Factors associated with delivery outside a health facility

• Verfasst von: Mazalale, Jacob [VerfasserIn]
• Verfasst von: Kambala, Christabel [VerfasserIn]
• Verfasst von: Brenner, Stephan [VerfasserIn]
• Verfasst von: Chinkhumba, Jobiba [VerfasserIn]
• Verfasst von: Lohmann, Julia [VerfasserIn]
• Verfasst von: Mathanga, Don P. [VerfasserIn]
• Verfasst von: Robberstad, Bjarne [VerfasserIn]
• Verfasst von: Muula, Adamson S. [VerfasserIn]
• Verfasst von: De Allegri, Manuela [VerfasserIn]
• Titel: Factors associated with delivery outside a health facility
• Titelzusatz: cross-sectional study in rural Malawi
• Verf.angabe: Jacob Mazalale, Christabel Kambala, Stephan Brenner, Jobiba Chinkhumba, Julia Lohmann, Don P. Mathanga, Bjarne Robberstad, Adamson S. Muula and Manuela De Allegri
• E-Jahr: 2015
• Jahr: 6 February 2015
• Umfang: 10 S.
• Fussnoten: Gesehen am 10.06.2020
• Titel Quelle: Enthalten in: Tropical medicine & international health
• Ort Quelle: Oxford [u.a.] : Wiley-Blackwell, 1996
• Jahr Quelle: 2015
• Band/Heft Quelle: 20(2015), 5, Seite 617-626
• ISSN Quelle: 1365-3156
• DOI: doi:10.1111/tmi.12473
• Datenträger: Online-Ressource
• Sprache: fre
• Sach-SW: accouchement dans un établissement
• Sach-SW: accoucheuses qualifiées
• Sach-SW: África subsahariana
• Sach-SW: Afrique subsaharienne
• Sach-SW: cuidados maternos: parto intrahospitalario
• Sach-SW: facility-based delivery
• Sach-SW: Malawi
• Sach-SW: maternal care
• Sach-SW: partera cualificada
• Sach-SW: santé maternelle
• Sach-SW: skilled birth attendance
• Sach-SW: sub-Saharan Africa
• K10plus-PPN: 170032330X

Abstract

Objective To identify factors associated with delivery outside a health facility in rural Malawi. Method A cross-sectional survey was conducted in Balaka, Dedza, Mchinji and Ntcheu districts in Malawi in 2013 among women who had completed a pregnancy 12 months prior to the day of the survey. Multilevel logistic regression was used to assess factors associated with delivery outside a facility. Results Of the 1812 study respondents, 9% (n = 159) reported to have delivered outside a facility. Unmarried women were significantly more likely [OR = 1.88; 95% CI (1.086-3.173)] to deliver outside a facility, while women from households with higher socio-economic status [third-quartile OR = 0.51; 95% CI (0.28-0.95) and fourth-quartile OR = 0.48; 95% CI (0.29-0.79)] and in urban areas [OR = 0.39; 95%-CI (0.23-0.67)] were significantly less likely to deliver outside a facility. Women without formal education [OR 1.43; 95% CI (0.96-2.14)] and multigravidae [OR = 1.14; 95% CI (0.98-1.73)] were more likely to deliver outside a health facility at 10% level of significance. Conclusion About 9% of women deliver outside a facility. Policies to encourage facility delivery should not only focus on health systems but also be multisectoral to address women's vulnerability and inequality. Facility-based delivery can contribute to curbing the high maternal illness burden if authorities provide incentives to those not delivering at the facility without losing existing users.