Is Decision-Making For Health Care Related To Health Facility Delivery Among Married Women In Uganda? Analysis From DHS 2016

2021 ◽  
Author(s):  
Harriet Akello
Keyword(s):  
Decision Making ◽  
Older Women ◽  
Health Facility ◽  
Odds Ratio ◽  
Wealth Index ◽  
Married Women ◽  
Facility Delivery ◽  
Health Facility Delivery ◽  
Factors Associated ◽  
The Relationship

Abstract Background Most maternal and neonatal deaths occur in low and middle incomes, and more than half takes place within the first day of birth. These deaths could be prevented if delivery was attended to by skilled health professionals in the health facilities. Empirical studies have reported several factors associated with low facility-based delivery. Limited literature is available on the relationship between women autonomy and health facility delivery in Uganda. This study aims to establish the relationship between decision-making for health care and health facility delivery among married women in Uganda. Method: The data used for the cross-sectional study was from the Uganda Demographic Health Survey 2016. The study used a sample of 1541 women who gave birth within five years before the survey. Proportions, odds ratio and 95% confidence interval were used to estimate the health facility delivery for each independent variable using the level of significance of p < 0.05. Binary logistics regression was used to calculate the odds ratio for the different variables. Results: 49% of the women could decide by themselves to seek care. Although 94% of the women attended ANC during the last pregnancy, only 75% of the married women delivered their most recent child in the hospital/health facility. There was regional variation for facility-based delivery (Western AOR 0.441, CI 0.285-0.684; Eastern 0.568, CI 0.395-0.816; Central 0.587, CI 0.361-0.952). Older women are less likely to deliver in a health facility compared to younger ones (25-29years AOR 0.559, CI 0.356-0.877; 30-34years AOR 0.530, CI 0.342-0.823, 35-39years AOR 0.406, CI 0.252-0.652; 40-44year AOR 0 .569, CI 0.345-0.938; 45-49years AOR 0.485, CI 0.288-0.814). Women who were aged 20-29years were more likely to deliver in a health facility (AOR 1.55 CI 1.141-2.109). Women in the middle, richer and richest wealth index have higher odds of delivering in the hospital compared to women in the poorest wealth index (Middle AOR 1.544, CI 1.053-2.264; richer AOR 1.863, CI 1.211-2.866; Richest AOR 4.104, CI 2.051-8.213). Women who do not have problems with transport are more likely to deliver in the hospital (AOR 1.503, CI 1.168-1.935). Conclusion: Decision-making for health has no association with health facility delivery. The factors associated with health facility delivery among married women were the current age of the woman, age of the woman at the birth of the first child, distance to the facility, wealth, region and place of residence. The government needed to develop strategies that will improve health facility distribution per capita, invest in infrastructure that will reduce the distance to the health facility, invest in projects that will improve wealth index and carry out health promotion targeting older women and considers geographical variations.

Factors associated with health facility delivery in West and Central Africa: A multilevel analysis of seven countries

2019 ◽  
Vol 41 (1) ◽  
pp. 3-21 ◽  
Author(s):  
Comfort Z. Olorunsaiye ◽  
Larissa Brunner Huber ◽  
Sarah B. Laditka ◽  
Shanti Kulkarni ◽  
A. Suzanne Boyd
Keyword(s):  
Multilevel Analysis ◽  
Health Facility ◽  
Central Africa ◽  
Facility Delivery ◽  
Health Facility Delivery ◽  
Factors Associated ◽  
West And Central Africa

scholarly journals Factors associated with health facility delivery in Kitui County: a cross sectional study

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 522
Author(s):  
Mathew Munyamaara Mutiiria ◽  
Gabriel Gatimu Mbugua ◽  
Doris Marwanga
Keyword(s):  
Multivariate Analysis ◽  
Maternal Mortality ◽  
Health Facility ◽  
Cross Sectional Study ◽  
Facility Delivery ◽  
P Value ◽  
Sectional Study ◽  
Health Facility Delivery ◽  
Cross Sectional ◽  
Factors Associated

