| dc.description.abstract | Both maternal and neonatal health outcomes improve when skilled personnel
provide delivery services within health facilities. Determinants of delivery location are crucial to
promoting health facility deliveries and yet health facility delivery rates remain low in most low-
and middle- income countries. It is asserted that there is expert consensus that delivery at a
health facility substantially reduces the risk of maternal death. They argued that by increasing
the use of antenatal care (ANC), postnatal care (PNC) and family planning, the risk of maternal
death can be further reduced. Several factors influence the location where women deliver from.
Such factors include place of residence, family decision-making regarding place of delivery,
ANC attendance, socioeconomic status (SES), trimester of pregnancy, age of woman, parity,
transport, placenta disposal, delivery position, complication at last delivery, age of pregnancy,
levels of education of the woman and her partner, and valid health insurance. All these tend to
be closely related to the context. In eastern region of Uganda, examining such factors could help
in improving institutional deliveries.
The main objective of this study was to ascertain the determinants of institutional
health facility delivery among mothers attending immunization services in Busia district.
Methodology: A cross-sectional analytical design, both qualitative and quantitative was used. A
sample of 385respondent mothers were interviewed using semi-structured questionnaire. Two
focus group discussions (FGDs) each composed of 8 to 12 members were held with mothers.
Data was analyzed using SPSS version 25. Ethical considerations in research, obtaining letter
of introduction for data collection, clearance from university, and quality controls were well
taken care of.
The level of institution health facility delivery was good, mothers attending
immunization services (post-natal visits)) were asked to state whether or not they deliver in
health facility, up to 318( 82.6%) delivered in health facilities, with most of the mothers
delivering from government hospitals (50.9%) followed by private hospitals (14.3%). The study
found that place of residence of the mothers was associated with health facility delivery (X2
(1) =1.515, p<0.002). Mothers who lived in urban settings were 2.7times more likely to deliver from
health facilities than mothers who lived in rural settings [COR=2.686, 95% CI (0.394-1.194)].
Husband’s educational level was found to be a determinant of health facility delivery (X2
(3) =2.054, p<0.006). In comparison with mothers whose husbands had no education, mothers
whose husbands had primary education, secondary education and tertiary education were
2.2times (COR=2.249, 95% CI(0.581-8.698)), 1.5times (COR=1.546, 95% CI(0.537-4.453)) and
1.3times (COR=1.329, 95% CI (0.501-3.523)) more likely to deliver from health facility
respectively.
History of having ever delivered from a health facility was associated with the recent health
facility delivery (X2 (1) = 0.076, p<0.007). Similarly, getting partner support for health facility
delivery was a determinant for health facility delivery (p<0.003). | en_US |
