Gaga, Asaminew Geremu (2023) Determinants of Home Birth among Women Attending Health Facilities in Wondo Genet, Sidama Region, Ethiopia, 2021: A Case-Control Study. Masters thesis, University of Hawassa.
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Abstract
Introduction: In developing countries, home delivery increases the risk of maternal and perinatal mortality. Measures needed to reverse these situations require evidence on factors that affect homebirth. Hence, this study aimed to identify determinants of homebirth in Wondo Genet, Sidama Region. Methods: Unmatched case-control study was conducted from 19 May to 11 June, 2021. Two consecutive controls were selected after each case from randomly selected health centers. Structured interviewer-administered questionnaire was used to collect data. The data was entered using Epidata software Version 3.1 and exported to Statistical Package for Social Sciences Version 20 for analysis. The association between independent variables and homebirth was assessed by simple and multivariable binary logistic regression model. Result: All women (102 cases and 206 controls) were interviewed with response rate of 100%. Rural residence (AOR = 3.41, 95%CI: [1.58, 7.39]); ever experience of physical IPV (AOR = 2.35, 95%CI: [1.06, 5.17]); grand-multiparity (AOR = 5.36, 95%CI: [1.68, 17.08]); non-use of family planning before recent pregnancy (AOR = 5.82, 95%CI: [2.49, 13.60]); >30 min to reach health facility (AOR = 2.14, 95%CI: [1.02, 4.51]); and lack of face mask (AOR = 2.69, 95%CI: [1.25, 5.77]) were statistically significant predictors of homebirth. Conclusion and Recommendation: A wide gap in access to maternity services should be narrowed between rural and urban women. Healthcare policies and programs concerning women empowerment could help reduce persistent intimate partner violence. Family planning need to be promoted as an important intervention to minimize home delivery and maternal mortality. Multiparous women should be counseled on adverse obstetric consequences of home delivery. The strategies that adapt to emerging public health threats like corona virus disease 2019 pandemic should be laid to prevent their devastating effect on maternity services.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | Home Delivery; Wondo Genet; South Ethiopia, Coronavirus Disease |
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Africana |
| Depositing User: | Mr. Asaminew Geremu Gaga |
| Date Deposited: | 17 Sep 2024 05:26 |
| Last Modified: | 17 Sep 2024 05:26 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/9954 |
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