Background: High maternal mortality rate is a major public health concern in developing countries.  Skilled birth delivery is central to reducing maternal mortality, yet health facility delivery remains low in Kitui County, Kenya. Our study estimated prevalence of unskilled delivery and identified factors associated with health facility delivery in Kitui County. Methods: A cross-sectional study was conducted December 2017-February 2018. 245 women from five administrative wards were interviewed. A structured questionnaire was used to collect data. Variables that had p value ≤0.05 in bivariate analysis were included in multivariable regression model to assess for confounders. Variables with a p value of ≤0.05 in multivariate analysis were considered statistically significant at 95% CI.  Results: We interviewed 245 (240 analyzed) women from the five wards; the majority were 16-25 years age group (45.5%; 110/240).  Mean age was 27±6.6 years. Prevalence of health facility delivery was 50.4%. Distance from a health facility, number of children in a household, occupation of the respondent’s partner, number of antenatal clinic (ANC) visits and means of transport were significant factors for not delivering in a health facility. On multivariate analysis, women who lived >5km from health facility were less likely to deliver in a health facility (AOR =0.36; 95% CI 0.15- 0.86). Women who attended ≥ 4 ANC visits were 4 times more likely to deliver in a health facility (95% CI 2.01-8.79). Conclusions: More than half of the respondents delivered in a health facility. A long distance from the health facility is a hindrance to accessing ANC services. Inadequate ANC visits was associated with home delivery. Improving accessibility of health care services and health education on family planning would increase delivery at a health facility. We recommend Kitui County introduce five satellite clinics/ambulatory services for expectant women to access ANC and maternal services.

scholarly journals The Relationship Between Antenatal Care And Health Facility Delivery

2016 ◽  
Vol 19 (7) ◽  
pp. A628
Author(s):  
S Singh ◽  
P Rana ◽  
M Gollala ◽  
R Singh ◽  
MK Rai
Keyword(s):  
Antenatal Care ◽  
Health Facility ◽  
Facility Delivery ◽  
Health Facility Delivery ◽  
The Relationship

scholarly journals Women’s Health Decision-Making Autonomy and Skilled Birth Attendance in Ghana

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Edward Kwabena Ameyaw ◽  
Augustine Tanle ◽  
Kwaku Kissah-Korsah ◽  
Joshua Amo-Adjei
Keyword(s):  
Decision Making ◽  
Women’S Health ◽  
Women's Health ◽  
Health Facility ◽  
Facility Delivery ◽  
Health Facility Delivery ◽  
Wealth Status ◽  
Health Decision Making ◽  
Birth Attendance ◽  
Health Decision

Delivering in health facility under the supervision of skilled birth attendant is an important way of mitigating impacts of delivery complications. Empirical evidence suggests that decision-making autonomy is aligned with holistic wellbeing especially in the aspect of maternal and child health. The objective of this paper was to examine the relationship between women’s health decision-making autonomy and place of delivery in Ghana. We extracted data from the 2014 Ghana Demographic and Health Survey. Descriptive and logistic regression techniques were applied. The results indicated that women with health decision-making autonomy have higher tendency of health facility delivery as compared to those who are not autonomous [OR = 1.27, CI = 1.09–1.48]. However, those who have final say on household large purchases [OR = 0.71, CI = 0.59–0.84] and those having final say on visits [OR = 0.86, CI = 0.73–1.01] were less probable to deliver in health facility than those without such decision-making autonomy. Consistent with existing evidence, wealthier, urban, and highly educated women had higher inclination of health facility delivery. This study has stressed the need for interventions aimed at enhancing health facility delivery to target women without health decision-making autonomy and women with low education and wealth status, as this can play essential role in enhancing health facility delivery.

scholarly journals Factors associated with decision making power of women to use family planning among married women in sub-Saharan Africa: A multilevel analysis of demographic health surveys

2021 ◽  
Author(s):  
Getu Debalkie Demissie ◽  
Yonas Akalu ◽  
Abebaw Addis Gelagay ◽  
Wallelign Alemnew ◽  
Yigizie Yeshaw
Keyword(s):  
Decision Making ◽  
Family Planning ◽  
Media Exposure ◽  
Wealth Index ◽  
Married Women ◽  
Sub Saharan Africa ◽  
Fertility Preference ◽  
Factors Associated ◽  
Contraceptive Usage ◽  
Sub Saharan

