Potential factors associated with institutional childbirth among women in rural villages of Lao People’s Democratic Republic: a preliminary study
Abstract Background The provision of quality health services has been a global priority to reduce neonatal and maternal deaths. In Lao People’s Democratic Republic (Lao PDR), the coverage of institutional childbirth stayed at a low level regardless of a sharp increase in the coverage of antenatal ca...
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| Format: | Article |
| Language: | English |
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BMC
2020-02-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12884-020-2776-7 |
| _version_ | 1828948470284681216 |
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| author | Sayaka Horiuchi Bounthanome Nakdouangma Thipphaphone Khongsavat Shogo Kubota Kazue Yamaoka |
| author_facet | Sayaka Horiuchi Bounthanome Nakdouangma Thipphaphone Khongsavat Shogo Kubota Kazue Yamaoka |
| author_sort | Sayaka Horiuchi |
| collection | DOAJ |
| description | Abstract Background The provision of quality health services has been a global priority to reduce neonatal and maternal deaths. In Lao People’s Democratic Republic (Lao PDR), the coverage of institutional childbirth stayed at a low level regardless of a sharp increase in the coverage of antenatal care (ANC) and fee exemption. The aim of the present study was to preliminary explore factors associated with increased institutional childbirth and the association between ANC attendance and maternal knowledge among women in rural villages of Lao PDR. Methods A secondary data analysis was conducted using data collected through a pilot survey in Sekong province in Lao PDR. The study participants were women with children under 5 years of age in villages within 10 km (km) from health centers staffed with skilled birth attendants. Data were collected via a face-to-face interview using a semi-structured questionnaire and were analysed using logistic regression models to estimate odds ratios (ORs) and their 95% confidence intervals (CIs) for having institutional childbirth in relation to potential factors. Results A total of 302 women, 203 (67.2%) of whom gave birth at a health facility. 277 (91.7%) attended ANC at least once. Sixty-nine women (22.9%) had received no formal education, 272 (90.1%) were of an ethnic minority, 174 (57.6%) were unwaged and 99 (32.8%) lived more than 6 km from the nearest health facility. 51 (16.6%) did not know about birth complications at interview. Institutional childbirth was negatively associated with a lack of maternal knowledge about birth complications (OR, 0.27; 95% Cl, 0.14–0.54) after adjusting for covariates. Although there were few women who did not received ANC, the results suggested ANC might not be associated with maternal knowledge about birth complications (OR, 1.87; 95% Cl, 0.43–8.12). Conclusions The present study suggests that maternal knowledge about birth complications is an important factor in increasing the institutional childbirth in rural villages of Lao PDR where majority of residents were ethnic minority. Improving quality of ANC and attitude among health care providers may be key to increasing health-seeking behavior. However, further research is needed to understand factors influencing choice of place of childbirth. |
| first_indexed | 2024-12-14T05:48:15Z |
| format | Article |
| id | doaj.art-635c9378d53f41a496ff8e50f30041de |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-12-14T05:48:15Z |
| publishDate | 2020-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-635c9378d53f41a496ff8e50f30041de2022-12-21T23:14:48ZengBMCBMC Pregnancy and Childbirth1471-23932020-02-012011910.1186/s12884-020-2776-7Potential factors associated with institutional childbirth among women in rural villages of Lao People’s Democratic Republic: a preliminary studySayaka Horiuchi0Bounthanome Nakdouangma1Thipphaphone Khongsavat2Shogo Kubota3Kazue Yamaoka4Teikyo University Graduate School of Public HealthProvincial Health DepartmentProvincial Health DepartmentWorld Health OrganizationTeikyo University Graduate School of Public HealthAbstract Background The provision of quality health services has been a global priority to reduce neonatal and maternal deaths. In Lao People’s Democratic Republic (Lao PDR), the coverage of institutional childbirth stayed at a low level regardless of a sharp increase in the coverage of antenatal care (ANC) and fee exemption. The aim of the present study was to preliminary explore factors associated with increased institutional childbirth and the association between ANC attendance and maternal knowledge among women in rural villages of Lao PDR. Methods A secondary data analysis was conducted using data collected through a pilot survey in Sekong province in Lao PDR. The study participants were women with children under 5 years of age in villages within 10 km (km) from health centers staffed with skilled birth attendants. Data were collected via a face-to-face interview using a semi-structured questionnaire and were analysed using logistic regression models to estimate odds ratios (ORs) and their 95% confidence intervals (CIs) for having institutional childbirth in relation to potential factors. Results A total of 302 women, 203 (67.2%) of whom gave birth at a health facility. 277 (91.7%) attended ANC at least once. Sixty-nine women (22.9%) had received no formal education, 272 (90.1%) were of an ethnic minority, 174 (57.6%) were unwaged and 99 (32.8%) lived more than 6 km from the nearest health facility. 51 (16.6%) did not know about birth complications at interview. Institutional childbirth was negatively associated with a lack of maternal knowledge about birth complications (OR, 0.27; 95% Cl, 0.14–0.54) after adjusting for covariates. Although there were few women who did not received ANC, the results suggested ANC might not be associated with maternal knowledge about birth complications (OR, 1.87; 95% Cl, 0.43–8.12). Conclusions The present study suggests that maternal knowledge about birth complications is an important factor in increasing the institutional childbirth in rural villages of Lao PDR where majority of residents were ethnic minority. Improving quality of ANC and attitude among health care providers may be key to increasing health-seeking behavior. However, further research is needed to understand factors influencing choice of place of childbirth.https://doi.org/10.1186/s12884-020-2776-7Institutional childbirthSkilled birth attendantQuality of antenatal careHealth educationMaternal knowledgeRural village |
| spellingShingle | Sayaka Horiuchi Bounthanome Nakdouangma Thipphaphone Khongsavat Shogo Kubota Kazue Yamaoka Potential factors associated with institutional childbirth among women in rural villages of Lao People’s Democratic Republic: a preliminary study BMC Pregnancy and Childbirth Institutional childbirth Skilled birth attendant Quality of antenatal care Health education Maternal knowledge Rural village |
| title | Potential factors associated with institutional childbirth among women in rural villages of Lao People’s Democratic Republic: a preliminary study |
| title_full | Potential factors associated with institutional childbirth among women in rural villages of Lao People’s Democratic Republic: a preliminary study |
| title_fullStr | Potential factors associated with institutional childbirth among women in rural villages of Lao People’s Democratic Republic: a preliminary study |
| title_full_unstemmed | Potential factors associated with institutional childbirth among women in rural villages of Lao People’s Democratic Republic: a preliminary study |
| title_short | Potential factors associated with institutional childbirth among women in rural villages of Lao People’s Democratic Republic: a preliminary study |
| title_sort | potential factors associated with institutional childbirth among women in rural villages of lao people s democratic republic a preliminary study |
| topic | Institutional childbirth Skilled birth attendant Quality of antenatal care Health education Maternal knowledge Rural village |
| url | https://doi.org/10.1186/s12884-020-2776-7 |
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