Original Research

The use of facilities for labor and delivery: The views of women in rural Uganda

Rebecca Newell, Ian Spillman, Marie-Louise Newell
Journal of Public Health in Africa | Vol 8, No 1 | a975 | DOI: https://doi.org/10.4081/jphia.2017.592 | © 2024 Rebecca Newell, Ian Spillman, Marie-Louise Newell | This work is licensed under CC Attribution 4.0
Submitted: 22 November 2024 | Published: 23 June 2017

About the author(s)

Rebecca Newell, University of Southampton, United Kingdom
Ian Spillman, Kisiizi Hospital, Uganda
Marie-Louise Newell, University of Southampton, United Kingdom

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Abstract

The aim of the paper is to explore factors associated with home or hospital delivery in rural Uganda. Qualitative interviews with recently-delivered women in rural Uganda and statistical analysis of data from the 2011 Ugandan Demographic and Health Survey (DHS) to assess the association between socio-demographic and cultural factors and delivery location in multivariable regression models. In the DHS, 61.7% (of 4907) women had a facility-based delivery (FBD); in adjusted analyses, FBD was associated with an urban setting [adjusted odds ratio (aOR) 3.38, 95% confidence interval (CI) 2.66 to 4.28)], the upper wealth quintile (aOR: 3.69, 95%CI 2.79 to 3.87) and with secondary education (aOR: 3.07, 95%CI 2.37 to 3.96). In interviews women quoted costs and distance as barriers to FBD. Other factors reported in interviews to be associated with FBD included family influence, perceived necessity of care (weak women needed FBD), and the reputation of the facility (women bypassed local facilities to deliver at better hospitals). Choosing a FBD is a complex decision and education around the benefits of FBD should be combined with interventions designed to remove barriers to FBD.

Keywords

facility-based delivery; Uganda; delivery location

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