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Research article
Magnitude of Home Delivery and Associated Factors Among Child Bearing Age Mothers in Sherkole District, Benishangul Gumuz Regional State-Western-Ethiopia.
Resom Berhe Gebremariam
University of Gondar College of Medicine and Health Sciences
Corresponding Author
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Background: The World Health Organization estimates that globally only 43 percent of women have access to skilled care during deliveries and the rest are exposed to unskilled delivery service. A recent Ethiopian Demographic and Health Survey report stated that maternal death was 412 per 100,000 in 2016.This still indicates that maternal health remains a major public health problem in Ethiopia irrespective of the government’s measure to institutional delivery. Therefore, the aim of this study was to assess the magnitude of home delivery and associated factors among women of child bearing age in Sherkole district, Western Ethiopia.
Methods: - A community based cross sectional study was conducted among women aged 15-49 years in Sherkole district, Benishangul Gumuz region from January to June 2018. A total of 451 randomly selected women were included in the study. Stratified sampling followed by simple random sampling technique was used to select the study participants. Data were collected using pretested and structured questionnaires. Bivariate and multivariate logistic regression models were fitted to identify factors associated with home delivery among women in the child bearing age. An adjusted odds ratio with a 95% confidence interval was computed to determine the level of significance.
Results: The magnitude of home delivery was 353 (80%) and were assisted by non-skilled birth attendants. Mothers whose husband chooses the place of delivery [AOR: 5.6, 95% CI (2.1-15.2), Mothers’ occupation ([AOR: 0.21 95% C I (0.08-0.57), ANC visit [AOR: 95 CI: 5.1(1.6-15.8), decision making [AOR: 95 CI: 0.3(0.01-0.7)] and traditional remedies [AOR: 95%CI: 0.03 (0.01-0.09)] were significantly associated with home delivery.
Conclusions: Based on the findings of the survey, it was concluded that the overall magnitude of home delivery was found to be high. Therefore, it is recommended that the promotion of antenatal care follow-up with maternal and child health information particularly on delivery complications or danger signs needs due attention and remedial actions. In addition, it is empirical to study the need and the feasibility of introducing defaulter tracing mechanisms in ANC services, by learning from experiences of settings that have already adopted it.
Keywords
Home delivery, Women’s in the child bearing age, Sherkole.
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Posted 18 May, 2020
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Editor assigned
On 05 May, 2020
Editor invited
On 04 May, 2020
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On 10 Jan, 2020
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Editorial decision: Minor revision
On 29 Apr, 2020
Review #1 received
Received 28 Apr, 2020
Reviewer #1 agreed
On 20 Apr, 2020
Editor assigned
On 07 Apr, 2020
Reviewers invited
Invitations sent on 07 Apr, 2020
Submission checks complete
On 06 Apr, 2020
Editor invited
On 06 Apr, 2020
No comments provided
Editorial decision: Major revision
On 02 Apr, 2020
Review #2 received
Received 24 Mar, 2020
Reviewer #2 agreed
On 23 Mar, 2020
Review #1 received
Received 10 Jan, 2020
Reviewer #1 agreed
On 16 Oct, 2019
Reviewers invited
Invitations sent on 11 Oct, 2019
Editor assigned
On 07 Aug, 2019
Submission checks complete
On 06 Aug, 2019
Editor invited
On 06 Aug, 2019
First submitted
On 03 Aug, 2019
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This preprint is under consideration at BMC Public Health. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Magnitude of Home Delivery and Associated Factors Among Child Bearing Age Mothers in Sherkole District, Benishangul Gumuz Regional State-Western-Ethiopia.
Resom Berhe Gebremariam
University of Gondar College of Medicine and Health Sciences
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Review
Version 3
Posted 18 May, 2020
No community comments so far
Editor assigned
On 05 May, 2020
Editor invited
On 04 May, 2020
Submission checks complete
On 10 Jan, 2020
No comments provided
Editorial decision: Minor revision
On 29 Apr, 2020
Review #1 received
Received 28 Apr, 2020
Reviewer #1 agreed
On 20 Apr, 2020
Editor assigned
On 07 Apr, 2020
Reviewers invited
Invitations sent on 07 Apr, 2020
Submission checks complete
On 06 Apr, 2020
Editor invited
On 06 Apr, 2020
No comments provided
Editorial decision: Major revision
On 02 Apr, 2020
Review #2 received
Received 24 Mar, 2020
Reviewer #2 agreed
On 23 Mar, 2020
Review #1 received
Received 10 Jan, 2020
Reviewer #1 agreed
On 16 Oct, 2019
Reviewers invited
Invitations sent on 11 Oct, 2019
Editor assigned
On 07 Aug, 2019
Submission checks complete
On 06 Aug, 2019
Editor invited
On 06 Aug, 2019
First submitted
On 03 Aug, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: The World Health Organization estimates that globally only 43 percent of women have access to skilled care during deliveries and the rest are exposed to unskilled delivery service. A recent Ethiopian Demographic and Health Survey report stated that maternal death was 412 per 100,000 in 2016.This still indicates that maternal health remains a major public health problem in Ethiopia irrespective of the government’s measure to institutional delivery. Therefore, the aim of this study was to assess the magnitude of home delivery and associated factors among women of child bearing age in Sherkole district, Western Ethiopia.
Methods: - A community based cross sectional study was conducted among women aged 15-49 years in Sherkole district, Benishangul Gumuz region from January to June 2018. A total of 451 randomly selected women were included in the study. Stratified sampling followed by simple random sampling technique was used to select the study participants. Data were collected using pretested and structured questionnaires. Bivariate and multivariate logistic regression models were fitted to identify factors associated with home delivery among women in the child bearing age. An adjusted odds ratio with a 95% confidence interval was computed to determine the level of significance.
Results: The magnitude of home delivery was 353 (80%) and were assisted by non-skilled birth attendants. Mothers whose husband chooses the place of delivery [AOR: 5.6, 95% CI (2.1-15.2), Mothers’ occupation ([AOR: 0.21 95% C I (0.08-0.57), ANC visit [AOR: 95 CI: 5.1(1.6-15.8), decision making [AOR: 95 CI: 0.3(0.01-0.7)] and traditional remedies [AOR: 95%CI: 0.03 (0.01-0.09)] were significantly associated with home delivery.
Conclusions: Based on the findings of the survey, it was concluded that the overall magnitude of home delivery was found to be high. Therefore, it is recommended that the promotion of antenatal care follow-up with maternal and child health information particularly on delivery complications or danger signs needs due attention and remedial actions. In addition, it is empirical to study the need and the feasibility of introducing defaulter tracing mechanisms in ANC services, by learning from experiences of settings that have already adopted it.