering about 9·5 million (36%) of 26 million women giving birth in India. Eleven States/UTs including Bihar, are still below the National estimate for institutional delivery of 78.9% (NFHS 4). In this study we attempted to find out the status of institutional and home deliveries in district Arwal of Bihar and reasons why in spite of cash incentives a proportion of mothers are opting for home delivery.Methods: A cross sectional descriptive design was used to interview 407 women, who had given birth to a child in previous one year. Focuss group discussions was held with community and health staff to corroborate the interview data.Results: Fifty nine percent of mothers were found to have preferred home delivery over institutional one. Reasons which came to light were home deliveries are cheaper (24.1%), unawareness about JSY (22%), unavailability of transport to reach hospital (22%) and better care being taken at home delivery (20.1%) variables. Older age, having a BPL card, and literacy of husband were found as favoring institutional delivery whereas dissatisfaction during a previous abortion or a livebirth in hospital were both associated with non-use.Conclusions: Better client awareness, strengthening of public health infrastructure, availability of skilled birth attendants at health subcentres (HSCs) and emergency transport in time can reduce number of home deliveries and lead to success of JBSY programme and subsequent reduction in maternal morbidity and mortality.

Improving Practice of Institutional Delivery in Southern Ethiopia

2019 ◽  
Author(s):  
Dejene Kassa ◽  
Henok Tadele ◽  
Birkneh Tilahun Tadesse ◽  
Akalewold Alemayehu ◽  
Teshome Abuka ◽  
...  
Keyword(s):  
Institutional Delivery ◽  
Significant Proportion ◽  
Skilled Birth Attendance ◽  
Home Delivery ◽  
Outcome Variable ◽  
Southern Ethiopia ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Birth Attendance ◽  
At Home

Abstract Background Institutional delivery service utilization is one of the key and proven interventions to reduce maternal death. It ensures safe birth, reduces both actual and potential complications, and decreases maternal and newborn death. However, a significant proportion of deliveries in developing countries including Ethiopia occurs at home and is not attended by skilled birth attendants. This study aimed at determining the prevalence of home delivery and associated factors in three districts in Sidama Zone.Methods A cross sectional survey was conducted from 15th- 20th October 2018. A multi-stage sampling design was employed to select 507 women who gave birth 12 months preceding the survey. Quantitative data were collected by using structured, interviewer administered questionnaires. Univariate and multivariate logistic regression models were run to assess factors associated with home delivery. Measures of association between factors and the outcome variable were reported using 95% confidence intervals (CIs) and adjusted odds ratios (aORs).Results The response rate was 495(97.6%). The overall prevalence of home delivery was 113 (28%) with 95%CI (19%, 27%). Maternal rural residence, aOR=7.45(95%CI: 2.23-24.83); illiteracy of mothers, aOR=8.78 (95% CI: 2.33-33.01); those who completed grades 1-4, aOR =3.81(95% CI: 1.16-12.49); mothers who did not know the expected date of delivery, aOR=2.12 (95% CI: 1.21-3.71); mother being merchant, aOR=3.01(95%CI:1.44-6.3) and paternal illiteracy, aOR=3.27, (95% CI: 1.20-8.88) were predictors of home birth.Conclusion The prevalence of skilled birth attendance in the study area has improved from the EDHS 2016 report of 26%. Uneducated, rural and merchant mothers were more likely to deliver at home. Interventions targeting rural and uneducated mothers might help to increase skilled birth attendance in the region.

scholarly journals Utilization of Institutional Delivery Service in a Predominantly Pastoralist Community of Northeast Ethiopia

1970 ◽  
Vol 28 (4) ◽  
Author(s):  
Mohammed Ahmed ◽  
Meaza Demissie ◽  
Araya Abrha Medhanyie ◽  
Alemayehu Worku ◽  
Yemane Berhane
Keyword(s):  
Secondary School ◽  
Health Facility ◽  
Institutional Delivery ◽  
Home Delivery ◽  
Sub Saharan Africa ◽  
Cultural Barriers ◽  
School Level ◽  
Multivariable Logistic Regression Analysis ◽  
Skilled Delivery ◽  
Sub Saharan

BACKGROUND: Maternal mortality is high in sub-Saharan Africa, and most deaths occur around childbirth. In Ethiopia, most births happen at home without skilled delivery attendants, and particularly, the least utilization of skilled delivery is recorded in Afar Region. The factors that influence this utilization are not well documented in the region where utilization has been low. The aim of this study was to determine the prevalence of utilization of institutional delivery and associated factors.METHODS: A cross-section study with pretested structural questionnaire was conducted from August 5 to September 27, 2015, among women who gave birth within 24 months preceding the survey. A multivariable logistic regression analysis was done to identify factors associated with utilization of institutional delivery.RESULTS: Out of the total 1842 women, only 339(18.4%) of mothers reported having delivered their youngest child at a health facility. Home delivery was preferred due to cultural norms, lowrisk perception, and distance from a health facility. The odds of delivering in a health facility were higher for mothers who attended at least four antenatal visits during the index pregnancy (AOR=3.08,95%CI=1.91-4.96), those whose husbands were educated to secondary school (AOR= 1.86, 95% CI=1.34-2.60), and those that had at least secondary school level education themselves (AOR=1.52, 95% CI=1.03-2.23).CONCLUSION: Utilization of institution delivery among Afar communities is very low, and less educated mothers are lagging behind. Women’s education and full attendance to antenatal care can help increase utilization of skilled delivery services. Qualitativestudies to identify socio-cultural barriers are also essential.

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