Factors influencing delivery by skilled birth attendants among women who have had previous births in the East Mamprusi Municipality in the North-East Region, Ghana
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Date
November, 2019
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Abstract
Background: Childbirth has been an important part of human race. It is a natural
phenomenon, nonetheless it has been linked with a number of risks, which may result
into untoward outcome such as maternal and neonatal mortality. The increased rate of
unsupervised delivery in developing countries underpins the mortality surrounding
childbirth. Maternal and neonatal mortality can be scaled down to 23–50% by 90%
coverage of skilled delivery. Hence, delivery by skilled birth attendants puts women in
better position to receive care and imparts positively on the delivery outcome of the
mother and her child.
Objectives: To assess factors influencing delivery by skilled birth attendants among
women who have had previous births in the East Mamprusi Municipality in the
North-East Region.
Methods: Cross-sectional survey was conducted among 389 women within the East
Mamprusi Municipality who have had previous births. A multi stage sampling
technique was used for the study and primary data was collected with the use of a
semi-structured questionnaire.
Results: Approximately 96.8% of the respondents were cognizant that skilled delivery
is a delivery process which occurs at a health facility under the supervision of trained
midwife or doctor. Also 65.8% considered the attitude/behaviour of midwives, doctor,
nurses or other health personnel during health facility delivery to be friendly. On the
whole majority of the respondents, 311 (83.2%), showed satisfaction to ANC services
provided at the health facility at the time they gave birth to their last child. Educational
level (p <0.001), religion (p <0.001), number of children (p <0.001), husband level of
education (p <0.026) and availability of NHIS (p <0.001) were statistically associated
with use of skilled delivery. Most of the respondents were of the view that availability
of TBA (58.0%), proximity to health facility (64.2%), night/ bad weather/ poor roads
(73.5%), lack of transport to health facility (58.3%), realized or informed late (65.5%)
and not having enough time to go (64.2%) are bottlenecks to delivery under skilled
birth attendants.
Conclusion: Women within the East Mamprusi Municipality have a high knowledge
with regards to skilled delivery and posit that skilled delivery is very important.
Educational level of woman, religion, number of children, husband level of education
and possession of NHIS are factors associated with utilization of skilled delivery.
Description
A thesis submitted to the Department of Health Education, Promotion and Disability, School of Public Health, College of Health Sciences, in partial fulfillment of the requirements for the degree of Master of Science, in Health Education and Promotion.
Keywords
Child birth, Skilled birth attendants, Delivery, Women