IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0035747.html
   My bibliography  Save this article

Influence of Birth Preparedness, Decision-Making on Location of Birth and Assistance by Skilled Birth Attendants among Women in South-Western Uganda

Author

Listed:
  • Jerome K Kabakyenga
  • Per-Olof Östergren
  • Eleanor Turyakira
  • Karen Odberg Pettersson

Abstract

Introduction: Assistance by skilled birth attendants (SBAs) during childbirth is one of the strategies aimed at reducing maternal morbidity and mortality in low-income countries. However, the relationship between birth preparedness and decision-making on location of birth and assistance by skilled birth attendants in this context is not well studied. The aim of this study was to assess the influence of birth preparedness practices and decision-making and assistance by SBAs among women in south-western Uganda. Methods: Community survey methods were used to identify 759 recently delivered women from 120 villages in rural Mbarara district. Interviewer-administered questionnaires were used to collect data. Logistic regression analyses were conducted to assess the relationship between birth preparedness, decision-making on location of birth and assistance by SBAs. Results: 35% of the women had been prepared for childbirth and the prevalence of assistance by SBAs in the sample was 68%. The final decision regarding location of birth was made by the woman herself (36%), the woman with spouse (56%) and the woman with relative/friend (8%). The relationships between birth preparedness and women decision-making on location of birth in consultation with spouse/friends/relatives and choosing assistance by SBAs showed statistical significance which persisted after adjusting for possible confounders (OR 1.5, 95% CI: 1.0–2.4) and (OR 4.4, 95% CI: 3.0–6.7) respectively. Education, household assets and birth preparedness showed clear synergistic effect on the relationship between decision-maker on location of birth and assistance by SBAs. Other factors which showed statistical significant relationships with assistance by SBAs were ANC attendance, parity and residence. Conclusion: Women’s decision-making on location of birth in consultation with spouse/friends/relatives and birth preparedness showed significant effect on choosing assistance by SBAs at birth. Education and household assets ownership showed a synergistic effect on the relationship between the decision-maker and assistance by SBAs.

