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Abstract
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Article Information:
Choice of Place for Childbirth: Prevalence and Determinants of Health Facility Delivery Among Women in Bahi District, Central Tanzania
J. Lwelamira and J. Safari
Corresponding Author: J. Lwelamira
Submitted: May 04, 2012
Accepted: May 29, 2012
Published: June 25, 2012 |
Abstract:
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Maternal and child mortalities are among major health problems facing developing countries such as
Tanzania. Most of these deaths can be avoided by utilization of maternity health care services by women, including
seeking delivery care services from health professionals in health facilities. This study was carried out in Bahi
district in central Tanzania with the aim of evaluating the extent of utilization of health facility for delivery and
correlates for its use. The study derives from data collected in a cross-sectional survey conducted in a district in
June, 2008 which involved 3,124 randomly chosen households covering all villages of the district. The study
involved all women from sampled households resident to the area that had ever given birth (delivered) within two
years before the survey. A total of 984 women were involved in the study. Data were analyzed for descriptive
statistics such as frequencies and percentages; as well as Multiple Logistic Regression for identification of factors
associated with delivery in health facility using Statistical Package for Social Sciences (SPSS) version 12. Results
from this study indicated that proportion of women in the study population that uses health facility for delivery and
hence being attended by skilled birth attendants was still low when compared to the national target (54 vs 80%),
indicating more efforts to increase use of health facility for delivery by women in a study population are required.
Likelihood (Odds) for delivery in health facility in a most recent birth was significantly higher for women with
secondary education and above relative those with primary of no formal education (Odds Ratio (OR) = 2.17; 95%
CI, 1.30-3.60); The Odd was also significantly higher for women from high income group compared from those
from low income group (OR = 2.3; 95% CI, 1.23-3.97), as well as for women who had at least four antenatal care
visits during their last pregnancy relative to those never attended (OR = 1.96; 95% CI, 1.20-3.19). Likelihood for
health facility delivery by women decreased significantly with being from other division (location) other than Bahi
division (37 to 48% reduction in Odds); also decreased significantly with living more than 10 km from nearest
health facility compared to those living within 5 km (OR = 0.62; 95% CI, 0.47-0.81) and being in at least third
parity during most recent birth relative to those in first to second parity (OR = 0.74; 95% CI, 0.58-0.94 for 3rd-4th
parity; OR = 0.54, 95% CI, 0.35-0.83 for 5th parity and above). Age and marital status at most recent birth, ethnicity,
religious affiliation and perceived quality of maternity health care services at nearest health facility by a woman had
no effect on odds for reporting delivery in health facility (p>0.05). Based on these findings, recommendations to
increase utilization of health facility for delivery by women in a study population have been indicated.
Key words: Delivery care, maternal mortality, skilled birth attendant, , , ,
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Cite this Reference:
J. Lwelamira and J. Safari, . Choice of Place for Childbirth: Prevalence and Determinants of Health Facility Delivery Among Women in Bahi District, Central Tanzania. Asian Journal of Medical Sciences, (3): 105-112.
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ISSN (Online): 2040-8773
ISSN (Print): 2040-8765 |
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