Title:
Factors influencing use of institutional delivery care services in eritrea: providing suggestion towards improvement of skilled birth attendance (sba) in health facility.
Authors:
Beyene, S.T.
Year:
2014
PAGE:
viii, 50
Language:
En
Subject:
Maternal Health – Lessons Learned
Keywords:
SBA, institutional delivery, home delivery, maternal mortality, three delay model.
Abstract:
Background: In Eritrea about 25% and 45% of the maternal deaths occurred during delivery and 24 hours of post delivery period respectively. Skilled birth attendance (SBA) in health facilities is low (34%) and 66% of women get birth at home assisted by unskilled traditional birth attendants and/or families. Objective: To analyze & explore the factors for underutilization of institutional delivery care. And provide recommendation towards improving use of SBA in health facilities. Methodology: Literature review on factors influencing utilization of institutional delivery care services at birth. The three delay model is used to address the objectives of my thesis. Findings: The three delays factors; socio-economic/cultural factors, the actual & perceived accessibility and quality of care are the main factors hindering women from utilization of institutional delivery care services at birth. SBA in health facility was found very low among poor, uneducated and rural women. Conclusion: The three delay factors, delay in decision to seek care, delay to reach health facility and delay to receive adequate &quality emergency obstetric care are the factors for underutilization of institutional delivery care by skilled birth attendants (Bas). Recommendation: - Improve the health seeking behavior through educating, informing and mobilizing women, family and community. -Delegation of obstetric life saving care to lower levels by providing short training to Doctors and and Nurses/Midwives to practice safely. -Improve quality of care through training health worker and equipping the health facilities with necessary equipments, drugs and supplies. -Establish reliable transport, communication and referral system through community and public-privet partnership.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Department:
Development, Policy and Practice
Country:
Eritrea, State of
Region:
Horn of Africa
Training:
Master of Public Health / International Course in Health Development
Category:
Research
Right:
© 2014 Beyene
Document type:
Thesis/dissertation
File:
Dx6e74xnG8_20161101101952607.pdf