Factors contributing to home deliveries by women attending post-natal care at a selected clinic in Rundu District, Kavango East Region, Namibia


Submitted: 26 October 2021
Accepted: 29 May 2022
Published: 7 September 2022
Abstract Views: 138
PDF: 148
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Authors

In 2016, almost 31 million births in low- and middle-income countries occurred without a qualified birth attendant. 90% were in South Asia and sub-Saharan Africa. In sub-Saharan Africa, where Namibia is located, 50% of births are unattended. This study aimed at identifying factors contributing to home births in Rundu District, Kavango East Region. This study was quantitative cross-sectional. Postnatal moms who gave birth at home completed a self-administered questionnaire with closedended questions. 27.2% of respondents were 33 to 38. Most responders (83.3%) were unmarried and 38.6% were ”other” religious. Participants were mostly unemployed (79.8%). 49.1% of respondents were uneducated. 8.8% of employed people were in the public sector, 6.1% in private, and 1.8% self-employed. Most (93.9%) visited antenatal clinics once (25.4%), twice (20.2%), or three times (40%) before delivery. 81% picked where to deliver on their own, and 71% had previously delivered at home. No one explained this behavior. The majority of women in this study had given delivery at home. Education, religion, and delivery location were correlated. These findings inform the community and government about the present trend of home births, which may harm mother and newborn outcomes.


WHO. Maternal and reproductive health. 2016;Available from: https://bit.ly/3RAP2zn.

WHO. Ensure healthy lives and promote health for all at all times; 2017. Available from: https://bit.ly/2KupAJ0.

Maternal mortality in 1990-2015, Namibia. WHO. 2015;Available from: https://bit.ly/3wRFt78.

UNICEF. Despite accelerated recent progress, millions of births occur annually without any assistance from a skilled attendant at birth; 2017. Available from: https://bit.ly/3CQVM7W.

N L. Causes and Risk Factors of Maternal Deaths in Namibia; 2014. Available from: https://bit.ly/3CWm3lh.

Namibia GO. Harambe Prosperity Plan; 2016. Available from: https://bit.ly/3RzwlvB.

Population and Housing Main Report. Namibia Statistics Agency. 2011;Available from: https://bit.ly/3RzphPY.

Economist N. Economy profile for Rundu. 2015; Available from: https://bit.ly/3wNTPpa.

Sekaran U, Bougie R. Research Methods for Business: A Skill-building Approach. 2013;.

Jama AA, Arowojolu AO, Ajayi IO. Factors Influencing Obstetric Home Delivery and Outcome among Women of Reproductive Age in Dusmareb District. 2020;Available from: https://bit.ly/3CTGHCD. DOI: https://doi.org/10.21203/rs.2.19610/v1

Bedilu K, Niguse M. Delivery at home and associated factors among women in childbearing age, who gave birth in the preceding two years in Zala Woreda, southern Ethiopia. J Public Health Epidemiol. 2017;9(6):177–188. Available from: https://bit.ly/3D9idFN. DOI: https://doi.org/10.5897/JPHE2017.0921

Arba MA, Darebo TD, Koyira MM. Institutional delivery service utilization among women from rural districts of Wolaita and Dawro zones, southern Ethiopia: A community based crosssectional study. PLoS ONE. 2016;11(3). DOI: https://doi.org/10.1371/journal.pone.0151082

Sialubanje C, Massar K, Hamer DH, Ruiter R. Reasons for home delivery and use of traditional birth attendants in rural Zambia: A qualitative study. BMC Pregnancy Childbirth. 2015;15:216–216. DOI: https://doi.org/10.1186/s12884-015-0652-7

Ministry of Health and Social Services. Namibia Demographic and Health Survey. Windhoek, Namibia; 2014.

Yebyo H, Alemayehu M, Kahsay A. Why do women deliver at home? Multilevel modeling of Ethiopian national demographic and health survey data. PLoS ONE. 2015;10(4). DOI: https://doi.org/10.1371/journal.pone.0124718

Ashipala, D. O., & Mutsindikwa, T. (2022). Factors contributing to home deliveries by women attending post-natal care at a selected clinic in Rundu District, Kavango East Region, Namibia. Journal of Public Health in Africa, 13(3). https://doi.org/10.4081/jphia.2022.2070

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