Factors associated with health facility delivery in the 12th District of Kandahar City, Kandahar, Afghanistan: A community-based cross-sectional study

Background: Maternal mortality and morbidity are increasing public health concerns in Afghanistan. Even more worrying is maternal death due to causes that can be prevented through maternal healthcare services utilization during pregnancy and delivery. Objectives: We sought to investigate the magnitu...

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Main Authors: Ahmad Khan, Muhammad Haroon Stanikzai, Wali Mohammad Wyar, Abdul Wahed Wasiq, Hadia Sayam
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Indian Journal of Community Medicine
Subjects:
Online Access:http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2022;volume=47;issue=2;spage=172;epage=176;aulast=Khan
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author Ahmad Khan
Muhammad Haroon Stanikzai
Wali Mohammad Wyar
Abdul Wahed Wasiq
Hadia Sayam
author_facet Ahmad Khan
Muhammad Haroon Stanikzai
Wali Mohammad Wyar
Abdul Wahed Wasiq
Hadia Sayam
author_sort Ahmad Khan
collection DOAJ
description Background: Maternal mortality and morbidity are increasing public health concerns in Afghanistan. Even more worrying is maternal death due to causes that can be prevented through maternal healthcare services utilization during pregnancy and delivery. Objectives: We sought to investigate the magnitude of women giving birth in a health facility and its associated factors in the 12th district of Kandahar city, Kandahar province, Afghanistan. Materials and Methods: A community-based cross-sectional study of women who gave birth in the last 2 years in the 12th district of Kandahar city was conducted in early 2021. We used a systematic random sampling method to enroll 850 women. We collected data on sociodemographics, reproductive characteristics, and delivery practices of respondents. Factors associated with health facility delivery were identified using a multivariable logistic regression model. Results: The proportion of women who gave birth at health facilities was 71.8% (confidence interval [CI]; 68.61%–74.77%). In this study, health facility delivery was associated with husbands' education (adjusted odds ratio [AOR] = 3.07, 95% CI: 1.50–6.31), antenatal care (ANC) services utilization (AOR = 17.84, 95% CI: 11.86–26.8), and history of complications in previous births (AOR = 3.65, 95% CI: 2.32–5.74). Conclusion: In this study, the utilization of a health facility for delivery was slightly lower than reported on the national level. Our study found potential factors such as ANC visits, husbands' education, and history of complications in previous births, for which interventions aimed at enhancing the proportion of health facility deliveries.
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spelling doaj.art-2f293c7367b143e1adf78452ac945e392022-12-22T03:00:08ZengWolters Kluwer Medknow PublicationsIndian Journal of Community Medicine0970-02181998-35812022-01-0147217217610.4103/ijcm.ijcm_985_21Factors associated with health facility delivery in the 12th District of Kandahar City, Kandahar, Afghanistan: A community-based cross-sectional studyAhmad KhanMuhammad Haroon StanikzaiWali Mohammad WyarAbdul Wahed WasiqHadia SayamBackground: Maternal mortality and morbidity are increasing public health concerns in Afghanistan. Even more worrying is maternal death due to causes that can be prevented through maternal healthcare services utilization during pregnancy and delivery. Objectives: We sought to investigate the magnitude of women giving birth in a health facility and its associated factors in the 12th district of Kandahar city, Kandahar province, Afghanistan. Materials and Methods: A community-based cross-sectional study of women who gave birth in the last 2 years in the 12th district of Kandahar city was conducted in early 2021. We used a systematic random sampling method to enroll 850 women. We collected data on sociodemographics, reproductive characteristics, and delivery practices of respondents. Factors associated with health facility delivery were identified using a multivariable logistic regression model. Results: The proportion of women who gave birth at health facilities was 71.8% (confidence interval [CI]; 68.61%–74.77%). In this study, health facility delivery was associated with husbands' education (adjusted odds ratio [AOR] = 3.07, 95% CI: 1.50–6.31), antenatal care (ANC) services utilization (AOR = 17.84, 95% CI: 11.86–26.8), and history of complications in previous births (AOR = 3.65, 95% CI: 2.32–5.74). Conclusion: In this study, the utilization of a health facility for delivery was slightly lower than reported on the national level. Our study found potential factors such as ANC visits, husbands' education, and history of complications in previous births, for which interventions aimed at enhancing the proportion of health facility deliveries.http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2022;volume=47;issue=2;spage=172;epage=176;aulast=Khanafghanistandeterminantshealth facility deliverykandahar city
spellingShingle Ahmad Khan
Muhammad Haroon Stanikzai
Wali Mohammad Wyar
Abdul Wahed Wasiq
Hadia Sayam
Factors associated with health facility delivery in the 12th District of Kandahar City, Kandahar, Afghanistan: A community-based cross-sectional study
Indian Journal of Community Medicine
afghanistan
determinants
health facility delivery
kandahar city
title Factors associated with health facility delivery in the 12th District of Kandahar City, Kandahar, Afghanistan: A community-based cross-sectional study
title_full Factors associated with health facility delivery in the 12th District of Kandahar City, Kandahar, Afghanistan: A community-based cross-sectional study
title_fullStr Factors associated with health facility delivery in the 12th District of Kandahar City, Kandahar, Afghanistan: A community-based cross-sectional study
title_full_unstemmed Factors associated with health facility delivery in the 12th District of Kandahar City, Kandahar, Afghanistan: A community-based cross-sectional study
title_short Factors associated with health facility delivery in the 12th District of Kandahar City, Kandahar, Afghanistan: A community-based cross-sectional study
title_sort factors associated with health facility delivery in the 12th district of kandahar city kandahar afghanistan a community based cross sectional study
topic afghanistan
determinants
health facility delivery
kandahar city
url http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2022;volume=47;issue=2;spage=172;epage=176;aulast=Khan
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