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Determinants of Health Facility Utilization at Birth in South Sudan

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  • Justin Bruno Tongun

    (Centre for International Health, University of Bergen, 7804 Bergen, Norway
    Department of Paediatrics, University of Juba, Juba P.O. Box 82, South Sudan)

  • David Mukunya

    (Centre for International Health, University of Bergen, 7804 Bergen, Norway)

  • Thorkild Tylleskar

    (Centre for International Health, University of Bergen, 7804 Bergen, Norway)

  • Mohamedi Boy Sebit

    (Department of Internal Medicine, University of Juba, Juba P.O. Box 82, South Sudan)

  • James K Tumwine

    (Department of Paediatrics and Child Health, School of Medicine, College of Health Sciences, Makerere University, Kampala P.O. Box 7072, Uganda)

  • Grace Ndeezi

    (Department of Paediatrics and Child Health, School of Medicine, College of Health Sciences, Makerere University, Kampala P.O. Box 7072, Uganda)

Abstract

South Sudan has a high maternal mortality ratio estimated at 800 deaths per 100,000 live births. Birth in health facilities with skilled attendants can lower this mortality. In this cross-sectional study, we determined the level and determinants of health facility utilization and skilled birth attendance in Jubek State, South Sudan. Mothers of children aged less than two years were interviewed in their homes. Multivariable regression analysis was performed to determine factors associated with health facility births. Only a quarter of the mothers had given birth at health facilities, 209/810 (25.8%; 95% CI 18.2–35.3) and 207/810 had a skilled birth attendant (defined as either nurse, midwife, clinical officer, or doctor). Factors positively associated with health facility births were four or more antenatal visits (adjusted odds ratio (AOR) 19; 95% CI 6.2, 61), secondary or higher education (AOR 7.9; 95% CI 3, 21), high socio-economic status (AOR 4.5; 95% CI 2.2, 9.4), and being primipara (AOR 2.9; 95% CI 1.5, 5.4). These findings highlight the need for efforts to increase health facility births in South Sudan.

Suggested Citation

  • Justin Bruno Tongun & David Mukunya & Thorkild Tylleskar & Mohamedi Boy Sebit & James K Tumwine & Grace Ndeezi, 2019. "Determinants of Health Facility Utilization at Birth in South Sudan," IJERPH, MDPI, vol. 16(13), pages 1-9, July.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:13:p:2445-:d:246956
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    References listed on IDEAS

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