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|Title: ||FACTORS AFFECTING CHOICE OF DELIVERY PLACE AMONG WOMEN’S IN HARAMAYA WOREDA, EAST HARARGE ADMINISTRATIVE ZONE ETHIOPIA,2011|
|Authors: ||HAYMANOT, MEZMUR|
|Advisors: ||BERHANU DESALGNE (BSc, MPH)|
|Copyright: ||May-2011 |
|Date Added: ||10-May-2012 |
|Abstract: ||Back ground: Majority of the maternal deaths that occur especially in developing countries are avoidable or preventable. Choice and preference for childbirth location are not merely a matter of women‘s unrestricted ability to specify preference and act accordingly, but are shaped and modified by the tempering socio-economic effects of the contextual environment in which they arise. They are likely to be at least partially determined by available options, possibilities, and limitations on the realization of preference.
Objective: This study was aimed to assess the factors affecting women‘s choice of delivery place. Like the role of, socio-economic, demographic factors and past obstetrical factors in determining the place of delivery among women in Haramaya woreda.
Method: A community based cross-sectional study combined both quantitative and qualitative method was employed from October, 2010-May, 2011.The quantitative data was collected from 458 women of age 15-49 that experienced delivery and pregnancy. Multistage sampling technique was utilized to select the study subjects for quantitative survey. Structured interviewer administered questionnaire was used to collect data. For the qualitative study focus group discussions (FGDs) was chosen as the tool for data collection. The participants were purposely selected from different kebeles in the study area. Two FGDs were conducted. Trained supervisors, data collectors and note takers were used in data collection. Quantitative data was entered using Epi Info version 3.5.1 and was analyzed using SPSS Version 13 statistical package. Descriptive statistics and associations between variables were assessed by using multivariate regression both crud odds Ratios and adjusted odds ratio were done at 95% CIs. Qualitative data was transcribed, translated, coded, classified segment by segment, categories and themes were developed to answer the research questions.
Results: A total of 458 women participated in the quantitative survey. One third of women were age 35 and above, 118(25.8%) were aged between 25-29years. 247(53.9%) of women were illiterate, 109(23.8%) get primary education, only 55(12%) attend secondary education and above. 58.7% of women choice home as delivery place and 41.3% choice health facilities. Age, education of women, education of husband, occupation of husband, attending antenatal care, having health information, traditional remedies during child birth at home and provider approach to ward laboring women were found significant predictors on the choice of delivery place. The FGDs identified distance, transport problem, lack of decision making power, economic constraint and need of privacy and support person as important predictors for choice of delivery place.
Conclusion and recommendations: This study confirmed that age of the respondent, women education, husband education, husband occupation, attending ANC, having information on the benefit of health institution delivery, reliance on tradition, distance and provider approach toward laboring women were significant predictors for the choice of women delivery place. More effort should be given to educate women. The government and other responsible bodies should make efforts to increase community based health education, awareness creation and improve better access to information for women regarding maternal health care will be imperative. Zonal Health Administration in collaboration with the woreda should provide means of transport (ambulance) to encourage referral between communities and health care providers.|
|Appears in:||Thesis - Nursing|
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