Abstract Background: In sub-Saharan Africa there are several socio-economic and cultural factors which affect women’s ability to make decision regarding their own health including contraceptive usage. The main aim of this study was to determine factors associated with decision making power of women to use family planning in sub-Saharan Africa.Methods: The appended, most recent demographic and health survey datasets of 35 sub-Saharan countries were used. A total weighted sample of 83,882 women were included in the study. Both bivariable and multivariable multilevel logistic regression were done to determine the associated factors of decision making power of women to use family planning in SSA. The Odds Ratio (OR) with a 95% Confidence Interval (CI) was calculated for those potential variables included in the final model. Results: Those married women with primary education (AOR=1.24; CI:1.16,1.32),secondary education (AOR=1.31; CI:1.22,1.41), higher education (AOR=1.36; CI:1.20,1.53),media exposure(AOR=1.08; CI: 1.03, 1.13), currently working (AOR=1.27; CI: 1.20, 1.33), antenatal care visit of 1-3 (AOR=1.12; CI:1.05,1.20) and ≥ 4 ANC visit (AOR=1.14;CI:1.07,1.21), women who were informed about family planning (AOR=1.09; CI: 1.04, 1.15), women who had less than 3 children(AOR=1.12; CI: 1.02, 1.23) and 3-5 children (AOR=1.08; CI: 1.01, 1.16) had higher odds of decision making power to use family planning than their counter parts. Besides, mothers with age of 15-19 (AOR=0.61; CI: 0.52, 0.72), 20-24 (AOR= 0.69; CI: 0.60, 0.79), 25-29 (AOR=0.74; CI: 0.66, 0.84), and 30-34 years (AOR=0.82; CI: 0.73, 0.92) had reduced chance of decision making power of women to use family planning. Conclusion: Age, women’s level of education, occupation of women and their husband, wealth index, media exposure, ANC visit, fertility preference, husband’s desire number of children, region and information about family planning were factors associated with decision making power to use family planning among married women.

scholarly journals Factors associated with antenatal and health facility delivery care in selected areas of Subornochor upazila, Noakhali, Bangladesh

2020 ◽  
Vol 8 (3) ◽  
pp. 983-988
Author(s):  
Md. Ruhul Kabir ◽  
Susmita Ghosh ◽  
Md Abdullah Al Mamun ◽  
Homayra Islam ◽  
Ruhina Binta A Ghani
Keyword(s):  
Health Facility ◽  
Facility Delivery ◽  
Delivery Care ◽  
Health Facility Delivery ◽  
Factors Associated

scholarly journals Factors associated with health facility deliveries among mothers living in hospital catchment areas in Rukungiri and Kanungu districts, Uganda

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Richard K. Mugambe ◽  
Habib Yakubu ◽  
Solomon T. Wafula ◽  
Tonny Ssekamatte ◽  
Simon Kasasa ◽  
...  
Keyword(s):  
Health Facility ◽  
Rural Areas ◽  
Health Workers ◽  
Facility Delivery ◽  
Health Facilities ◽  
Public Facility ◽  
Health Facility Delivery ◽  
Cross Sectional ◽  
Factors Associated ◽  
Catchment Areas

Abstract Background Health facility deliveries are generally associated with improved maternal and child health outcomes. However, in Uganda, little is known about factors that influence use of health facilities for delivery especially in rural areas. In this study, we assessed the factors associated with health facility deliveries among mothers living within the catchment areas of major health facilities in Rukungiri and Kanungu districts, Uganda. Methods Cross-sectional data were collected from 894 randomly-sampled mothers within the catchment of two private hospitals in Rukungiri and Kanungu districts. Data were collected on the place of delivery for the most recent child, mothers’ sociodemographic and economic characteristics, and health facility water, sanitation and hygiene (WASH) status. Modified Poisson regression was used to estimate prevalence ratios (PRs) for the determinants of health facility deliveries as well as factors associated with private versus public utilization of health facilities for childbirth. Results The majority of mothers (90.2%, 806/894) delivered in health facilities. Non-facility deliveries were attributed to faster progression of labour (77.3%, 68/88), lack of transport (31.8%, 28/88), and high cost of hospital delivery (12.5%, 11/88). Being a business-woman [APR = 1.06, 95% CI (1.01–1.11)] and belonging to the highest wealth quintile [APR = 1.09, 95% CI (1.02–1.17)] favoured facility delivery while a higher parity of 3–4 [APR = 0.93, 95% CI (0.88–0.99)] was inversely associated with health facility delivery as compared to parity of 1–2. Factors associated with delivery in a private facility compared to a public facility included availability of highly skilled health workers [APR = 1.15, 95% CI (1.05–1.26)], perceived higher quality of WASH services [APR = 1.11, 95% CI (1.04–1.17)], cost of the delivery [APR = 0.85, 95% CI (0.78–0.92)], and availability of caesarean services [APR = 1.13, 95% CI (1.08–1.19)]. Conclusion Health facility delivery service utilization was high, and associated with engaging in business, belonging to wealthiest quintile and having higher parity. Factors associated with delivery in private facilities included health facility WASH status, cost of services, and availability of skilled workforce and caesarean services.

scholarly journals Facility delivery and postnatal care services use among mothers who attended four or more antenatal care visits in Ethiopia: further analysis of the 2016 Demographic and Health Survey

2018 ◽  
Author(s):  
Gedefaw Abeje Fekadu ◽  
Fentie Ambaw Getahun ◽  
Seblewongiel Ayenalem Kidanie
Keyword(s):  
Antenatal Care ◽  
Health Facility ◽  
Postnatal Care ◽  
Facility Delivery ◽  
Health Facility Delivery ◽  
Factors Associated ◽  
Content Of Care ◽  
Care Services ◽  
At Home

