Abstract
The study aim to determine the factors that make women deliver at home after attending antenatal care, to determine the awareness of women on risks associated with home delivery, to determine the type of birth attendants’ available during home delivery, and to explore the opinions of women on various strategies to prevent home delivery. A non- experimental cross-sectional design was used, with a target population of 960 people and systematic random sampling technique was employed to select the sample of 132 subjects out of the target population. Participation was voluntary and the principle of informed consent was ensured. Questionnaire was used as an instrument for data collection but only 121 were retrieved and analyzed, using SPSS Version 23. The findings of the study revealed that, women deliver at home due to cost of hospital services, male attendant during delivery, distance of the health facility from their home, poor attitude of health care provider and fear of surgical procedure. Also, according to the findings, the strategies of preventing home delivery includes provision of free maternal and child services, good health care provider attitude, health education on danger associated with home delivery, and adequate man power. In conclusion, majority of respondents were aware on factors that make them deliver at home. Recommendations were made that, health services should be subsidized and made available to women of child bearing ages and health education as well as improvement of community awareness on the importance of institutional delivery should be planned and implemented. Key words: Determinants, home-delivery, antenatal care.
Highlights
Maternal health is a major health challenge and despite the government’s measures to ensure institutional delivery assisted by skilled attendants; home delivery remains high and is estimated at over 80% of all pregnant women, which is bound to be un-hygienic, unsupervised and usually late when intervention is required (WHO, 2016)
This finding is line with result of Henry and Dahiru (2010) and Peter (2011), which found that 86% of people that attended antenatal care deliver at home by unskilled traditional birth attendant. They disagree that traditional birth attendants are unskilled birth attendants. This finding contradicts Izugbara and Duru (2009) and Rehban et al (2011), who state that, there are two main categories of birth attendants used during home delivery, which include skilled birth attendant and unskilled birth attendants
The findings of this study showed that among the factors that make women deliver at home include: cost of hospital services, male attendant during delivery, distance from the health facility, poor attitude of health care provider and fear of surgical procedure
Summary
Maternal health is a major health challenge and despite the government’s measures to ensure institutional delivery assisted by skilled attendants; home delivery remains high and is estimated at over 80% of all pregnant women, which is bound to be un-hygienic, unsupervised and usually late when intervention is required (WHO, 2016). The unacceptably high levels of maternal mortality are common subject in global health. Some countries have made remarkable progress, half of the maternal deaths in the world still take place in Sub-Saharan Africa where little or no progress has been made (Sychareun, 2013)
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