Title:
Factors influencing women’s access to and utilization of skilled birth attendance in south sudan
Authors:
Duop, Daniel Madit Thon
Year:
2016
PAGE:
51
Language:
En
Subject:
Maternal Health – Lessons Learned
Abstract:
Background: South Sudan is the world newest country in world and gained its independence from Sudan in 2011, after more than 2 decades of devastating civil war. It has one of the world highest Maternal Mortality Ratio of 2054/100,000 live births; and the skilled birth attendant (SBA) is only 10% of the institutional deliveries. The aim of the study is to find out factors influencing access and use of SBA. Study Objective: To explore socio-cultural, socio-economic and health system, policy? related factors that influence access to SBA in South Sudan and other countries with similar context to South Sudan. And to recommend evidence-based best practices in order to improve access to SBA in South Sudan. Methodology: Literature review through electronic search of PuMed, Google Scholar, VU e-library and the websites of WHO, UNFPA and South Sudan’s government. The three delay model of Maine 1994 was used as the conceptual framework to guide the study. Findings: Insufficient financing of health services; long distances to the health facilities, geographical and physical accessibility, especially in the rural areas. Inadequate supply of essential live saving equipment. Other findings were poor and dilapidated health infrastructure; inadequate and unfairly distributed number of SBAs. Bad behaviours of unmotivated health workers. Household poverty and low level of education, especially of the rural women, are also barriers. Other findings were cultural and traditional beliefs and community perception of pregnancy and birth. Evidence-based practices that improve access to SBA are provision of maternal health services near to the community, increasing health financing and providing especial subsidies/loans for safe motherhood services of the poorer households. Other evidences are training of more SBAs; women’s education and community empowerment and mobilization. Recommendations: Increase budget allocation of health services and subsidize safe motherhood services. Reduce geographical and physical access to the health facility by taking delivery centres to the communities, training of more SBAs, motivate and retain them. Improve quality of health services and referral system; and empower women and the communities.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institue)
Department:
Health
Country:
South Sudan, republic of
Region:
Northeastern Africa
Training:
Master of Public Health/International Course in Health Development (MPH/ICHD)
Category:
Research
Right:
© 2016 Duop
Document type:
Thesis/dissertation
File:
R1sT2KYkd7_20170427140202901.pdf