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Influence of Birth Preparedness, Decision-Making on Location of Birth and Assistance by Skilled Birth Attendants among Women in South-Western Uganda

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  • Jerome K Kabakyenga
  • Per-Olof Östergren
  • Eleanor Turyakira
  • Karen Odberg Pettersson

Abstract

Introduction: Assistance by skilled birth attendants (SBAs) during childbirth is one of the strategies aimed at reducing maternal morbidity and mortality in low-income countries. However, the relationship between birth preparedness and decision-making on location of birth and assistance by skilled birth attendants in this context is not well studied. The aim of this study was to assess the influence of birth preparedness practices and decision-making and assistance by SBAs among women in south-western Uganda. Methods: Community survey methods were used to identify 759 recently delivered women from 120 villages in rural Mbarara district. Interviewer-administered questionnaires were used to collect data. Logistic regression analyses were conducted to assess the relationship between birth preparedness, decision-making on location of birth and assistance by SBAs. Results: 35% of the women had been prepared for childbirth and the prevalence of assistance by SBAs in the sample was 68%. The final decision regarding location of birth was made by the woman herself (36%), the woman with spouse (56%) and the woman with relative/friend (8%). The relationships between birth preparedness and women decision-making on location of birth in consultation with spouse/friends/relatives and choosing assistance by SBAs showed statistical significance which persisted after adjusting for possible confounders (OR 1.5, 95% CI: 1.0–2.4) and (OR 4.4, 95% CI: 3.0–6.7) respectively. Education, household assets and birth preparedness showed clear synergistic effect on the relationship between decision-maker on location of birth and assistance by SBAs. Other factors which showed statistical significant relationships with assistance by SBAs were ANC attendance, parity and residence. Conclusion: Women’s decision-making on location of birth in consultation with spouse/friends/relatives and birth preparedness showed significant effect on choosing assistance by SBAs at birth. Education and household assets ownership showed a synergistic effect on the relationship between the decision-maker and assistance by SBAs.

Suggested Citation

  • Jerome K Kabakyenga & Per-Olof Östergren & Eleanor Turyakira & Karen Odberg Pettersson, 2012. "Influence of Birth Preparedness, Decision-Making on Location of Birth and Assistance by Skilled Birth Attendants among Women in South-Western Uganda," PLOS ONE, Public Library of Science, vol. 7(4), pages 1-8, April.
    • Handle: RePEc:plo:pone00:0035747
    DOI: 10.1371/journal.pone.0035747
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    2. Kerry L M Wong & Lenka Benova & Oona M R Campbell, 2017. "A look back on how far to walk: Systematic review and meta-analysis of physical access to skilled care for childbirth in Sub-Saharan Africa," PLOS ONE, Public Library of Science, vol. 12(9), pages 1-20, September.
    3. Kibballi Madhukeshwar Akshaya & Siddharudha Shivalli, 2017. "Birth preparedness and complication readiness among the women beneficiaries of selected rural primary health centers of Dakshina Kannada district, Karnataka, India," PLOS ONE, Public Library of Science, vol. 12(8), pages 1-15, August.
    4. Kyi Mar Wai & Akira Shibanuma & Nwe Nwe Oo & Toki Jennifer Fillman & Yu Mon Saw & Masamine Jimba, 2015. "Are Husbands Involving in Their Spouses’ Utilization of Maternal Care Services?: A Cross-Sectional Study in Yangon, Myanmar," PLOS ONE, Public Library of Science, vol. 10(12), pages 1-13, December.
    5. Yeetey Akpe Kwesi Enuameh & Sumiyo Okawa & Kwaku Poku Asante & Kimiyo Kikuchi & Emmanuel Mahama & Evelyn Ansah & Charlotte Tawiah & Kwame Adjei & Akira Shibanuma & Keiko Nanishi & Francis Yeji & Enoch, 2016. "Factors Influencing Health Facility Delivery in Predominantly Rural Communities across the Three Ecological Zones in Ghana: A Cross-Sectional Study," PLOS ONE, Public Library of Science, vol. 11(3), pages 1-16, March.
    6. Dotun Ogunyemi & Gabriel Ganyaglo & Godfrey Mugyenyi, 2019. "Maternal Mortality: Case Reviews and Lessons Learned from the Global Partnerships and the Maternal Fetal Medicine Scientific Forum on Global Health," Global Journal of Reproductive Medicine, Juniper Publishers Inc., vol. 7(1), pages 1-82:7, September.

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