Determinants of places of delivery of expectant mothers in Adidwan in the Mampong Municipality of Ashanti Region

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Places of child birth have direct impact on the mother and health of baby and post-natal period. The maternal casualties (institutional and non -institutional) recorded for the communities have given the cause for various concerns especially the places where the assistance has been given. Due to the poor han dling of delivery cases, in certain places, the risk of contracting neonatal tetanus is rife. Because of inadequate tetanus toxoid (TT) immunization and inappropriate postnatal cord care mainly due to the un -institutionalised care which largely compromise comprehensive service provision. The main object ive of the study is to determine the factors which inform the choice of place of delivery among expectant mothers. The study employed a descriptive cross -sectional study design as the main study approach which made use of multistage sampling method as method for its data collection. Out of the 500 samples, 26.0% delivered with TBA/Home and 74.0% delivered at the health facility. The home deliveries (130) and facility deliveries (370), they were mainly within the age group of 25 to 30 years representing 29.2% and 39.2% respectively. A substantial proportion of the married women prefer delivery with TBA/Home 105 (80.8%) while a similar proportion also deliver at the health facility 279 (75.4%), Both home and health facility had most clients having four or more deliveries representing 53.8% and 65.7% respectively. Test statistics indicated that there is no significant insurance and transport influence in determining a place of delivery among the mothers. It is thus established that Home/TBA contribution in the rural Asante Mampong is quite substantial. Whereas, numerous other births at home are not captured, the male involvement and public health education could be stepped up.
A thesis submitted to the Department of Community Health, Kwame Nkrumah University of Science and Technology, Kumasi in partial fulfilment of the requirements for the award of MSc degree in Health Services Planning and Management,