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Determinants of facility based–deliveries among urban slum dwellers of Kampala, Uganda

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  • Lestine Bitakwitse Atusiimire
  • Peter Waiswa
  • Lynn Atuyambe
  • Victoria Nankabirwa
  • Monica Okuga

Abstract

Background: Delivery in health facilities is a proxy for skilled birth attendance, which is an important intervention to reduce maternal and neonatal mortality. We investigated the determinants of facility based deliveries among women in urban slums of Kampala city, Uganda. Methods: A cross sectional study using quantitative methods was used. A total of 420 mothers who had delivered in the past one year preceding the survey, were randomly selected and interviewed using a pre-tested interviewer administered questionnaire. Univariate and multivariable logistic regression analysis was done to determine independent predictors of facility based deliveries. Results: Ninety-five percent of respondents attended at least one antenatal care visit and 66.1%delivered in a health facility. Independent predictors of health facility births included exposure to media concerning facility delivery (OR = 2.5, 95% CI = 1.6–3.9), ANC attendance less than 4 times (OR = 0.6, 95% CI = 0.3–0.9) and timing of first ANC visit in the 2 and 3rd trimesters of pregnancy (OR = 0.5 95% CI = 0.3–0.8). Conclusion: Despite good physical access, a third of mothers did not deliver in health facilities. Increasing health facility births among the slum dwellers can be improved through interventions geared at increased awareness, starting ANC in early stages of pregnancy and attending at least 4 ANC visits.

Suggested Citation

  • Lestine Bitakwitse Atusiimire & Peter Waiswa & Lynn Atuyambe & Victoria Nankabirwa & Monica Okuga, 2019. "Determinants of facility based–deliveries among urban slum dwellers of Kampala, Uganda," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-11, April.
    • Handle: RePEc:plo:pone00:0214995
    DOI: 10.1371/journal.pone.0214995
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    References listed on IDEAS

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    1. Adjiwanou, Vissého & LeGrand, Thomas, 2013. "Does antenatal care matter in the use of skilled birth attendance in rural Africa: A multi-country analysis," Social Science & Medicine, Elsevier, vol. 86(C), pages 26-34.
    2. 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.
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    1. Bola Lukman Solanke, 2021. "Do the determinants of institutional delivery among childbearing women differ by health insurance enrolment? Findings from a population‐based study in Nigeria," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(3), pages 668-688, May.

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