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Household decision-making about delivery in health facilities: evidence from Tanzania.

Danforth, E. J., Kruk, M. E., Rockers, P. C., Mbaruku, G. and Galea, S. (2009) Household decision-making about delivery in health facilities: evidence from Tanzania. Journal of health, population, and nutrition, 27 (5). pp. 696-703. ISSN 1606-0997

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Abstract

This study investigated how partners' perceptions of the healthcare system influence decisions about delivery-location in low-resource settings. A multistage population-representative sample was used in Kasulu district, Tanzania, to identify women who had given birth in the last five years and their partners. Of 826 couples in analysis, 506 (61.3%) of the women delivered in the home. In multivariate analysis, factors associated with delivery in a health facility were agreement of partners on the importance of delivering in a health facility and agreement that skills of doctors are better than those of traditional birth attendants. When partners disagreed, the opinion of the woman was more influential in determining delivery-location. Agreement of partners regarding perceptions about the healthcare system appeared to be an important driver of decisions about delivery-location. These findings suggest that both partners should be included in the decision-making process regarding delivery to raise rates of delivery at facility.

Item Type: Article
Keywords: Delivery;Healthcare;Health service;Maternal mortality;Partner's influence;Tanzania
Subjects: Health Systems > Service delivery & access
Maternal & Neonatal Health > Maternal Mortality & Morbidity
Maternal & Neonatal Health > Neonatal Health
Divisions: Ifakara Health Institute > Policy Translation
Depositing User: Mr Joseph Madata
Date Deposited: 11 Sep 2012 10:05
Last Modified: 11 Sep 2012 10:05
URI: http://ihi.eprints.org/id/eprint/217

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