NDLI: Prevalence and predictors of institutional delivery among pregnant mothers in Biharamulo district, Tanzania: a cross-sectional study.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Mageda, Kihulya Mmbaga, Elia John
Spatial Coverage	Tanzania
Description	Country affiliation: Tanzania Author Affiliation: Mageda K ( Biharamulo District Council, Department of Health, Biharamulo, Kagera, Tanzania.); Mmbaga EJ ( Department of Epidemiology and Biostatistics, Muhimbili University of Health and Allied Sciences, Dar Es Salaam, Tanzania.)
Abstract	INTRODUCTION: Giving birth in a health facility is associated with lower maternal mortality than giving birth at home. A recent Tanzania Demographic Health survey showed that, although more than 90% of pregnant women attended at least one antenatal clinic visit, only 50% of pregnant women delivered at a health facility. The aim of this study was to document the magnitude and predictors of institutional delivery in order to assist in setting priorities and developing appropriate intervention measures to reduce maternal mortality. METHODS: We conducted a cross-sectional study of women in Biharamulo district who delivered during the year preceding the survey. Multistage sampling was used to obtain 598 participants. A structured questionnaire was used to collect data. Bivariate and multivariate analysis was performed. RESULTS: 56% of women delivered in a health facility. Factors most strongly associated with institutional delivery were past care experience (aOR=265.1, 95%CI 28.6-2466.7), advice from health care provider to deliver at a health care facility (aOR=29.2, 95%CI 2.9-291.5), decision making on health care seeking on a pregnancy (aOR=7.1, 95%CI 2.7-19.0), maternal education (aOR=6.7, 95%CI 2.3-20.0), first antenatal care visit at <16 weeks (aOR=2.4, 95%CI 1.0-5.1), stable maternal income (aOR=2.3, 95%CI (1.1-4.7), and distance to facility<5 km (aOR 2.3 (95%CI 1.3-3.9). CONCLUSION: The prevalence of institutional delivery in Biharamulo District remains low. To raise the prevalence, the district should implement measures to make institutional delivery the preferred option for pregnant women. These measures should include encouraging women to make early antenatal care visits and make plans with their spouses for institutional delivery, reducing costs, improving the experience for women undergoing delivering in a healthcare facility, and consider locating new facilities closer to the women who need them.
File Format	HTM / HTML
e-ISSN	19378688
DOI	10.11604/pamj.2015.21.51.6347
Journal	Pan African Medical Journal
Volume Number	21
Language	English
Publisher	African Field Epidemiology Network
Publisher Date	2015-01-01
Publisher Place	Uganda
Access Restriction	Open
Subject Keyword	Discipline Medicine Delivery, Obstetric Statistics & Numerical Data Health Facilities Utilization Home Childbirth Prenatal Care Cross-sectional Studies Decision Making Maternal Mortality Pregnancy Questionnaires Tanzania Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article

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