FACTORS INFLUENCING WOMEN’S CHOICE OF PLACE OF DELIVERY IN ASABA LGA, DELTA STATE
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ABSTRACT
Although 92% of women receive antenatal care at least once during pregnancy, a suitable place of delivery assists only 44% of mothers during childbirth (KDHS, 2008). Therefore, the purpose of this study was to investigate the factors influencing the choice of place of delivery in Asaba LGA, Delta State. The study objectives were to determine the influence of demographic factors, socio cultural factors and economic factors on choice of place of delivery among women in Asaba LGA, Delta State. The study was conducted in May and June, 2019. It adopted a descriptive survey design and the eligible respondents were women of childbearing age. With the help of two research assistants, the researcher managed to visit four locations in Asaba LGA and Cluster sampling method was used to identify participants for the study. A total of 378 women from Asaba LGA were to participate in the study but only 373 participated giving a response rate of 98%. Two focus groups discussion were also conducted for the purpose of the study. Chi square test was used to establish the association between the independent variables and place of delivery. Statistical Package for Social Sciences (SPSS) version 17 was used for data analysis. The study shows that 67% of women delivered at hospital, 27.6% of births occurred at home without the help of a skilled birth attendant and only 4.8% of the women were attended by TBAs during delivery. Other than demographic, social cultural and economic factors that influence choice of place of delivery, other key factors influencing home delivery included less or no antenatal visits and unexpected labour. From the study there has been an increase in hospital deliveries though a significant number of mothers are still giving birth without the assistance of skilled birth attendants. To ensure that hospital deliveries are increased it was therefore recommended that advocacy to all women of child bearing age on the importance of hospital deliveries by the Ministry of Health, Ngo’s and community based organizations should be done. Involvement of husbands as key decision makers in the choice of place of delivery during antenatal clinic visits could be one of the best strategies in reduction of home deliveries. During antenatal clinic visits mothers should also be educated on issues like signs of labour and expected dates of delivery as a step to reduce home deliveries. Health workers should also strengthen the concept of focused antenatal care where mothers are sensitized on how to handle the issue of giving birth and also increase the coverage of antenatal care by reaching out to women at the community level through outreach programmes that are geared towards creating awareness that antenatal clinic visits are important for them when they are expectant.
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