Factors influencing choice of place of delivery by mothers in Amuru district, Uganda.
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INTRODUCTION: Complications during pregnancy and childbirth are a leading cause of death and disability among women of reproductive age in developing countries. To reduce these risks, mothers should deliver at health facilities were skilled care is accessible. In Uganda, only 41% of mothers delivered in health facilities, while in Amuru district, only 34% are health facility deliveries. Little is known about factors associated with choice of place of delivery among mothers in Amuru district. The objective of the study was to assess the factors influencing choice of place of delivery by mothers in Amuru district to enable the DHT design interventions to increase health facility deliveries. METHODS: The study was conducted among 345 mothers in Amuru district who had delivered one year prior to the study. A cross sectional study using both quantitative and qualitative methods was used. Quantitative data was entered and analysed using SPSS 11.5 statistical software. The Epi-info 3.2 software was used for bivariate analysis. Quantitative data was analysed manually using master sheet. Results were presented in tables, chart and texts. RESULTS: The variables found statistically significant and positively associated with (here specify the particular choice either HF or not HF which is associated with these factors) choice of place of delivery were, knowledge of the risk of non health facility deliveries, OR =2.87, 95%CI (1.51-5.46), Availability of ANC card, OR=3.26, 95%CI (1.23-8.69), Perception of risks of health facility deliveries, OR=2.20, 95%CI (1.38-3.52) and perception of accessibility of health facility any time, OR=2.32, 95%CI (1.29-4.17), while place of previous delivery, OR=0.30, 95%CI (0.18-0.49) was found to be statistically significant but negatively associated with choice of place of delivery. Up to (86%) of mothers said delivery requirements were needed at health facility. The association between awareness of birth plan, TBAs presence, distance to health facility and delivering in a health facility were not statistically significant. CONCLUSION: ANC attendance, community knowledge of risks in non health facility deliveries, community perception of risks of health facility deliveries and accessibility of health services positively influenced delivery in health facilities. While demand for delivery requirements and previous place of delivery negatively influenced delivery in the health facilities. RECOMMENDATION: To improve health facility deliveries, the DHT, and MOH should promote ANC attendance and fill in the knowledge gaps in the community through well designed education programme, improve accessibility for health facility services and subsidize delivery requirements for mothers.