Maternal Delivery at Home: Issues in India.
Chung-Ya Ou1, Masuma Yasmin2, Gainel Ussatayeva3
1School of Public Administration, Nanfang College of Sun Yat-Sen University, Guangzhou, People's Republic of China.
Advances in Therapy
|October 31, 2020
Summary
Home delivery in India affects 22% of women, particularly those in disadvantaged areas. Addressing financial, transport, and social barriers, alongside empowering women, can reduce this public health issue.
Area of Science:
- Public Health
- Maternal Health
- Sociology
Background:
- Home delivery without skilled birth attendants is a significant public health concern in India.
- Understanding the factors influencing home delivery is crucial for improving maternal and newborn outcomes.
Purpose of the Study:
- To assess contributing and eliminating factors of maternal home delivery in India.
- To explore reasons why women do not deliver at healthcare facilities.
Main Methods:
- Utilized National Family Health Surveys (NFHS)-4 (2015-2016) data from India.
- Analyzed a national representative sample of 699,686 women (15-49 years).
- Employed cross-tabulation and multivariate logistic regression analyses.
Main Results:
- Prevalence of home delivery was 22%, with 34% deeming institutional delivery unnecessary.
- Key reasons included financial constraints, transportation issues, inaccessibility of facilities, and lack of family permission.
- Home delivery was higher in disadvantaged socioeconomic areas and linked to domestic violence and partner control.
- Mobile phone ownership and SMS usage were associated with lower rates of home delivery.
Conclusions:
- Policymakers must target marginalized populations in disadvantaged areas for improved delivery care.
- Strengthening public healthcare facilities and skilled birth attendant networks is essential.
- Promoting electronic and economic empowerment of women can significantly reduce home deliveries.
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