Abstract:

Background and Objectives: Safe motherhood encompasses a series of initiatives, practices, protocols and services delivery guidelines designed to ensure that women receives high quality gynecological, family planning, prenatal, delivery and postpartum care, in order to achieve optimal health for the mother, fetus and infant. The study provide useful information to meet health sector strategic plan VI, (HSSP IV-2016/2020), The ONE PLAN II strategy to promote, facilitate, and support in an integrated manner the provision of comprehensive high impact and cost effective RMNCAH services continuum of care.

Methods: Based retrospective study was conducted and involved rural women of reproductive age from March 2018 to March 2020 and both quantitative and qualitative data were obtained.

Results: Of the 173 participants, 47. 4% had completed primary school, 17. 6% had completed secondary school, 4. 6% completed higher education and 30.1% were not completed school. The women who presented to heath facility for delivery were 58.4% and those who did not were 41.6%. level of education of the study participants, number of children they have, occupation status of the participants and distance from home to health facilities for delivery were both associated with home delivery (p value<0.05).

Conclusion: From the study, many of the women enrolled were married (69.4%), 17.15% were not married and 13.5% were widow/divorced of enrolled participants, those who had completed primary school were 47. 4%, secondary school were 17.9% and 4.5% never been to school. The prevalence of home delivery was 58.4% and prevalence for institutional delivery were 41.6%. So from the results it concluded that the prevalence of home delivery was slightly higher than institutional delivery among the pregnant women at Nyaguge, Magu, and Mwanza. Also the results showed that the prevalence of home delivery were contributed by many factors like low level of education, low occupation status, longest distance from home to health care facility, high parity of women, and it was reduced by increasing attendance of women to health care facilities during ANC before delivery.