DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20221513

Factors associated with home delivery and outcomes: a case study of homesteads in Kapoeta North County, South Sudan

Ramzy Muorwel Matueny, Mbaruk Abdulla Suleiman, Joseph N. Juma

Abstract


Background: Delivering infants in homesteads is still considered the norm in many parts of the world. However, the practice is fraught with health risks for both pregnant women and newborns. Kapoeta North County in the eastern part of South Sudan is known to have high levels of maternal and infant deaths with an estimated 97.8% of women delivering outside health facilities.  This study investigated demographic, socio-economic, and health system factors associated with home deliveries in Kapoeta North County, South Sudan.

Methods: A cross-sectional analytical research design was used. A sample of 400 women of reproductive age who had delivered in the past six months were interviewed. Cluster, stratified and simple random sampling were used to identify the study areas and to select study respondents. Quantitative and qualitative techniques of data collection were employed.

Results: Homestead delivery was found to be high, 272 (68%) women of reproductive age delivered at home. Being educated (OR=9.93, 95% CI: 2.56-38.47), distance to the health facility (OR=10.87, 95% CI: 0.04-0.20), gender of the birth attendant (OR=2.61, 95% CI: 1.25-5.45) and availability of the amenities (OR=1.83, 95% CI: 0.86-3.90) were significantly associated with home delivery. 

Conclusions: The study concluded that homestead delivery at Kapoeta North County of South Sudan is high at 68%. There is a need for expansion of the health infrastructure, financial empowerment of the vulnerable women, and improved awareness through social media about the consequences of delivering at home.

 


Keywords


Factors associated with home delivery, Home delivery, Home outcomes, Women of reproductive age, Health care facilities

Full Text:

PDF

References


Sinkamba T. Women ’ s Health science journal factors associated with home deliveries in Katondwe, Luangwa District table of contents. Women’S Heal Sci J. 2019;3(2):1-38.

Mendez A, Sawan M. Chronic monitoring of bladder volume: A critical review and assessment of measurement methods. Can J Urol. 2015;18(1):5504-16.

Say L, Chou D, Gemmill A, Tunçalp Ö, Moller AB, Daniels J, et al. Global causes of maternal death: A WHO systematic analysis. Lancet Glob Heal. 2014; 2(6):323-33.

Tura G, Fantahun M, Worku A. The effect of health facility delivery on neonatal mortality: Systematic review and meta-analysis. BMC Pregn Childbirth. 2013;13(1):1-9.

Alkema L, Chou D, Hogan D, Zhang S, Moller AB, Gemmill A, et al. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. Lancet. 2016;387 (10017):462-74.

Makuei G, Abdollahian M, Marion K. Optimal profile limits for maternal mortality rate (MMR) in South Sudan. BMC Preg Childbirth. 2018;18(1):1-12.

Macharia PM, Ouma PO, Gogo EG, Snow RW, Noor AM. Spatial accessibility to basic public health services in South Sudan. Geospat Health. 2022;12(1):510.

Ogolla JO. Factors associated with home delivery in West Pokot County of Kenya. Adv Public Heal. 2015; 2015:1-6.

Chernet AG, Dumga KT, Cherie KT. Home Delivery Practices and Associated Factors in Ethiopia. J Reprod Infertil. 2019;20(2):102.

Moindi RO, Ngari MM, Nyambati VCS, Mbakaya C. Why mothers still deliver at home: Understanding factors associated with home deliveries and cultural practices in rural coastal Kenya, a cross-section study Global health. BMC Public Health. 2016;16(1):1-8.

Gitobu CM, Gichangi PB, Mwanda WO. The effect of Kenya’s free maternal health care policy on the utilization of health facility delivery services and maternal and neonatal mortality in public health facilities. BMC Preg Childbirth. 2018;18(1):1-11.

Gebremichael SG, Fenta SM. Determinants of institutional delivery in Sub-Saharan Africa: findings from Demographic and Health Survey (2013-2017) from nine countries. Trop Med Health. 2021;49(1):45-9.

Kimario FF, Festo C, Shabani J, Mrisho M. Determinants of Home Delivery among Women Aged 15-24 Years in Tanzania. Int J MCH AIDS. 2020;9(2): 191-9.

Bado AR, Badolo H, Johnson E, Komboigo EB, Padonou SGR, Diawara F. Factors associated with home births in benin and mali: evidence from the recent demographic and health surveys. Front Reprod Heal. 2022;10:9.

Rahman MA, Rahman MA, Rawal LB, Paudel M, Howlader MH, Khan B, et al. Factors influencing place of delivery: Evidence from three south-Asian countries. PLoS One. 2021;16(4):e0250012.

Kifle MM, Kesete HF, Gaim HT, Angosom GS, Araya MB. Health facility or home delivery? Factors influencing the choice of delivery place among mothers living in rural communities of Eritrea. J Heal Popul Nutr. 2018;37(1):1-15.

Solanke BL, Rahman SA. Multilevel analysis of factors associated with assistance during delivery in rural Nigeria: Implications for reducing rural-urban inequity in skilled care at delivery. BMC Preg Childbirth. 2018;18(1):1-15.

Thaddeus S, Maine D. Too far to walk: maternal mortality in context. Soc Sci Med. 1994;38(8):1091-110.

Scott NA, Henry EG, Kaiser JL, Mataka K, Rockers PC, Fong RM, et al. Factors affecting home delivery among women living in remote areas of rural Zambia: a cross-sectional, mixed-methods analysis. Int J Womens Health. 2018;10:589-601.

Govender V, Penn-Kekana L. Gender biases and discrimination: a review of health care interpersonal interactions. Glob Public Health. 2008;3(1):90-103.

Nyongesa C, Xu X, Hall JJ, Macharia WM, Yego F, Hall B. Factors influencing choice of skilled birth attendance at ANC: Evidence from the Kenya demographic health survey. BMC Preg Childbirth. 2018;18(1):1-6.

Karanja S, Gichuki R, Igunza P, Muhula S, Ofware P, Lesiamon J, et al. Factors influencing deliveries at health facilities in a rural Maasai Community in Magadi sub-County, Kenya. BMC Preg Childbirth. 2018;18(1):1-11.