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Factors influencing choice of delivery sites in Rakai district of Uganda

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  • Amooti-Kaguna, B.
  • Nuwaha, F.

Abstract

In order to understand factors influencing choice of delivery sites in Rakai district of south-western Uganda, eight focus group discussions based on the Attitudes-Social influence-Self efficacy model were held with 32 women and 32 men. Semi-structured interviews were also held with 211 women from 21 random cluster samples who had a delivery in the previous 12 months (from 2 June 1997). Forty four percent of the sample delivered at home, 17% at traditional birth attendant's (TBA) place, 32% at public health units, and 7% at private clinics. Among the factors influencing choice of delivery site were: access to maternity services; social influence from the spouse, other relatives, TBAs and health workers; self-efficacy; habit (previous experience) and the concept of normal versus abnormal pregnancy. Attitudinal beliefs towards various delivery sites were well understood and articulated. Attendance of ante-natal care may discourage delivery in health units if the mothers are told that the pregnancy is normal. In order to make delivery safer, there is need to improve access to maternity services, train TBAs and equip them with delivery kits, change mother's self-efficacy beliefs, and involve spouses in education about safe delivery.

Suggested Citation

  • 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.
    • Handle: RePEc:eee:socmed:v:50:y:2000:i:2:p:203-213
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    Cited by:

    1. 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.
    2. Chitalu M. Chama-Chiliba & Steven F. Koch, 2014. "Assessing regional variation in the effect of the removal of user fees on institutional deliveries in rural Zambia," Working Papers 427, Economic Research Southern Africa.
    3. 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.
    4. Mbonye, Anthony K. & Bygbjerg, Ib & Magnussen, Pascal, 2007. "Intermittent preventive treatment of malaria in pregnancy: Evaluation of a new delivery approach and the policy implications for malaria control in Uganda," Health Policy, Elsevier, vol. 81(2-3), pages 228-241, May.
    5. 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.
    6. Mistry, Ritesh & Galal, Osman & Lu, Michael, 2009. "Women's autonomy and pregnancy care in rural India: A contextual analysis," Social Science & Medicine, Elsevier, vol. 69(6), pages 926-933, September.
    7. Spangler, Sydney A. & Bloom, Shelah S., 2010. "Use of biomedical obstetric care in rural Tanzania: The role of social and material inequalities," Social Science & Medicine, Elsevier, vol. 71(4), pages 760-768, August.
    8. 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.
    9. Daniel Kpienbaareh & Raymond Elikplim Kofinti & Irenius Konkor & Daniel Amoak & Moses Mosonsieyiri Kansanga & Isaac Luginaah, 2022. "Knowledge of pregnancy complications and utilization of antenatal care services in Rwanda," International Journal of Health Planning and Management, Wiley Blackwell, vol. 37(3), pages 1680-1693, May.
    10. David Baguma, 2017. "Water Management and Child Health: a Cross-Country Comparison from 1950 to 2010," Journal of the Knowledge Economy, Springer;Portland International Center for Management of Engineering and Technology (PICMET), vol. 8(3), pages 845-858, September.
    11. 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.
    12. 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.
    13. 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.
    14. 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.
    15. 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.

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