Prevalence of Hospital Deliveries in Tharparkar and Its Determinants

Abstract

Introduction: SDGs 2015-2030 are intended to stop poverty, hunger and ensure well-being at all ages by the year 2030. Goal 3 of SGDs are better measurable with indicators of maternal and children mortalities. Globally around 140 million birth takes place each year, among these home deliveries are significantly common.
 Methods: Study was conducted on women aged 18 and 45 years of Tharparkar. Women of Child Bearing Age (CBAs) from all union council had been surveyed by multistage cluster sampling with random selection at hose hold level. Analysis was done using EPI Info TM 7. The odds ratio were calculated and reported at CI 95%.
 Results: Of total women 73% (n=406) were uneducated and 19% (n=105) had education till matriculation. Prevalent occupation of husbands were farming 55% (n=310) followed by teachers 18% (n=102). Of total 2023 reported 31% (n=629) deliveries were conducted in the hospital. Socio-economic status (OR 1.8, CI 1.5-2.2), knowledge of nearby MCHC center (OR 1.3, 95% CI 1.03-1.61), Counselling by doctor (OR 3.6, 95% CI 3-4.5), Good attitude of the hospital staff (OR 2.02, 95% CI 1.6-2.2) were factors associated positively with the hospital deliveries. During multiple logistic regression analysis all factors were found significantly associated with hospital deliveries other than having livestock in family, which was not statistically significant (OR 0.9, CI 0.9-1.19).
 Conclusion: We concluded that the hospital deliveries are less common in Tharparkar. We recommended that timing of the MCHC centers should be revised, Interpersonal Communication Training of the hospital staff and advocacy for hospital delivery by medical doctor.