AbstractIntroductionIn Ethiopia, many mothers who attend the recommended number of antenatal care visits fail to use facility delivery and postnatal care services. This study identifies factors associated with facility delivery and use of postnatal care among mothers who had four or more antenatal care visits, using data from the 2016 Ethiopian Demographic and Health Survey (EDHS).MethodsTo identify factors associated with facility delivery, we studied background and service-related characteristics among 2,415 mothers who attended four or more antenatal care visits for the most recent birth. In analyzing factors associated with postnatal care within 42 days after delivery, the study included 1,055 mothers who attended four or more antenatal care visits and delivered at home. We focused on women who delivered at home because women who deliver at a health facility are more likely also to receive postnatal care as well. A multivariable logistic regression model was fitted for each outcome to find significant associations between facility delivery and use of postnatal care.ResultsFifty-six percent of women who had four or more antenatal care visits delivered at a health facility, while 44% delivered at home. Mothers with secondary or above level of education, urban residents, women in the richest wealth quintile, and women who were working at the time of interview had higher odds of delivering in a health facility. High birth order was associated with a lower likelihood of health facility delivery. Among women who delivered at home, only 8% received postnatal care within 42 days after delivery. Quality of antenatal care as measured by the content of care received during antenatal care visits stood out as an important factor that influences both facility delivery and postnatal care. Among mothers who attended four or more antenatal care visits and delivered at home, the content of care received during ANC visits was the only factor that showed a statistically significant association with receiving postnatal care.ConclusionsThe more antenatal care components a mother receives, the higher her probability of delivering at a health facility and of receiving postnatal care. The health care system needs to increase the quality of antenatal care provided to mothers because receiving more components of antenatal care is associated with increased health facility delivery and postnatal care. Further research is recommended to identify other reasons why many women do not use facility delivery and postnatal care services even after attending four or more antenatal care visits.

scholarly journals Higher rates of early initiation of breastfeeding associated with health facility delivery in Nepal

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
D Dharel ◽  
A Bhattarai ◽  
Y R Paudel ◽  
P Acharya ◽  
K Acharya
Keyword(s):  
Health Facility ◽  
Newborn Care ◽  
Facility Delivery ◽  
Early Initiation ◽  
Health Facility Delivery ◽  
Essential Newborn Care ◽  
Place Of Delivery ◽  
Early Initiation Of Breastfeeding ◽  
Nationally Representative ◽  
Initiation Of Breastfeeding

Abstract Background Initiation of breastfeeding within one hour from birth is one of the five key essential newborn care messages, implemented along with birth preparedness package since 2008. This study aimed to determine the trend of early initiation of breastfeeding (EIBF) and to assess the effect of health facility delivery on EIBF in Nepal. Methods We analyzed the data from the last four nationally representative Nepal Demographic and Health Surveys (NDHS) conducted in 2001,2006,2011 and 2016. Data on the early initiation of breastfeeding was obtained from the mothers of infants born within 24 months prior to the survey. The explanatory variable was the place of delivery, dichotomized as either the health facility, or home delivery. Survey year had a significant interaction with the place of delivery. Multivariable logistic regression was conducted separately on pooled samples before (NDHS 2001 and 2006) and after (NDHS 2011 and 2016) the program implementation. Adjusted odds ratio (AOR) with 95% confidence interval (CI) for EIBF was calculated after adjusting for predetermined covariates. Results The rate of EIBF increased by 26.5% points (from 32.8% in 2001 to 59.3% in 2016) among infants delivered in a health facility, compared to an increase by 17.1% points (from 29.9% to 47.0%) among home born infants. EIBF increased by 32.5% points before, compared to 49.7% points after BPP. Delivery in a health facility was associated with a higher odd of EIBF in later years (AOR2.3, 95% CI 2.0,2.8), but not in earlier years (AOR1.3, 95% CI 0.9,2.0). Delivery by caesarean section, first-born infant, and lack of maternal education were associated with a lower rate of EIBF in both periods. Conclusions Higher EIBF was associated with health facility delivery in Nepal, only after programmatic emphasis on essential newborn care messages. This implies the need for explicit focus on EIBF at birth, particularly when mother is less educated, primiparous or undergoing operative delivery. Key messages The rate of initiation of breastfeeding within an hour from birth is increasing in Nepal, with higher rates in health facility delivery, as shown by the recent four nationally representative surveys. Programmatic focus on essential newborn care messages may have contributed to significant association of higher rates of early initiation of breastfeeding when delivered in health facility.

Sign in / Sign up

Export Citation Format

Share Document