Factors Influencing Women’s Choice of Place of Delivery in Ngenge Sub-county, Kween District-Uganda

Walwasa John Paul; Ikiriza Antony; Maureen Andinda

doi:doi:10.11648/j.sjcm.20200903.15

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Factors Influencing Women’s Choice of Place of Delivery in Ngenge Sub-county, Kween District-Uganda

Walwasa John Paul, Ikiriza Antony, Maureen Andinda

Published in Science Journal of Clinical Medicine (Volume 9, Issue 3)

Received: 23 February 2020 Accepted: 3 August 2020 Published: 24 September 2020

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Abstract

Background: Maternal and neonatal morbidity and mortality are major public health concerns in most developing countries and in under resourced settings. Increasing the proportion of babies that are delivered in health facilities is an important factor in reducing the health risks to both the mother and the baby. In Uganda’s skilled birth attendance is 58% of antenatal care mothers. Objective: The study assessed factors influencing the choice of place of delivery among women of reproductive age in Ngenge Sub County, Kween District- Sebei Sub region, Eastern Uganda. Methodology: The study design was cross-sectional in which data were collected using an interviewer administered structured questionnaire and analyzed using Epi info version 7.2. Results: A total of 350 mothers were interviewed of which 82% were married. Delivery under skilled attendance was 46%. Chances of delivering at the health facility decreased with increase in age (p=0.001), with increased parity (p=0.002), and increased with higher household income (p=0.011), and among mothers and their partners who had higher level of education (p=0.031, 0.024 respectively). The factors which influenced delivery in the health facility included: short waiting time at the health facility before receiving health care services, good attitude of the health care workers, and adequate birth preparedness during ANC. The factors which influenced delivery elsewhere included; the far distances to the nearest health facility, low education of mothers and their partners, increased maternal age, low household income, high parity, poor decision making and high perception of the mothers about the care provided by TBAs. Conclusion: The study concludes that skilled delivery was low at 46% way-below the national target of 95%. The factors statistically associated with choice of place of delivery included: waiting time at the health facility, attitude of the health care workers, birth preparedness during ANC, distance to the nearest health facility, level of education of mothers and their partners, maternal age, household income, parity of mothers, decision making, and perception of the mothers about the care provided by TBAs.

Published in	Science Journal of Clinical Medicine (Volume 9, Issue 3)
DOI	10.11648/j.sjcm.20200903.15
Page(s)	68-73
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Women’s Choice, Place of Delivery, Traditional Birth Attendants

References

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[3]	Kitui J., Lewis S., Davey G. (2013) Factors influencing place of delivery for women in Kenya: an analysis of the Kenya demographic and health survey, 2008/2009 BMC Pregnancy and Childbirth 2013, 13:40 doi: 10.1186/1471-2393-13-40.
[4]	Envuladu E, Agbo H, Lassa S, Kigbu J, Zoakah A. 2013. Factors determining the choice of a place of delivery among pregnant women in Russia village of Jos North, Nigeria: achieving the MDGs 4 and 5. International Journal of Medicine and Biomedical Research 2: 23–7.
[5]	Uganda Bureau of Statistics (UBOS) and ICF. 2017. Uganda Demographic and Health Survey 2016: Key Indicators Report. Kampala, Uganda: UBOS, and Rockville, Maryland, USA: UBOS and ICF.
[6]	Anne Rita Akinyo 2009. Factors influencing mother’s choice of place of delivery in Soroti District, Uganda accessed from http://makir.mak.ac.ug/bitstream/handle/10570/2528/Akinyo-COBAMS-Master.pdf;sequence=1
[7]	Acharya, D. R., Bell, J. S., Simkhada, P. et al. 2010. Women's autonomy in household decision-making: a demographic study in Nepal. Reprod Health 7, 15 (2010). https://doi.org/10.1186/1742-4755-7-15
[8]	Di Renzo, Gian Carlo, Yebekaw, Yibeltal, James Mashalla, Yohana, Thupayagale-Tshweneagae, Gloria, 2015. Factors Influencing Women’s Preferences for Places to Give Birth in Addis Ababa, Ethiopia. Obstetrics and Gynecology International, Hindawi Publishing Corporation. DOI; https://doi.org/10.1155/2015/439748
[9]	Mansur, Abu & Akter, Aysha & Mazumdar, Towhidul & Rashid, Rumana & Asaduzzaman, Mohammad & Fatema, Babry & Juliana, Farha & Mannan, Abdul & Islam, Mohammad & Islam, Mohammod. (2017). Assessment of Antenatal Care (ANC) and Demography Parameters on Pregnant Women in Bangladesh. IOSR Journal of Nursing and Health Science (IOSR_JNHS). 06. 37-44. 10.9790/1959-0603083744.
[10]	Kwagala Betty. Birthing choices among the Sabiny of Uganda. Cult Health Sex. 2013; 15 Suppl 3: S401-S414. doi:10.1080/13691058.2013.799232
[11]	Machira K, Palamuleni M. Women’s perspectives on quality of maternal health care services in Malawi. Int J Womens Health. 2018;10:25-34 https://doi.org/10.2147/IJWH.S144426

