Background
Methods
Study area
Study design
Size of the study
Study population
Data management and statistical analysis
Ethical considerations
Results
Characteristics | Delivered at home (N = 103) | Delivered in a health facility (N = 291) | Overall (N = 394) |
P-value |
---|---|---|---|---|
Age in years Mean (sd) | 27.4 (6.1) | 25.4 (5.3) | 25.9 (5.6) | 0.002 |
Marital Status N (%) | ||||
Married | 91 (25) | 262 (72) | 365 (90) | |
Divorced | 4 (36) | 7 (64) | 11 (2.7) | 0.43 |
Widowed | 3 (50) | 3 (50) | 6 (1.5) | |
Single/never married | 5 (20) | 19 (76) | 25 (6.1) | |
Type of marriage | ||||
Monogamy | 75 (23) | 244 (74) | 328 (80) | |
Polygamy | 23 (44) | 26 (50) | 52 (13) | <0.0001 |
Others | 0 | 13 (100) | 13 (3.2) | |
Missing | 5 (29) | 8 (47) | 17 (3.2) | |
Number of children | ||||
One child | 16 (12) | 109 (85) | 129 (31) | |
2 to 4 children | 56 (28) | 139 (69) | 202 (49) | <0.0001 |
5 children and above | 31 (39) | 43 (54) | 79 (19) | |
Religion | ||||
Christian | 79 (25) | 227 (72) | 316 (77) | |
Muslim | 24 (26) | 64 (70) | 91 (22) | <0.0001 |
Level of education | ||||
None | 26 (39) | 36 (55) | 66 (16) | |
Primary level | 63 (26) | 172 ( | 242 (59) | 0.001 |
Secondary level | 12 (18) | 54 (82) | 66 (16) | |
Post-secondary level | 2 (6.3) | 28 (88) | 32 (7.8) | |
Partner Characteristics | ||||
Age in years Mean (sd) | 33.0 (8.6) | 31.0 (6.8) | 31.5 (7.3) | 0.02 |
Level of education | ||||
None | 13 (43) | 16 (53) | 30 (7.3) | |
Primary level | 51 (28) | 126 (69) | 183 (45) | 0.001 |
Secondary level | 29 (24) | 91 (74) | 123 (30) | |
Post-secondary level | 6 (13) | 39 (85) | 46 (11) | |
Partner the decision maker | 79 (24) | 248 (76) | 338 (86) | 0.02 |
Partner the bread winner | 85 (26) | 242 (74) | 338 (86) | 0.24 |
Distance from household to the nearest hospital | ||||
<5 kms | 26 (15) | 151 (85) | 179 (44) | |
5 to 10 Kms | 36 (28) | 94 (72) | 137 (34) | <0.0001 |
≥10 Kms | 25 (45) | 30 (55) | 58 (14) | |
Don’t Know | 16 (52) | 15 (48) | 32 (8) |
Characteristics (N = 103) |
N (%) |
---|---|
Why did you deliver at home? | |
Onset of labor before the expected date | 33 (32) |
Hospital is too far | 12 (12) |
Home delivery is easy & convenient | 11 (11) |
All my previous deliveries were at home | 9 (8.7) |
Worries about cost in the hospital | 8 (7.8) |
Missing | 30 (29) |
Where exactly at home did you deliver?a
| |
In a room | 47 (46) |
Inside the house | 44 (43) |
Outside the house | 7 (6.9) |
On the way | 4 (3.9) |
Who assisted or attended to you during delivery?b
| |
Mother-in-law | 29 (28) |
Mother | 19 (18) |
Traditional birth attendant | 18 (17) |
Neighbour | 10 (9.7) |
No attendant | 10 (9.7) |
Other family members | 6 (5.8) |
Skilled birth attendant | 5 (4.9) |
In what position did you deliver? | |
Lying down | 43 (42) |
Squatting | 29 (28) |
Kneeling | 19 (18) |
Others /Standing/Missing | 12 (12) |
What was the surface of delivery?b
| |
Clean washed cloth/surface | 49 (48) |
On unwashed cloth/surface | 26 (25) |
On the ground | 22 (21) |
Health facility factors made you deliver at home?c
| |
Distance | 56 (54) |
Health workers attitudes | 20 (19) |
Cost | 12 (12) |
Characteristics | Delivered at home (N = 103) | Delivered in a health facility (N = 291) | Overall (N = 394) |
P-value |
---|---|---|---|---|
In the last pregnancy, did you plan to deliver at home? | 35 (34) | 30 (10) | 65 (17) | <0.0001 |
