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Prevalence and Factors Associated with Home Childbirth with Unskilled Birth Assistance in Dodoma-Tanzania: A Cross Sectional Study

BACKGROUND: Improving maternal health is one of the goals to be achieved under the Sustainable Development Goal (SDG) number 3. Worldwide, half a million of women die each year from pregnancy and childbirth related complications which can be prevented by skilled birth assistance. One of the determin...

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Autores principales: Moshi, Fabiola Vincent, Lymo, Glorialoveness, Gibore, Nyasiro S., Kibusi, Stephen M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The East African Health Research Commission 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8279325/
https://www.ncbi.nlm.nih.gov/pubmed/34308225
http://dx.doi.org/10.24248/eahrj.v4i1.626
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author Moshi, Fabiola Vincent
Lymo, Glorialoveness
Gibore, Nyasiro S.
Kibusi, Stephen M.
author_facet Moshi, Fabiola Vincent
Lymo, Glorialoveness
Gibore, Nyasiro S.
Kibusi, Stephen M.
author_sort Moshi, Fabiola Vincent
collection PubMed
description BACKGROUND: Improving maternal health is one of the goals to be achieved under the Sustainable Development Goal (SDG) number 3. Worldwide, half a million of women die each year from pregnancy and childbirth related complications which can be prevented by skilled birth assistance. One of the determinants of maternal health is place of childbirth. Giving birth at home leads to a high risk of maternal and child mortality. The aim of the study was to determine the prevalence and factors associated with choice of home childbirth in Dodoma Municipality. METHODS: A community based cross section study using multistage sampling was used to obtain the sample in which 2,523 women who gave birth within 3 years prior to the date of the study from different wards of Dodoma municipal were interviewed. The data obtained were entered and analysed using SPSS version 20. Binary logistic regression analysis was used to establish predictors of home childbirth with unskilled birth assistance. RESULTS: A total of 1,174 (46.5%) women had home childbirth with unskilled birth assistance. After adjusted for the confounders, predictors of home childbirth with unskilled birth assistance among study respondents were level of education [primary education, AOR=0.69 at 95% CI=0.557-0.854, p<.001; secondary education, AOR=0.492 at 95% CI=0.358-0.676, p<.001 and above secondary education, AOR=0.35 at 95% CI=0.16-0.765;p<.01]; marital status [married women, AOR=0.686 at 95% CI=0.547-0.86, p<.001]; occupation of a mother [peasant, AOR=1.508 at 95% CI=1.214-1.874, p<.05]; parity [2 to 4 children, AOR=1.316 at 95% CI=1.028-1.684, p<.05; More than 4 children, AOR=2.006 at 95% CI=1.427-2.82, p<.001]; number of antenatal visits [4 or more antenatal visits, AOR=0.451 at 95% CI=0.204-0.997, p<.05] and walking distance [less than 5kilometres, AOR= 0.797 at 95% CI=0.674-0.943, p<.001] CONCLUSION: The findings of this study suggest a need for health education in the community on the importance of skilled birth delivery. There is also a need for the government to roll out the implementation of Primary Health Services Development Program (PHSDP-MMAM) which addresses the delivery of health services within 5 kilometres to ensure fair, equitable and quality health services to the community.
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spelling pubmed-82793252021-07-22 Prevalence and Factors Associated with Home Childbirth with Unskilled Birth Assistance in Dodoma-Tanzania: A Cross Sectional Study Moshi, Fabiola Vincent Lymo, Glorialoveness Gibore, Nyasiro S. Kibusi, Stephen M. East Afr Health Res J Original Articles BACKGROUND: Improving maternal health is one of the goals to be achieved under the Sustainable Development Goal (SDG) number 3. Worldwide, half a million of women die each year from pregnancy and childbirth related complications which can be prevented by skilled birth assistance. One of the determinants of maternal health is place of childbirth. Giving birth at home leads to a high risk of maternal and child mortality. The aim of the study was to determine the prevalence and factors associated with choice of home childbirth in Dodoma Municipality. METHODS: A community based cross section study using multistage sampling was used to obtain the sample in which 2,523 women who gave birth within 3 years prior to the date of the study from different wards of Dodoma municipal were interviewed. The data obtained were entered and analysed using SPSS version 20. Binary logistic regression analysis was used to establish predictors of home childbirth with unskilled birth assistance. RESULTS: A total of 1,174 (46.5%) women had home childbirth with unskilled birth assistance. After adjusted for the confounders, predictors of home childbirth with unskilled birth assistance among study respondents were level of education [primary education, AOR=0.69 at 95% CI=0.557-0.854, p<.001; secondary education, AOR=0.492 at 95% CI=0.358-0.676, p<.001 and above secondary education, AOR=0.35 at 95% CI=0.16-0.765;p<.01]; marital status [married women, AOR=0.686 at 95% CI=0.547-0.86, p<.001]; occupation of a mother [peasant, AOR=1.508 at 95% CI=1.214-1.874, p<.05]; parity [2 to 4 children, AOR=1.316 at 95% CI=1.028-1.684, p<.05; More than 4 children, AOR=2.006 at 95% CI=1.427-2.82, p<.001]; number of antenatal visits [4 or more antenatal visits, AOR=0.451 at 95% CI=0.204-0.997, p<.05] and walking distance [less than 5kilometres, AOR= 0.797 at 95% CI=0.674-0.943, p<.001] CONCLUSION: The findings of this study suggest a need for health education in the community on the importance of skilled birth delivery. There is also a need for the government to roll out the implementation of Primary Health Services Development Program (PHSDP-MMAM) which addresses the delivery of health services within 5 kilometres to ensure fair, equitable and quality health services to the community. The East African Health Research Commission 2020 2020-06-26 /pmc/articles/PMC8279325/ /pubmed/34308225 http://dx.doi.org/10.24248/eahrj.v4i1.626 Text en © The East African Health Research Commission 2020 https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly cited. To view a copy of the license, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Articles
Moshi, Fabiola Vincent
Lymo, Glorialoveness
Gibore, Nyasiro S.
Kibusi, Stephen M.
Prevalence and Factors Associated with Home Childbirth with Unskilled Birth Assistance in Dodoma-Tanzania: A Cross Sectional Study
title Prevalence and Factors Associated with Home Childbirth with Unskilled Birth Assistance in Dodoma-Tanzania: A Cross Sectional Study
title_full Prevalence and Factors Associated with Home Childbirth with Unskilled Birth Assistance in Dodoma-Tanzania: A Cross Sectional Study
title_fullStr Prevalence and Factors Associated with Home Childbirth with Unskilled Birth Assistance in Dodoma-Tanzania: A Cross Sectional Study
title_full_unstemmed Prevalence and Factors Associated with Home Childbirth with Unskilled Birth Assistance in Dodoma-Tanzania: A Cross Sectional Study
title_short Prevalence and Factors Associated with Home Childbirth with Unskilled Birth Assistance in Dodoma-Tanzania: A Cross Sectional Study
title_sort prevalence and factors associated with home childbirth with unskilled birth assistance in dodoma-tanzania: a cross sectional study
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8279325/
https://www.ncbi.nlm.nih.gov/pubmed/34308225
http://dx.doi.org/10.24248/eahrj.v4i1.626
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