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Factors Affecting the Utilisation of Institutional Delivery Services among Women Who Attend Antenatal Care in Rwenzori Region, Uganda: Case of Bundibugyo District

Title
Factors Affecting the Utilisation of Institutional Delivery Services among Women Who Attend Antenatal Care in Rwenzori Region, Uganda: Case of Bundibugyo District
Author
Christopher Kiyita
Advisor(s)
황정혜
Issue Date
2017-08
Publisher
한양대학교
Degree
Master
Abstract
Background Delivery in health facilities is still challenging in developing countries. In Uganda, institutional delivery services are offered free of charge but still the country records a low utilization of these services. This study aims at accessing the differences in utilization of institutional delivery services among women in. Methods This was a cross-sectional study carried out in three health facilities in Bundibugyo district, Uganda, among 412 randomly selected eligible participants. These where mothers, 15 to 49 years, who were attending young children’s clinic for immunization of their babies at the study facilities, who gave informed consented. Data was collected using an interviewer-administered semi-structured questionnaire designed for the study. Data were analyzed using SPSS version 21.. Results The prevalence of institutional deliveries was 59.7%. Of these, 32.7% reported having had unsuccessful attempt to deliver from home, and then later sought assistance from the health facilities. Factors that were found significantly affect the utilization of IDS included: location of residence (P-value<0.001), the level of education of the woman, the occupation of the woman, economic status of the household(p-value <0.001), parity (p-value <0.001), decision maker on the place of delivery (p-value <0.001), health seeking behavior when experiencing complications (p-value <0.001), previous place of delivery (p-value <0.001), distance to health facility, cost of transport, the number of ANC visits, the timing of the first ANC visit (P-value <0.001), and intended place of delivery during ANC. Also, perceptions related to giving birth from a health facility were all significant (P-value<0.001). In addition, 40%, 34% and 26% of the respondents perceived that political leaders, religious leaders and cultural leaders respectively could influence women to deliver from health facilities. Also to note is that the village health teams (VHTS) were found not significant in influencing women to deliver from the health facilities. Conclusion To improve the utilisation of institutional delivery services by the women, it is recommended that factors like women’s education, upgrading/expansion of existing infrastructure (Health Centre IIs and staff quarters), scaling up of Community-based Health Planning Programs, increasing uptake of midwives trainees, strict implementation of “train and retain” policy by Ministry of Health and culturally sensitive health delivery services need to be considered.
URI
http://hdl.handle.net/20.500.11754/33256http://hanyang.dcollection.net/common/orgView/200000430950
Appears in Collections:
GRADUATE SCHOOL[S](대학원) > GLOBAL HEALTH & DEVELOPMENT(국제의료개발학과) > Theses (Ph.D.)
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