The use of facilities for labour and delivery: the views of women in rural Uganda
The use of facilities for labour and delivery: the views of women in rural Uganda
The aim of the paper is to explore factors associated with home or hospital delivery in rural Uganda. Qualitative interviews with recently-delivered women in rural Uganda and statistical analysis of data from the 2011 Ugandan Demographic and Health Survey (DHS) to assess the association between socio-demographic and cultural factors and delivery location in multivariable regression models. In the DHS, 61.7% (of 4907) women had a facility-based delivery (FBD); in adjusted analyses, FBD was associated with an urban setting [adjusted odds ratio (aOR) 3.38, 95% confidence interval (CI) 2.66 to 4.28)], the upper wealth quintile (aOR: 3.69, 95%CI 2.79 to 3.87) and with secondary education (aOR: 3.07, 95%CI 2.37 to 3.96). In interviews women quoted costs and distance as barriers to FBD. Other factors reported in interviews to be associated with FBD included family influence, perceived necessity of care (weak women needed FBD), and the reputation of the facility (women bypassed local facilities to deliver at better hospitals). Choosing a FBD is a complex decision and education around the benefits of FBD should be combined with interventions designed to remove barriers to FBD.
89
Newell, Marie-Louise
c6ff99dd-c23b-4fef-a846-a221fe2522b3
Newell, Marie-Louise
c6ff99dd-c23b-4fef-a846-a221fe2522b3
Newell, Marie-Louise
(2017)
The use of facilities for labour and delivery: the views of women in rural Uganda.
Journal of Public Health in Africa, 8 (1), , [597].
(doi:10.4081/jphia.2017.592).
Abstract
The aim of the paper is to explore factors associated with home or hospital delivery in rural Uganda. Qualitative interviews with recently-delivered women in rural Uganda and statistical analysis of data from the 2011 Ugandan Demographic and Health Survey (DHS) to assess the association between socio-demographic and cultural factors and delivery location in multivariable regression models. In the DHS, 61.7% (of 4907) women had a facility-based delivery (FBD); in adjusted analyses, FBD was associated with an urban setting [adjusted odds ratio (aOR) 3.38, 95% confidence interval (CI) 2.66 to 4.28)], the upper wealth quintile (aOR: 3.69, 95%CI 2.79 to 3.87) and with secondary education (aOR: 3.07, 95%CI 2.37 to 3.96). In interviews women quoted costs and distance as barriers to FBD. Other factors reported in interviews to be associated with FBD included family influence, perceived necessity of care (weak women needed FBD), and the reputation of the facility (women bypassed local facilities to deliver at better hospitals). Choosing a FBD is a complex decision and education around the benefits of FBD should be combined with interventions designed to remove barriers to FBD.
Text
592-3636-2-PB
- Version of Record
Text
Becky Newell Submitted AJPH
More information
Accepted/In Press date: 14 June 2017
e-pub ahead of print date: 4 September 2017
Organisations:
Human Development & Health
Identifiers
Local EPrints ID: 411922
URI: http://eprints.soton.ac.uk/id/eprint/411922
PURE UUID: f0c81ada-4705-4489-85eb-cc97539d3708
Catalogue record
Date deposited: 30 Jun 2017 16:30
Last modified: 16 Mar 2024 05:29
Export record
Altmetrics
Download statistics
Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.
View more statistics
