Perceptional gaps among women, husbands and family members about intentions for birthplace: a cross-sectional study

ABSTRACT Objective: women are more likely to give birth at a health facility when their families agree with the birthplace. However, in rural areas of Tanzania, women are often marginalized from decision-making. This study predicted birthplace intention and identified factors to reduce perceptional...

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Main Authors: Yoko Shimpuku, Frida Elikana Madeni, Shigeko Horiuchi, Sebalda Charles Leshabari
Format: Article
Language:English
Published: Universidade de São Paulo
Series:Revista Latino-Americana de Enfermagem
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692017000100304&lng=en&tlng=en
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author Yoko Shimpuku
Frida Elikana Madeni
Shigeko Horiuchi
Sebalda Charles Leshabari
author_facet Yoko Shimpuku
Frida Elikana Madeni
Shigeko Horiuchi
Sebalda Charles Leshabari
author_sort Yoko Shimpuku
collection DOAJ
description ABSTRACT Objective: women are more likely to give birth at a health facility when their families agree with the birthplace. However, in rural areas of Tanzania, women are often marginalized from decision-making. This study predicted birthplace intention and identified factors to reduce perceptional gaps among pregnant women, husbands and family members. Method: explanatory cross-sectional survey was conducted in three villages in North Eastern Tanzania. Participants were 138 pregnant women and their families who answered the Birth Intention Questionnaire (BIQ), measuring knowledge, attitude, perceived behavioral control, subjective norms and intention for birthplace. Descriptive analysis, ANOVA, Chi-square, and multiple linear regression was used to analyze the data. Results: the regression model showed that knowledge, perceived behavioral control, and subjective norms predicted intention for birthplace (R2 = .28). While 81% of pregnant women thought their husbands were decision-makers for their birth, only 38% of husbands and 37% of family members agreed. Pregnant women had significantly lower scores on the item “I will prepare for childbirth with my family” compared with husbands (p < .01) and other family members (p < .001). Conclusion: providing evidence-based birth preparation and reducing the identified perceptual gaps may enhance women’s intention to deliver at health facilities.
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spelling doaj.art-6b1c365647b041cabcd073485e9e7b6b2022-12-21T19:00:19ZengUniversidade de São PauloRevista Latino-Americana de Enfermagem1518-834525010.1590/1518-8345.1658.2840S0104-11692017000100304Perceptional gaps among women, husbands and family members about intentions for birthplace: a cross-sectional studyYoko ShimpukuFrida Elikana MadeniShigeko HoriuchiSebalda Charles LeshabariABSTRACT Objective: women are more likely to give birth at a health facility when their families agree with the birthplace. However, in rural areas of Tanzania, women are often marginalized from decision-making. This study predicted birthplace intention and identified factors to reduce perceptional gaps among pregnant women, husbands and family members. Method: explanatory cross-sectional survey was conducted in three villages in North Eastern Tanzania. Participants were 138 pregnant women and their families who answered the Birth Intention Questionnaire (BIQ), measuring knowledge, attitude, perceived behavioral control, subjective norms and intention for birthplace. Descriptive analysis, ANOVA, Chi-square, and multiple linear regression was used to analyze the data. Results: the regression model showed that knowledge, perceived behavioral control, and subjective norms predicted intention for birthplace (R2 = .28). While 81% of pregnant women thought their husbands were decision-makers for their birth, only 38% of husbands and 37% of family members agreed. Pregnant women had significantly lower scores on the item “I will prepare for childbirth with my family” compared with husbands (p < .01) and other family members (p < .001). Conclusion: providing evidence-based birth preparation and reducing the identified perceptual gaps may enhance women’s intention to deliver at health facilities.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692017000100304&lng=en&tlng=enInstituições de Cuidados Especializados de EnfermagemParto ObstétricoTocologia
spellingShingle Yoko Shimpuku
Frida Elikana Madeni
Shigeko Horiuchi
Sebalda Charles Leshabari
Perceptional gaps among women, husbands and family members about intentions for birthplace: a cross-sectional study
Revista Latino-Americana de Enfermagem
Instituições de Cuidados Especializados de Enfermagem
Parto Obstétrico
Tocologia
title Perceptional gaps among women, husbands and family members about intentions for birthplace: a cross-sectional study
title_full Perceptional gaps among women, husbands and family members about intentions for birthplace: a cross-sectional study
title_fullStr Perceptional gaps among women, husbands and family members about intentions for birthplace: a cross-sectional study
title_full_unstemmed Perceptional gaps among women, husbands and family members about intentions for birthplace: a cross-sectional study
title_short Perceptional gaps among women, husbands and family members about intentions for birthplace: a cross-sectional study
title_sort perceptional gaps among women husbands and family members about intentions for birthplace a cross sectional study
topic Instituições de Cuidados Especializados de Enfermagem
Parto Obstétrico
Tocologia
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692017000100304&lng=en&tlng=en
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