Prevalence and factors influencing home deliveries among postnatal mothers attending the young child clinic at Orum health centre IV in Otuke district, a cross-sectional study.
DOI:
https://doi.org/10.71020/jwhr.v3i1.28Keywords:
Home delivery, postnatal mothers, young child clinic (YCC), Otuke districtAbstract
Background:
Home delivery in poor resource countries remains a major challenge. The aim of this study was to determine the prevalence and factors influencing home deliveries among postnatal mothers at Orum Health IV in Otuke district.
Methods:
This study utilised a cross-sectional descriptive study design using a quantitative approach on a total of 145 respondents. A structured questionnaire was used to collect data. Data entry and analysis were done using SPSS version 23.0. Univariate analysis was done using descriptive statistics to describe independent variables, which were presented as frequencies and percentages. Bivariate analysis was done using Chi-Square (χ2) or Fischer’s exact to find the association between the dependent and independent variables.
Results:
The respondents had a mean age of 26.17 years, with half aged 25-30. Most were married (71.7%), nearly a third had secondary education (35.9%), over a third were Catholic (39.3%), and half were farmers (50.3%). Most respondents (71%) were satisfied with the quality of delivery services, though many reported inadequacies in equipment (52.4%) and staffing (62.1%). The majority of respondents attended at least one ANC visit, with 60% attending fewer than four times. Most had given birth before, and 72.3% had no history of home deliveries, and only 7.8% were satisfied with traditional birth attendant (TBA) services. The prevalence of home delivery was found to be 17.9.
Conclusions:
The findings suggest that while the majority of respondents were satisfied with the quality of delivery services and the care provided by female health workers, significant issues remain regarding the availability of equipment, adequate staffing, and privacy during delivery, which need to be addressed to improve overall patient satisfaction.
Recommendation:
Enhance community education programs focused on the importance of facility-based deliveries and engage local leaders, TBAs, and healthcare workers to disseminate accurate information about the risks associated with home deliveries.
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