Determinants for choice of home birth over health facility birth among women of reproductive age in Tanzania: an analysis of data from the 2015-16 Tanzania demographic and health survey and malaria indicator survey

Background While evidence has shown an association between place of birth and birth outcomes, factors contributing to the choice of home birth have not been adequately investigated in Tanzania while more than 30% of deliveries occur outside of health care facilities, and more than 95% of those deliv...

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Bibliographic Details
Published in:BMC pregnancy and childbirth 2020-09, Vol.20 (1), p.1-561, Article 561
Main Authors: Moshi, Fabiola V., Mbotwa, Christopher H.
Format: Article
Language:English
Subjects:
Age
Attended births
Breastfeeding & lactation
Childbirth
Childbirth & labor
Developing countries
Eclampsia
Family planning
Fertility
Health facilities
Health facility
Health surveys
Home
Home births
Households
Industrialized nations
Interviews
LDCs
Malaria
Maternal & child health
Maternal mortality
Midwifery
Obstetrics
Out of pocket costs
Postpartum period
Questionnaires
Reproductive Age
Tanzania
Variables
Women
Womens health
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Summary:Background While evidence has shown an association between place of birth and birth outcomes, factors contributing to the choice of home birth have not been adequately investigated in Tanzania while more than 30% of deliveries occur outside of health care facilities, and more than 95% of those deliveries are assisted by non-medical providers who are often unskilled. The use of unskilled birth attendants has been cited as a factor contributing to the high maternal and neonatal mortalities in low-resources countries. This study aimed to identify determinants of choice for home birth over health care facility birth in Tanzania. Method: This study used the 2015-16 Tanzania Demographic and Health Survey and Malaria Indicator Survey (2015-16 TDHS-MIS) dataset. A total of 2286 women of reproductive age (15–49 years) who gave birth within one year preceding the survey were included in the analysis. Both univariate and multivariable regression analyses were used to determine predictors for the choice of home-based childbirth over health care facility delivery. Results A total of 805 (35.2%) women had a home birth. After adjusting for confounders, the determinants for choice of home birth were: the level of education (primary education [AOR = 0.666; p = 0.001]; secondary and higher education [AOR = 0.417; p 
ISSN:1471-2393
1471-2393
DOI:10.1186/s12884-020-03266-3