Why women deliver at home after attending three or more antenatal care visits in Sebeta woreda, Oromia, Ethiopia.
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Date
2020-12
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Addis Abeba University
Abstract
Background: Even though government of Ethiopia strives to increase quality of health care,
maternal death remains a big challenge. Antenatal care (ANC) visit and health facility delivery
care are the key interventions to reduce maternal and child death. In Ethiopia, 74% of women
received antenatal care from a skilled provider at least once for their last pregnancy, fifty
percent of them (50%) were delivered by a skilled provider and 48% gave birth in health
facility. So this data shows that there are still a number of women who deliver at home.
Objective: This study aimed at to explore the reason of home delivery among women
attending three or more Antenatal care visits in Sebeta Hawas.
Method: Community based qualitative descriptive study was conducted. Ten In-depth
interviews were conducted with women who had home delivery after attending three and more
ANC visits one year preceding the study. Ten in-depth interviews were also conducted with
Spouse, Traditional birth attendants, Women development army leaders (WDA), Medical
director and health extension workers. The participants were purposively selected from Sebeta
rural kebeles .A semi structured interview guide was used to collect data. The in-depth
interviews were tape-recorded, transcribed and then the transcripts were analyzed by using
inductive thematic analysis method. The open code soft ware version 4.02 was used for coding
and categorization.
Result: Knowledge and perception related barriers(lack of knowledge, low risk perception and
perception of bad care),culture and norm related barrier(refuse to comply on decision making,
gender role and pressure, traditional belief and practice and socio-economic inaccessibility) and
health service and health care provider relate barrier were contributed for home delivery.
Conclusion and Recommendation: Despite efforts have been taken to reduce home delivery,
various factors deters women from facility delivery after attending subsequent ANC visits. It
needs to design strategies to improve utilization of facility delivery that focuses on
improvement of quality of care, and women empowerment.
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Keywords
Skilled birth attendance, Sebeta Woreda, Home delivery, Reasons of home delivery, Qualitative descriptive.