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Title Determinants of Health Facility Utilization at Birth in South Sudan
Full text http://hdl.handle.net/1956/23385
Date 2019
Author(s) Tongun, Justin Bruno; Mukunya, David; Tylleskär, Thorkild; Sebit, Mohammed Boy; Tumwine, James K; Ndeezi, Grace
Abstract South Sudan has a high maternal mortality ratio estimated at 800 deaths per 100,000 live births. Birth in health facilities with skilled attendants can lower this mortality. In this cross-sectional study, we determined the level and determinants of health facility utilization and skilled birth attendance in Jubek State, South Sudan. Mothers of children aged less than two years were interviewed in their homes. Multivariable regression analysis was performed to determine factors associated with health facility births. Only a quarter of the mothers had given birth at health facilities, 209/810 (25.8%; 95% CI 18.2'35.3) and 207/810 had a skilled birth attendant (defined as either nurse, midwife, clinical officer, or doctor). Factors positively associated with health facility births were four or more antenatal visits (adjusted odds ratio (AOR) 19; 95% CI 6.2, 61), secondary or higher education (AOR 7.9; 95% CI 3, 21), high socio-economic status (AOR 4.5; 95% CI 2.2, 9.4), and being primipara (AOR 2.9; 95% CI 1.5, 5.4). These findings highlight the need for efforts to increase health facility births in South Sudan.
Language eng
Publisher MDPI
Relation International Journal of Environmental Research and Public Health
Type of publication Journal article; publishedVersion; Journal article
Source 1660-4601
Rights Attribution CC BY; http://creativecommons.org/licenses/by/4.0/; Copyright 2019 The Authors
Identifier Tongun JB, Mukunya D, Tylleskär T, Sebit MB, Tumwine JK, Ndeezi G. Determinants of Health Facility Utilization at Birth in South Sudan. International Journal of Environmental Research and Public Health. 2019;16(13):2445; 1733395; 10.3390/ijerph16132445
Repository Bergen - University of Bergen
Added to C-A: 2020-08-06;08:02:07