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APA Style

Walwasa John Paul, Ikiriza Antony, Maureen Andinda. (2020). Factors Influencing Women’s Choice of Place of Delivery in Ngenge Sub-county, Kween District-Uganda. Science Journal of Clinical Medicine, 9(3), 68-73. https://doi.org/10.11648/j.sjcm.20200903.15

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ACS Style

Walwasa John Paul; Ikiriza Antony; Maureen Andinda. Factors Influencing Women’s Choice of Place of Delivery in Ngenge Sub-county, Kween District-Uganda. Sci. J. Clin. Med. 2020, 9(3), 68-73. doi: 10.11648/j.sjcm.20200903.15

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AMA Style

Walwasa John Paul, Ikiriza Antony, Maureen Andinda. Factors Influencing Women’s Choice of Place of Delivery in Ngenge Sub-county, Kween District-Uganda. Sci J Clin Med. 2020;9(3):68-73. doi: 10.11648/j.sjcm.20200903.15

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@article{10.11648/j.sjcm.20200903.15,
  author = {Walwasa John Paul and Ikiriza Antony and Maureen Andinda},
  title = {Factors Influencing Women’s Choice of Place of Delivery in Ngenge Sub-county, Kween District-Uganda},
  journal = {Science Journal of Clinical Medicine},
  volume = {9},
  number = {3},
  pages = {68-73},
  doi = {10.11648/j.sjcm.20200903.15},
  url = {https://doi.org/10.11648/j.sjcm.20200903.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20200903.15},
  abstract = {Background: Maternal and neonatal morbidity and mortality are major public health concerns in most developing countries and in under resourced settings. Increasing the proportion of babies that are delivered in health facilities is an important factor in reducing the health risks to both the mother and the baby. In Uganda’s skilled birth attendance is 58% of antenatal care mothers. Objective: The study assessed factors influencing the choice of place of delivery among women of reproductive age in Ngenge Sub County, Kween District- Sebei Sub region, Eastern Uganda. Methodology: The study design was cross-sectional in which data were collected using an interviewer administered structured questionnaire and analyzed using Epi info version 7.2. Results: A total of 350 mothers were interviewed of which 82% were married. Delivery under skilled attendance was 46%. Chances of delivering at the health facility decreased with increase in age (p=0.001), with increased parity (p=0.002), and increased with higher household income (p=0.011), and among mothers and their partners who had higher level of education (p=0.031, 0.024 respectively). The factors which influenced delivery in the health facility included: short waiting time at the health facility before receiving health care services, good attitude of the health care workers, and adequate birth preparedness during ANC. The factors which influenced delivery elsewhere included; the far distances to the nearest health facility, low education of mothers and their partners, increased maternal age, low household income, high parity, poor decision making and high perception of the mothers about the care provided by TBAs. Conclusion: The study concludes that skilled delivery was low at 46% way-below the national target of 95%. The factors statistically associated with choice of place of delivery included: waiting time at the health facility, attitude of the health care workers, birth preparedness during ANC, distance to the nearest health facility, level of education of mothers and their partners, maternal age, household income, parity of mothers, decision making, and perception of the mothers about the care provided by TBAs.},
 year = {2020}
}

