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Factors associated with health facility deliveries among mothers living in hospital catchment areas in Rukungiri and Kanungu districts, Uganda.
- Source :
-
BMC pregnancy and childbirth [BMC Pregnancy Childbirth] 2021 Apr 26; Vol. 21 (1), pp. 329. Date of Electronic Publication: 2021 Apr 26. - Publication Year :
- 2021
-
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.<br />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.<br />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)].<br />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.
- Subjects :
- Adult
Cross-Sectional Studies
Demography
Female
Health Services Accessibility
Humans
Patient Acceptance of Health Care statistics & numerical data
Pregnancy
Rural Health Services economics
Rural Health Services standards
Rural Health Services statistics & numerical data
Socioeconomic Factors
Uganda epidemiology
Birth Setting statistics & numerical data
Birthing Centers economics
Birthing Centers standards
Delivery, Obstetric economics
Delivery, Obstetric methods
Delivery, Obstetric statistics & numerical data
Maternal Health Services organization & administration
Private Facilities standards
Private Facilities statistics & numerical data
Public Facilities standards
Public Facilities statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1471-2393
- Volume :
- 21
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- BMC pregnancy and childbirth
- Publication Type :
- Academic Journal
- Accession number :
- 33902472
- Full Text :
- https://doi.org/10.1186/s12884-021-03789-3