Health Facility Delivery And Associated Factors In The Chereponi District Of Northern Ghana

ABSTRACT

Worldwide facility delivery remains a serious concern and challenge to all international, nation

al

and local stakeholders. It is important to reduce this burden of large number of women and

neonates who die annually from preventable causes as a result of home delivery. Facility delivery

is a critical strategy to improve maternal and newborn health in the world, but still a large

number of home deliveries occur in the developing countries, mostly in the Sub Sahara African

countries. A quantitative cross cross-sectional study was conducted among women who delivered from

March, 2017 to March, 2018 in Chereponi dis trict. Structured questionnaire was administered to

the mothers and data collected on factors likely to influence place of delivery delivery.

The study was conducted among women aged between 15 to 49 years who delivered within one

year prior to the beginning of the study. Data on individual demographic characteristics,

community level factors, institutional level factors and the level of facility delivery were

collecte d from the respondents. Data were analy zed using STATA Version 15.0. Multivariate

logistics reg ression was u sed to identify factors related to place of delivery , controlling for

covariates that were statistically significant in the univariate regression model.

Among 440 women interviewed, 38.4 38.41% delivered at a health facility, while 61.59 61.59% deliveries

took place at home. Several factors were identified to be significantly associated with place of delivery. These included: the women’s level of education (aOR=0.49, 95% CI: 0.07-53.63, P=0.013), her ethnicity (aOR=2.48, 95% CI: 0.51-11.92, P=0.003), income level (aOR=2.79 95% CI: 1.49-5.24, P=0.001), number of antenatal visits (aOR=2.41, 95% CI: 0.68-8.54, P=0.019), her husband’s level of education (P=0.001), distance to a health facility (aOR=0.51 95% CI: 0.31-0.85, P=0.003), health staff attitude (aOR=5.59, 95% CI: 2.11-14.82, P