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TY  - JOUR
T1  - Factors Influencing Women’s Choice of Place of Delivery in Ngenge Sub-county, Kween District-Uganda
AU  - Walwasa John Paul
AU  - Ikiriza Antony
AU  - Maureen Andinda
Y1  - 2020/09/24
PY  - 2020
N1  - https://doi.org/10.11648/j.sjcm.20200903.15
DO  - 10.11648/j.sjcm.20200903.15
T2  - Science Journal of Clinical Medicine
JF  - Science Journal of Clinical Medicine
JO  - Science Journal of Clinical Medicine
SP  - 68
EP  - 73
PB  - Science Publishing Group
SN  - 2327-2732
UR  - https://doi.org/10.11648/j.sjcm.20200903.15
AB  - Background: Maternal and neonatal morbidity and mortality are major public health concerns in most developing countries and in under resourced settings. Increasing the proportion of babies that are delivered in health facilities is an important factor in reducing the health risks to both the mother and the baby. In Uganda’s skilled birth attendance is 58% of antenatal care mothers. Objective: The study assessed factors influencing the choice of place of delivery among women of reproductive age in Ngenge Sub County, Kween District- Sebei Sub region, Eastern Uganda. Methodology: The study design was cross-sectional in which data were collected using an interviewer administered structured questionnaire and analyzed using Epi info version 7.2. Results: A total of 350 mothers were interviewed of which 82% were married. Delivery under skilled attendance was 46%. Chances of delivering at the health facility decreased with increase in age (p=0.001), with increased parity (p=0.002), and increased with higher household income (p=0.011), and among mothers and their partners who had higher level of education (p=0.031, 0.024 respectively). The factors which influenced delivery in the health facility included: short waiting time at the health facility before receiving health care services, good attitude of the health care workers, and adequate birth preparedness during ANC. The factors which influenced delivery elsewhere included; the far distances to the nearest health facility, low education of mothers and their partners, increased maternal age, low household income, high parity, poor decision making and high perception of the mothers about the care provided by TBAs. Conclusion: The study concludes that skilled delivery was low at 46% way-below the national target of 95%. The factors statistically associated with choice of place of delivery included: waiting time at the health facility, attitude of the health care workers, birth preparedness during ANC, distance to the nearest health facility, level of education of mothers and their partners, maternal age, household income, parity of mothers, decision making, and perception of the mothers about the care provided by TBAs.
VL  - 9
IS  - 3
ER  -

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Author Information

Walwasa John Paul

The International Rescue Committee (IRC), 7 Lower East Road Naguru, Kampala, Uganda
Ikiriza Antony

Department of Public Health, School of Health Sciences, Mountains of the Moon University, Fort Portal, Uganda
Maureen Andinda

Department of Public Health, School of Health Sciences, Mountains of the Moon University, Fort Portal, Uganda

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Plain Text BibTeX RIS

APA Style

Walwasa John Paul, Ikiriza Antony, Maureen Andinda. (2020). Factors Influencing Women’s Choice of Place of Delivery in Ngenge Sub-county, Kween District-Uganda. Science Journal of Clinical Medicine, 9(3), 68-73. https://doi.org/10.11648/j.sjcm.20200903.15

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ACS Style

Walwasa John Paul; Ikiriza Antony; Maureen Andinda. Factors Influencing Women’s Choice of Place of Delivery in Ngenge Sub-county, Kween District-Uganda. Sci. J. Clin. Med. 2020, 9(3), 68-73. doi: 10.11648/j.sjcm.20200903.15

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AMA Style

Walwasa John Paul, Ikiriza Antony, Maureen Andinda. Factors Influencing Women’s Choice of Place of Delivery in Ngenge Sub-county, Kween District-Uganda. Sci J Clin Med. 2020;9(3):68-73. doi: 10.11648/j.sjcm.20200903.15