Suggested Citation

  • Jerome K Kabakyenga & Per-Olof Östergren & Eleanor Turyakira & Karen Odberg Pettersson, 2012. "Influence of Birth Preparedness, Decision-Making on Location of Birth and Assistance by Skilled Birth Attendants among Women in South-Western Uganda," PLOS ONE, Public Library of Science, vol. 7(4), pages 1-8, April.
    • Handle: RePEc:plo:pone00:0035747
    DOI: 10.1371/journal.pone.0035747
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0035747
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0035747&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0035747?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Saifuddin Ahmed & Andreea A Creanga & Duff G Gillespie & Amy O Tsui, 2010. "Economic Status, Education and Empowerment: Implications for Maternal Health Service Utilization in Developing Countries," PLOS ONE, Public Library of Science, vol. 5(6), pages 1-6, June.
    2. Indra Pathmanathan & Jerker Liljestrand & Jo. M. Martins & Lalini C. Rajapaksa & Craig Lissner & Amala de Silva & Swarna Selvaraju & Prabha Joginder Singh, 2003. "Investing in Maternal Health : Learning from Malaysia and Sri Lanka," World Bank Publications - Books, The World Bank Group, number 14754, December.
    3. Thaddeus, Sereen & Maine, Deborah, 1994. "Too far to walk: Maternal mortality in context," Social Science & Medicine, Elsevier, vol. 38(8), pages 1091-1110, April.
    4. Amooti-Kaguna, B. & Nuwaha, F., 2000. "Factors influencing choice of delivery sites in Rakai district of Uganda," Social Science & Medicine, Elsevier, vol. 50(2), pages 203-213, January.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Tesfaye Regassa Feyissa & Gebi Agero Genemo, 2014. "Determinants of Institutional Delivery among Childbearing Age Women in Western Ethiopia, 2013: Unmatched Case Control Study," PLOS ONE, Public Library of Science, vol. 9(5), pages 1-7, May.
    2. Kerry L M Wong & Lenka Benova & Oona M R Campbell, 2017. "A look back on how far to walk: Systematic review and meta-analysis of physical access to skilled care for childbirth in Sub-Saharan Africa," PLOS ONE, Public Library of Science, vol. 12(9), pages 1-20, September.
    3. Kibballi Madhukeshwar Akshaya & Siddharudha Shivalli, 2017. "Birth preparedness and complication readiness among the women beneficiaries of selected rural primary health centers of Dakshina Kannada district, Karnataka, India," PLOS ONE, Public Library of Science, vol. 12(8), pages 1-15, August.
    4. Kyi Mar Wai & Akira Shibanuma & Nwe Nwe Oo & Toki Jennifer Fillman & Yu Mon Saw & Masamine Jimba, 2015. "Are Husbands Involving in Their Spouses’ Utilization of Maternal Care Services?: A Cross-Sectional Study in Yangon, Myanmar," PLOS ONE, Public Library of Science, vol. 10(12), pages 1-13, December.
    5. Yeetey Akpe Kwesi Enuameh & Sumiyo Okawa & Kwaku Poku Asante & Kimiyo Kikuchi & Emmanuel Mahama & Evelyn Ansah & Charlotte Tawiah & Kwame Adjei & Akira Shibanuma & Keiko Nanishi & Francis Yeji & Enoch, 2016. "Factors Influencing Health Facility Delivery in Predominantly Rural Communities across the Three Ecological Zones in Ghana: A Cross-Sectional Study," PLOS ONE, Public Library of Science, vol. 11(3), pages 1-16, March.
    6. Dotun Ogunyemi & Gabriel Ganyaglo & Godfrey Mugyenyi, 2019. "Maternal Mortality: Case Reviews and Lessons Learned from the Global Partnerships and the Maternal Fetal Medicine Scientific Forum on Global Health," Global Journal of Reproductive Medicine, Juniper Publishers Inc., vol. 7(1), pages 1-82:7, September.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Weitzman, Abigail, 2017. "The effects of women's education on maternal health: Evidence from Peru," Social Science & Medicine, Elsevier, vol. 180(C), pages 1-9.
    2. Habtamu Tolera & Tegegne Gebre-Egziabher & Helmut Kloos, 2020. "Using Andersen’s behavioral model of health care utilization in a decentralized program to examine the use of antenatal care in rural western Ethiopia," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-18, January.
    3. Matsuoka, Sadatoshi & Aiga, Hirotsugu & Rasmey, Lon Chan & Rathavy, Tung & Okitsu, Akiko, 2010. "Perceived barriers to utilization of maternal health services in rural Cambodia," Health Policy, Elsevier, vol. 95(2-3), pages 255-263, May.
