Factors Associated with Home Child Delivery in Musanze Sector, Rwanda

Abstract

Background: Sub-Saharan Africa and South Asia together account for over 85% of maternal deaths. of which only half the deliveries occur at home. Various factors, including delays in providing adequate obstetric care and poor accessibility to maternal health care, have been implicated in increasing home deliveries in developing countries. Objective: The objective of this study was to determine factors associated with home delivery in the Musanze sector. Materials and methods: Adopting a cross-sectional research design, a sample of 38 women who delivered at home was selected using a purposive sampling method. Using IBM-SPSS, binary logistic regression analysis was used to identify factors associated with home delivery. Results: Factors such as childbirth during the night (AOR, 1.3; 95% CI: 1.4, 3.35, p<0.001), delivery during the rainfall (AOR, 2.9; 95% CI: 1.6, 3.7, p<0.001), the habit of home delivery (AOR, 1.7; 95% CI: 0.8, 1.6, p<0,001), multiparous women (AOR, 4.2; 95% CI: 1.7, 19.2, p<0.001) and the lack of health insurance (AOR, 0.3; 95% CI: 0.02, 0.58, p<0.002) were associated with home delivery. Conclusion: Mobilization of pregnant mothers to come lodge at a health facility one week before the expected delivery date; mobilization on health risks related to home delivery and high-risk pregnancy.