In the last pregnancy, did you attend antenatal care? | 86 (84) | 277 (95) | 363 (92) | <0.0001 |
When did you start antenatal care?a
| ||||
First trimester | 21 (19) | 88 (30) | 109 (27) | |
Second trimester | 50 (49) | 145 (50) | 195 (50) | 0.303 |
Third trimester | 16 (16) | 43 (15) | 59 (15) | |
During last pregnancy, how many times did you attend the ANC?b
| ||||
Once | 11 (11) | 15 (5.2) | 26 (6.6) | |
Twice | 17 (17) | 41 (14) | 58 (15) | |
Thrice | 17 (17) | 79 (27) | 96 (24) | 0.109 |
4 times | 24 (23) | 73 (25) | 97 (24) | |
5 times and above | 16 (16) | 67 (23) | 83 (21) | |
During the last pregnancy and in your own opinion, how was the ANC care and treatment?a
| ||||
Bad | 5 (4.9) | 5 (1.7) | 10 (2.5) | |
Good | 63 (61 | 185 (64) | 248 (63) | |
Better | 13 (13) | 46 (16) | 59 (15) | 0.04 |
Excellent | 5 (4.9) | 41 (14) | 46 (12) | |
Advised on the mode of delivery during the ANC visits? | 61 (59) | 236 (81) | 297 (75) | 0.007 |
There is a difference between delivering at home and delivering at the hospital | 69 (67) | 270 (93) | 339 (86) | <0.0001 |
It is dangerous to deliver at home | 68 (66) | 270 (93) | 338 (86) | <0.0001 |
What is your view on the services offered by TBA’s in the management of home deliveries? | ||||
Good | 45 (44) | 37 (13) | 82 (21) | |
Essential | 26 (25) | 63 (22) | 89 (23) | |
Bad | 23 (22) | 180 (62) | 203 (52) | <0.0001 |
Better | 9 (8.7) | 11 (3.8) | 20 (5.1) |
Variable | Crude Risk ratios (95 % CI) |
P-value | Adjusted Risk ratios (95 % CI) |
P-value |
---|---|---|---|---|
Age in years | 1.04 (1.02 to 1,07) | <0.0001 | 1.06 (0.99 to 1.23) | 0.10 |
Partners age in years | 1.02 (1.01 to 1.04) | 0.009 | 0.98 (0.93 to 1.03) | 0.46 |
Marital Status | ||||
Married | 1.0 | Reference | ||
Divorced | 1.41 (0.63 to 3.14) | 0.40 | ||
Widowed | 1.94 (0.85 to 4.40) | 0.11 | ||
Single/never married | 0.81 (0.36 to 1.80) | 0.60 | ||
Type of marriage | ||||
Monogamy | 1.0 | Reference | 1.0 | Reference |
Polygamy | 1.99 (1.40 to 2.85) | <0.0001 | 1.30 (0.75 to 2.23) | 0.35 |
Number of children | ||||
One child | 1.0 | Reference | 1.0 | Reference |
2 to 4 children | 2.24 (1.35 to 3.73) | 0.002 | 1.80 (0.92 to 3.50) | 0.08 |
5 children and above | 3.27 (1.93 to 5.56) | <0.0001 | 1.35 (0.56 to 3.26) | 0.51 |
Religion | ||||
Christian | 1.0 | Reference | ||
Muslim | 1.06 (0.71 to 1.56) | 0.78 | ||
Level of education | ||||
None | 1.0 | Reference | 1.0 | Reference |
Primary level | 0.64 (0.45 to 0.92) | 0.02 | 0.89 (0.51 to 1.58) | 0.71 |
Secondary level | 0.43 (0.24 to 0.78) | 0.005 | 0.65 (0.27 to 1.59) | 0.35 |
Post-secondary level | 0.16 (0.04 to 0.63) | 0.009 | 0.24 (0.05 to 1.25) | 0.09 |
Partners Level of education | ||||
None | 1.0 | Reference | 1.0 | Reference |
Primary level | 0.64 (0.40 to 1.02) | 0.06 | 0.69 (0.34 to 1.42) | 0.32 |
Secondary level | 0.54 (0.32 to 0.91) | 0.02 | 0.65 (0.29 to 1.46) | 0.29 |
Post-secondary level | 0.30 (0.13 to 0.69) | 0.005 | 0.55 (0.16 to 1.86) | 0.34 |
Distance from household to the nearest hospital | ||||
<5 kms | 1.0 | Reference | 1.0 | Reference |
5 to 10 Kms | 1.89 (1.20 to 2.96) | 0.006 | 1.58 (0.89 to 2.80) | 0.12 |
≥10 Kms | 3.09 (1.96 to 4.89) | <0.0001 | 3.86 (2.13 to 7.02) | <0.0001 |
Don’t Know | 3.51 (2.15 to 5.75) | <0.0001 | 2.95 (1.48 to 5.90) | 0.002 |