Prevalence and factors associated with home childbirth with unskilled birth assistance in Dodoma-Tanzania: A cross sectional study

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dc.contributor.authorMoshi, Fabiola Vincent
dc.contributor.authorLymo, Glorialoveness
dc.contributor.authorGibore, Nyasiro S.
dc.contributor.authorKibusi, Stephen M.
dc.date.accessioned2020-11-24T10:28:04Z
dc.date.available2020-11-24T10:28:04Z
dc.date.issued2020
dc.descriptionFull text article. Also available at https://doi.org/10.24248/eahrj.v4i1.626en_US
dc.description.abstractBackground: 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.en_US
dc.identifier.citationMoshi, F. V., Lymo, G., Gibore, N. S., & Kibusi, S. M. (2020). Prevalence and factors associated with home childbirth with unskilled birth assistance in Dodoma-Tanzania: A cross sectional study. EA Health Research Journal, 4(1), 92-100.en_US
dc.identifier.otherDOI: 10.24248/eahrj.v4i1.626
dc.identifier.urihttp://hdl.handle.net/20.500.12661/2538
dc.language.isoenen_US
dc.publisherEast African Health Research Commissionen_US
dc.subjectHome childbirthen_US
dc.subjectBirth assistanceen_US
dc.subjectMaternal healthen_US
dc.subjectPregnancyen_US
dc.subjectChild mortalityen_US
dc.subjectNeonatalen_US
dc.subjectTanzaniaen_US
dc.subjectChildbirthen_US
dc.subjectBirthen_US
dc.titlePrevalence and factors associated with home childbirth with unskilled birth assistance in Dodoma-Tanzania: A cross sectional studyen_US
dc.typeArticleen_US
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