Determinants of Women’s Choice of Delivery Site in Apam

Abstract

Majority of the maternal deaths that occur, especially in developing countries are avoidable or preventable. The study assessed the major factors responsible for determining the choice of delivery place in Apam. Using a descriptive cross sectional research design, the study involved 128 mothers who attended post natal clinic within Apam and delivered between December 2010 and May 2011, irrespective of site of delivery. Quantitative and qualitative research methods were used in the study. Structured interview and focus group discussion guide were used for data collection. Data was analysed using the Statistical Product and Service Solutions (SPSS) Version 16 software. Out of the 128 mothers that reported at the health facility, it was found that majority (78%) of the respondents who delivered at the hospital were married. There are significant relationships between marital status, level of education and the choice of delivery location. This is also consistent with decision making in relation to the choice of delivery place. The study concludes that even though most pregnant women attend antenatal care before their most recent births, about one-third did not deliver in a health care facility. It is recommended that level of health education within Apam should be intensified to enable women know the hazards of not delivering under a supervised setting.