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@article{10.11648/j.sjcm.20200903.15,
  author = {Walwasa John Paul and Ikiriza Antony and Maureen Andinda},
  title = {Factors Influencing Women’s Choice of Place of Delivery in Ngenge Sub-county, Kween District-Uganda},
  journal = {Science Journal of Clinical Medicine},
  volume = {9},
  number = {3},
  pages = {68-73},
  doi = {10.11648/j.sjcm.20200903.15},
  url = {https://doi.org/10.11648/j.sjcm.20200903.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20200903.15},
  abstract = {Background: Maternal and neonatal morbidity and mortality are major public health concerns in most developing countries and in under resourced settings. Increasing the proportion of babies that are delivered in health facilities is an important factor in reducing the health risks to both the mother and the baby. In Uganda’s skilled birth attendance is 58% of antenatal care mothers. Objective: The study assessed factors influencing the choice of place of delivery among women of reproductive age in Ngenge Sub County, Kween District- Sebei Sub region, Eastern Uganda. Methodology: The study design was cross-sectional in which data were collected using an interviewer administered structured questionnaire and analyzed using Epi info version 7.2. Results: A total of 350 mothers were interviewed of which 82% were married. Delivery under skilled attendance was 46%. Chances of delivering at the health facility decreased with increase in age (p=0.001), with increased parity (p=0.002), and increased with higher household income (p=0.011), and among mothers and their partners who had higher level of education (p=0.031, 0.024 respectively). The factors which influenced delivery in the health facility included: short waiting time at the health facility before receiving health care services, good attitude of the health care workers, and adequate birth preparedness during ANC. The factors which influenced delivery elsewhere included; the far distances to the nearest health facility, low education of mothers and their partners, increased maternal age, low household income, high parity, poor decision making and high perception of the mothers about the care provided by TBAs. Conclusion: The study concludes that skilled delivery was low at 46% way-below the national target of 95%. The factors statistically associated with choice of place of delivery included: waiting time at the health facility, attitude of the health care workers, birth preparedness during ANC, distance to the nearest health facility, level of education of mothers and their partners, maternal age, household income, parity of mothers, decision making, and perception of the mothers about the care provided by TBAs.},
 year = {2020}
}

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TY  - JOUR
T1  - Factors Influencing Women’s Choice of Place of Delivery in Ngenge Sub-county, Kween District-Uganda
AU  - Walwasa John Paul
AU  - Ikiriza Antony
AU  - Maureen Andinda
Y1  - 2020/09/24
PY  - 2020
N1  - https://doi.org/10.11648/j.sjcm.20200903.15
DO  - 10.11648/j.sjcm.20200903.15
T2  - Science Journal of Clinical Medicine
JF  - Science Journal of Clinical Medicine
JO  - Science Journal of Clinical Medicine
SP  - 68
EP  - 73
PB  - Science Publishing Group
SN  - 2327-2732
UR  - https://doi.org/10.11648/j.sjcm.20200903.15
AB  - Background: Maternal and neonatal morbidity and mortality are major public health concerns in most developing countries and in under resourced settings. Increasing the proportion of babies that are delivered in health facilities is an important factor in reducing the health risks to both the mother and the baby. In Uganda’s skilled birth attendance is 58% of antenatal care mothers. Objective: The study assessed factors influencing the choice of place of delivery among women of reproductive age in Ngenge Sub County, Kween District- Sebei Sub region, Eastern Uganda. Methodology: The study design was cross-sectional in which data were collected using an interviewer administered structured questionnaire and analyzed using Epi info version 7.2. Results: A total of 350 mothers were interviewed of which 82% were married. Delivery under skilled attendance was 46%. Chances of delivering at the health facility decreased with increase in age (p=0.001), with increased parity (p=0.002), and increased with higher household income (p=0.011), and among mothers and their partners who had higher level of education (p=0.031, 0.024 respectively). The factors which influenced delivery in the health facility included: short waiting time at the health facility before receiving health care services, good attitude of the health care workers, and adequate birth preparedness during ANC. The factors which influenced delivery elsewhere included; the far distances to the nearest health facility, low education of mothers and their partners, increased maternal age, low household income, high parity, poor decision making and high perception of the mothers about the care provided by TBAs. Conclusion: The study concludes that skilled delivery was low at 46% way-below the national target of 95%. The factors statistically associated with choice of place of delivery included: waiting time at the health facility, attitude of the health care workers, birth preparedness during ANC, distance to the nearest health facility, level of education of mothers and their partners, maternal age, household income, parity of mothers, decision making, and perception of the mothers about the care provided by TBAs.
VL  - 9
IS  - 3
ER  -

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