Prevalence and determinants of home delivery among reproductive age women, Margibi County, Liberia
Abstract Background The use of institutional delivery services is essential for improving maternal and child health. However, studies in Liberia reveal over 20% of women still deliver at home. We assessed the prevalence and associated factors of home delivery among women of reproductive age in Margi...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-08-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12884-022-04975-7 |
| _version_ | 1798038854024822784 |
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| author | Leroy S. Maximore Abdul Gafaru Mohammed Gyesi Razak Issahaku Samuel Sackey Ernest Kenu |
| author_facet | Leroy S. Maximore Abdul Gafaru Mohammed Gyesi Razak Issahaku Samuel Sackey Ernest Kenu |
| author_sort | Leroy S. Maximore |
| collection | DOAJ |
| description | Abstract Background The use of institutional delivery services is essential for improving maternal and child health. However, studies in Liberia reveal over 20% of women still deliver at home. We assessed the prevalence and associated factors of home delivery among women of reproductive age in Margibi County, Liberia. Methods We conducted a cross-sectional study among 438 women of reproductive age in Margibi County. Data were obtained using a semi-structured questionnaire. A simple random sampling approach was used to select the participants for the study. We performed binary logistic regression to identify factors influencing home delivery. Findings were summarized into tables displaying the frequencies, percentages, crude, and adjusted odds ratios (ORs) and 95% confidence intervals (CIs). Results Prevalence of home delivery in the County was 90.6% (95% CI = 87.5 – 93.0). Women who were ≥ 31 years (aOR = 6.74, 95%CI = 2.86—15.90), women who had two or more children (aOR = 9.68, 95%CI = 4.07—22.99) and those who had rapid onset of labor (aOR = 6.35, 95%CI = 1.59 – 25.27) were associated with increased odds of home delivery. Good attitude of health workers (aOR = 0.01, 95%CI = 0.001 – 0.08) and the availability of transport to the nearest health facility (aOR = 0.01, 95%CI = 0.003 – 0.03) were factors associated with a decreased odds of home delivery among the study participants. Conclusion The high prevalence of home delivery in the county is a call for urgent interventions by the government of Liberia and various non-governmental organizations. The government may need to supply the county with ambulances and ensure in-service training of health workers on good attitudes. |
| first_indexed | 2024-04-11T21:46:02Z |
| format | Article |
| id | doaj.art-9821b8b0f31e4c41abefb3df4a6c730b |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-04-11T21:46:02Z |
| publishDate | 2022-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-9821b8b0f31e4c41abefb3df4a6c730b2022-12-22T04:01:25ZengBMCBMC Pregnancy and Childbirth1471-23932022-08-012211710.1186/s12884-022-04975-7Prevalence and determinants of home delivery among reproductive age women, Margibi County, LiberiaLeroy S. Maximore0Abdul Gafaru Mohammed1Gyesi Razak Issahaku2Samuel Sackey3Ernest Kenu4Ghana Field Epidemiology & Laboratory Training ProgramGhana Field Epidemiology & Laboratory Training ProgramGhana Field Epidemiology & Laboratory Training ProgramGhana Field Epidemiology & Laboratory Training ProgramGhana Field Epidemiology & Laboratory Training ProgramAbstract Background The use of institutional delivery services is essential for improving maternal and child health. However, studies in Liberia reveal over 20% of women still deliver at home. We assessed the prevalence and associated factors of home delivery among women of reproductive age in Margibi County, Liberia. Methods We conducted a cross-sectional study among 438 women of reproductive age in Margibi County. Data were obtained using a semi-structured questionnaire. A simple random sampling approach was used to select the participants for the study. We performed binary logistic regression to identify factors influencing home delivery. Findings were summarized into tables displaying the frequencies, percentages, crude, and adjusted odds ratios (ORs) and 95% confidence intervals (CIs). Results Prevalence of home delivery in the County was 90.6% (95% CI = 87.5 – 93.0). Women who were ≥ 31 years (aOR = 6.74, 95%CI = 2.86—15.90), women who had two or more children (aOR = 9.68, 95%CI = 4.07—22.99) and those who had rapid onset of labor (aOR = 6.35, 95%CI = 1.59 – 25.27) were associated with increased odds of home delivery. Good attitude of health workers (aOR = 0.01, 95%CI = 0.001 – 0.08) and the availability of transport to the nearest health facility (aOR = 0.01, 95%CI = 0.003 – 0.03) were factors associated with a decreased odds of home delivery among the study participants. Conclusion The high prevalence of home delivery in the county is a call for urgent interventions by the government of Liberia and various non-governmental organizations. The government may need to supply the county with ambulances and ensure in-service training of health workers on good attitudes.https://doi.org/10.1186/s12884-022-04975-7Home deliveryInstitutional deliveryMargibi CountyReproductive ageLiberia |
| spellingShingle | Leroy S. Maximore Abdul Gafaru Mohammed Gyesi Razak Issahaku Samuel Sackey Ernest Kenu Prevalence and determinants of home delivery among reproductive age women, Margibi County, Liberia BMC Pregnancy and Childbirth Home delivery Institutional delivery Margibi County Reproductive age Liberia |
| title | Prevalence and determinants of home delivery among reproductive age women, Margibi County, Liberia |
| title_full | Prevalence and determinants of home delivery among reproductive age women, Margibi County, Liberia |
| title_fullStr | Prevalence and determinants of home delivery among reproductive age women, Margibi County, Liberia |
| title_full_unstemmed | Prevalence and determinants of home delivery among reproductive age women, Margibi County, Liberia |
| title_short | Prevalence and determinants of home delivery among reproductive age women, Margibi County, Liberia |
| title_sort | prevalence and determinants of home delivery among reproductive age women margibi county liberia |
| topic | Home delivery Institutional delivery Margibi County Reproductive age Liberia |
| url | https://doi.org/10.1186/s12884-022-04975-7 |
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