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Title
Factors associated with delivery outside a health facility: Cross-sectional study in rural Malawi |
Full text
http://hdl.handle.net/1956/11756 |
Date
2015 |
Author(s)
Mazalale, Jacob; Kambala, Christabel; Brenner, Stephan; Chinkhumba, Jobiba Joe Henderson; Lohmann, Julia; Mathanga, Don P.; Robberstad, Bjarne; Muula, Adamson S.; De Allegri, Manuela |
Abstract
<p>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.</p>
<p>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.</p>
<p>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 |
Subject(s)
Maternal care; Facility-based delivery; Skilled birth attendance; Malawi; Sub-Saharan Africa; VDP::Medisinske fag: 700::Helsefag: 800::Samfunnsmedisin, sosialmedisin: 801; VDP::Midical sciences: 700::Health sciences: 800::Community medicine, social medicine: 801 |
Language
eng |
Publisher
Wiley |
Type of publication
Journal article; publishedVersion; Journal article |
Source
1365-3156 |
Rights
Attribution CC BY-NC-ND; http://creativecommons.org/licenses/by-nc-nd/4.0/; Copyright 2015 the authors |
Identifier
Tropical medicine & international health 2015, 20(5):617-626; 1249395; 10.1111/tmi.12473 |
Repository
Bergen - University of Bergen
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Added to C-A: 2016-03-30;08:49:14 |
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