Determinants of delivery site's preferences among women in East Africa: case study in Ishaka municipality, Western Uganda

Abstract

Introduction: It has acknowledged that delivered at traditional birth attendance can increase mortality death. Epidemiological studies have identified poor quality of care as being at greater risk of increasing the home delivery. This study aimed to explore pregnant women's factors associated with the site of delivery. Methods: a community based cross-sectional study was conducted in Ishaka municipality using an established questionnaire based on real lifetime realities seen in maternal health facilities, the measure of association was odds ratios and 5% level of statistical significance, and the 95% confidence intervals was measured for all the above analyze. Results: ratio between delivery in health facility and delivery at home was 4.5/1. The factors associated with the women's choice of delivery were the available health center, the level of education attained, the affordable friendly services, and the behavior of the health workers (p<0.05). The result revealed that having unpaid health fees and hospitality of health were predictors for choosing antenatal healthcare facility. Conclusion: quality of antenatal health care associated to social work attitude of health practitioners determined the choice of site´s delivery. This study confirms that in rural settings, promoting of funded maternal healthcare is a core of delivery´s site preference