Factors associated with home births in a selected ward in Mberengwa District, Zimbabwe
Autor: | Auther Maviza, Moreblessings Moyo, Wilfred Njabulo Nunu, Vuyelwa Ndlovu, Oliver Dube |
---|---|
Rok vydání: | 2018 |
Předmět: |
Adult
Male Parents Zimbabwe Geographic Mapping 03 medical and health sciences 0302 clinical medicine Pregnancy Environmental health Surveys and Questionnaires Maternity and Midwifery Humans Obstetrics and Gynecology Department Hospital Home Childbirth Government 030219 obstetrics & reproductive medicine 030504 nursing Marital Status Significant difference Obstetrics and Gynecology Middle Aged Geographic information system software Personnel supervision Geography Case-Control Studies Global positioning system receiver Income Female Pregnant Women 0305 other medical science |
Zdroj: | Midwifery. 68 |
ISSN: | 1532-3099 |
Popis: | Objective Despite many efforts put by the Government to ensure that women give birth in health facilities under trained personnel supervision; statistics suggest that ward 2 in Mberengwa District in Zimbabwe has the highest home births. This study sought to assess factors that are associated with home births in ward 2 of Mberengwa District in Zimbabwe. Design Case- control. Setting Ward 2 in Mberengwa District in Zimbabwe. Participants 35 and 105 women who gave birth at home and facilities, respectively. Methods A piloted researcher administered questionnaire was used to collect data from systematically selected respondents on factors leading to their choice of place to give birth. The home and facility births were geocoded using a Garmin etrex-30 Global Positioning System receiver and exported to Quantum Geographic Information System software for spatial analysis and mapping. Results Factors associated with home births were; being uneducated (2.90, CI 1.08–7.57), unemployed (2.56, CI 1.08–6.23), could not afford facility bills (20.92, 3.19–160.31), and lack of access to Ante Natal Care (23.8, 7.04–90). 69% (24) of cases and 30% (32) of resided within the 5 km radius of health facilities. There was significant difference in levels of knowledge between cases and controls about benefits of giving birth in facilities. Key conclusions and implications for practice It is acknowledged that costs are a huge barrier in accessing antenatal care services. These factors together with others need to be addressed so as to improve access by pregnant women to health facilities. |
Databáze: | OpenAIRE |
Externí odkaz: |
Pro tento záznam nejsou dostupné žádné jednotky.