Factors associated with delivery outside a health facility: cross-sectional study in rural Malawi
Objective To identify factors associated with delivery outside a health facility in rural Malawi. Method A cross-sectional survey was conducted in Balaka, Dedza, Mchinji and Ntcheu districts in Malawi in 2013 among women who had completed a pregnancy 12 months prior to the day of the survey. Multile...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article (Journal) |
| Language: | French |
| Published: |
6 February 2015
|
| In: |
Tropical medicine & international health
Year: 2015, Volume: 20, Issue: 5, Pages: 617-626 |
| ISSN: | 1365-3156 |
| DOI: | 10.1111/tmi.12473 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1111/tmi.12473 Verlag, lizenzpflichtig, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1111/tmi.12473 
|
| Author Notes: | Jacob Mazalale, Christabel Kambala, Stephan Brenner, Jobiba Chinkhumba, Julia Lohmann, Don P. Mathanga, Bjarne Robberstad, Adamson S. Muula and Manuela De Allegri |
| Summary: | Objective To identify factors associated with delivery outside a health facility in rural Malawi. Method A cross-sectional survey was conducted in Balaka, Dedza, Mchinji and Ntcheu districts in Malawi in 2013 among women who had completed a pregnancy 12 months prior to the day of the survey. Multilevel logistic regression was used to assess factors associated with delivery outside a facility. Results Of the 1812 study respondents, 9% (n = 159) reported to have delivered outside a facility. Unmarried women were significantly more likely [OR = 1.88; 95% CI (1.086-3.173)] to deliver outside a facility, while women from households with higher socio-economic status [third-quartile OR = 0.51; 95% CI (0.28-0.95) and fourth-quartile OR = 0.48; 95% CI (0.29-0.79)] and in urban areas [OR = 0.39; 95%-CI (0.23-0.67)] were significantly less likely to deliver outside a facility. Women without formal education [OR 1.43; 95% CI (0.96-2.14)] and multigravidae [OR = 1.14; 95% CI (0.98-1.73)] were more likely to deliver outside a health facility at 10% level of significance. Conclusion About 9% of women deliver outside a facility. Policies to encourage facility delivery should not only focus on health systems but also be multisectoral to address women's vulnerability and inequality. Facility-based delivery can contribute to curbing the high maternal illness burden if authorities provide incentives to those not delivering at the facility without losing existing users. |
|---|---|
| Item Description: | Gesehen am 10.06.2020 |
| Physical Description: | Online Resource |
| ISSN: | 1365-3156 |
| DOI: | 10.1111/tmi.12473 |