文章基本信息

标题：Study of the Factors Associated with Home Delivery in a Situation of Free Care in Senegal
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作者：Adama Faye ; Anta Tal-Dia ; Daouda Faye 等
期刊名称：Open Journal of Epidemiology
印刷版ISSN：2165-7459
电子版ISSN：2165-7467
出版年度：2017
卷号：07
期号：04
页码：326-336
DOI：10.4236/ojepi.2017.74027
语种：English
出版社：Scientific Research Publishing
摘要：Introduction: Home delivery is still a health problem in Kolda (Senegal). The aim of this work is to study the factors associated with the place of delivery in a situation of free care delivery. Method: A descriptive and analytical cross-sectional study was carried out. Sampling was in two-stage clusters. The study focused on women who gave birth in the last 12months. The data were collected during an individual interview at home. The collection focused on knowledge, attitudes and practices about delivery. Logistic regression was used to explore the determinants of childbirth at the level of health facility. Results: The average age was 25.4 ± 6.5 years. Among the interviewed women, education was reported in 35% of the women and 55% of women estimate that the closest health facility is within 5 km to their home. The time to get to the nearest health facility is less than 15 minutes for 39% of the interviewed women. The prevalence of home delivery was 43.5%. Home delivery was related to the remoteness of the health facility (2.43 [1.75 - 3.37]) but also to incomplete antenatal care (2.52 [1.59 - 4.00]). Support groups highlighted difficulties of access to health facilities because of remoteness. Interviews revealed a lack of involvement of husbands in seeking care for women. Cultural barriers are still there. Conclusions: Despite the gratuity of delivery, the remoteness of health structures and socio-cultural factors are still barriers to access to care for pregnant women. These aspects must be taken into account in health policies. Multi-lateral interventions should be implemented to provide solutions for this health problem.
关键词：Home Delivery;Free Care;Health Facility;Senegal