    4. Arlette Campbell White & Thomas W. Merrick & Abdo S. Yazbeck, 2006. "Reproductive Health—The Missing Millennium Development Goal : Poverty, Health, and Development in a Changing World," World Bank Publications - Books, The World Bank Group, number 7116, December.
    5. Nazmul Alam & Mohammad Hajizadeh & Alexandre Dumont & Pierre Fournier, 2015. "Inequalities in Maternal Health Care Utilization in Sub-Saharan African Countries: A Multiyear and Multi-Country Analysis," PLOS ONE, Public Library of Science, vol. 10(4), pages 1-16, April.
    6. Esso–Hanam Atake, 2021. "Socio‐economic inequality in maternal health care utilization in Sub‐Saharan Africa: Evidence from Togo," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(2), pages 288-301, March.
    7. Patience A Afulani & Cheryl Moyer, 2016. "Explaining Disparities in Use of Skilled Birth Attendants in Developing Countries: A Conceptual Framework," PLOS ONE, Public Library of Science, vol. 11(4), pages 1-16, April.
    8. Sushma Rajbanshi & Mohd Noor Norhayati & Nik Hussain Nik Hazlina, 2021. "A Qualitative Study to Explore the Barriers for Nonadherence to Referral to Hospital Births by Women with High-Risk Pregnancies in Nepal," IJERPH, MDPI, vol. 18(11), pages 1-14, May.
    9. Parkhurst, Justin Oliver & Penn-Kekana, Loveday & Blaauw, Duane & Balabanova, Dina & Danishevski, Kirill & Rahman, Syed Azizur & Onama, Virgil & Ssengooba, Freddie, 2005. "Health systems factors influencing maternal health services: a four-country comparison," Health Policy, Elsevier, vol. 73(2), pages 127-138, August.
    10. William Joe & B Subha Sri & Jyotsna Sharma & Y Manasa Shanta & Suresh Sharma, 2015. "Strategies for Safe Motherhood in Tamil Nadu: A Note," Working Papers id:7585, eSocialSciences.
    11. Hridaya Raj Devkota & Andrew Clarke & Emily Murray & Maria Kett & Nora Groce, 2021. "Disability, Caste, and Intersectionality: Does Co-Existence of Disability and Caste Compound Marginalization for Women Seeking Maternal Healthcare in Southern Nepal?," Disabilities, MDPI, vol. 1(3), pages 1-15, August.
    12. Barnali Chakraborty & Shrinivas Darak & Hinke Haisma, 2020. "Maternal and Child Survival in Haor Region in Bangladesh. An Analysis of Fathers’ Capabilities to Save the Future," IJERPH, MDPI, vol. 17(16), pages 1-15, August.
    13. Gayen, Kaberi & Raeside, Robert, 2007. "Social networks, normative influence and health delivery in rural Bangladesh," Social Science & Medicine, Elsevier, vol. 65(5), pages 900-914, September.
    14. Lídia Farré, 2013. "The Role of Men in the Economic and Social Development of Women: Implications for Gender Equality," The World Bank Research Observer, World Bank, vol. 28(1), pages 22-51, February.
    15. Herwansyah Herwansyah & Katarzyna Czabanowska & Stavroula Kalaitzi & Peter Schröder-Bäck, 2022. "Exploring the Influence of Sociodemographic Characteristics on the Utilization of Maternal Health Services: A Study on Community Health Centers Setting in Province of Jambi, Indonesia," IJERPH, MDPI, vol. 19(14), pages 1-13, July.
    16. Won Ju Hwang & Yeon Mi Park, 2019. "Factors Influencing the Accessibility of Maternal Health Service in Cambodia," IJERPH, MDPI, vol. 16(16), pages 1-10, August.
    17. Kusuma, Dian & Cohen, Jessica & McConnell, Margaret & Berman, Peter, 2016. "Can cash transfers improve determinants of maternal mortality? Evidence from the household and community programs in Indonesia," Social Science & Medicine, Elsevier, vol. 163(C), pages 10-20.
    18. Chaoqun Hu & Wenya Yu & Yipeng Lv & Haiping Chen & Qiangyu Deng & Lulu Zhang, 2017. "Study on the Health Status and Health Service Utilization of the Elderly of a Remote and Poor Village in a Mountainous Area in Jinzhai, Anhui," IJERPH, MDPI, vol. 14(4), pages 1-9, April.
    19. Edmonds, Joyce K. & Hruschka, Daniel & Bernard, H. Russell & Sibley, Lynn, 2012. "Women’s social networks and birth attendant decisions: Application of the Network-Episode Model," Social Science & Medicine, Elsevier, vol. 74(3), pages 452-459.
    20. Sushma Rajbanshi & Mohd Noor Norhayati & Nik Hussain Nik Hazlina, 2021. "Perceptions of Good-Quality Antenatal Care and Birthing Services among Postpartum Women in Nepal," IJERPH, MDPI, vol. 18(13), pages 1-13, June.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0035747. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.