TY  - BOOK
AU  - Wambura, Wambura. G 
AU  - Mujuni, Fridolini
TI  -     Magnitude and factors affecting home delivery among women attending RCH clinics at Tarime Rural district in 2019/2022. Tanzania
PY  - 0000///  ©02.072020///
CY  - Mwanza, Tanzania :  
PB  - Catholic University of Health and Allied Sciences [CUHAS - Bugando] :  
KW  -  
N2  - Abstract: 

Introduction: Maternal mortality remain a major global public health concern. The major causes of these maternal deaths in Sub-Saharan Africa including Tanzania are due to direct causes; hemorrhage, obstructed labor, puerperal sepsis and hypertensive disorders of pregnancy. However, the place of birth could influence the outcome of labour and childbirth; and home delivery is the risk for maternal death. 

Factors affecting home delivery in Sub-Saharan African countries are almost common, like poor education on maternal health, poor economic status of the household, difficult geographical locations, experience of home delivery without problem, incomplete antenatal care services and non-empowered women on decision making on their health. Determination and remove of factors influencing home delivery from the society reduce maternal mortality rate. 

The aim of research: Was to determine the magnitude and factors for home deliveries among pregnant women of 15-49 years in 2019/2020 at Tarime rural DC. 

Methodology: The study was a quantitative health facility based cross-sectional research design in which data collection was at one point (RCH clinics) in time. The target study population for this study involved a sample of 350 mothers of reproductive age 15-49 years, delivered recently within two years (January 2019 to December 2020) prospectively. The data collection tools used was semi-structured with translated questionnaire of oral closed end questions. Then, statistical Package for Social Sciences (SPSS) computer software version 20.0 used to code and summarized the data before analysis. 

Results: Among 350 mothers interviewed, only 196 (56%) delivered their last children at health facility, while 154 (44%) was home deliveries or on the way to health facility. During delivery 197 (56.3%) assisted by skilled attendants, 42 (12.0%) assisted by TBA and 111 (31.7%) delivered by their own efforts and their relatives’ help. The main reasons for home delivery were; delay on decision making to seek delivery services 309 (88.3%), low family income 282 (80.6%), previous history of home delivery without complication 174 (49.7%), long distance to health facility 86 (24.6%), bad roads condition 55 (15.7%) & unavailable transport 22 (6.3%). 


Conclusion: The magnitude of home deliveries at Tarime rural district council is still high, with multiple causative factors, economic, geographical & cultural factors. 

Recommendations: It need both political socio-economic and health sectors to intervene the situation for the health of maternal and child-health.

ER  -