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Neuroimaging Field Methods Using Functional Near Infrared Spectroscopy (NIRS) Neuroimaging to Study Global Child Development: Rural Sub-Saharan Africa

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Characteristics and Determinants for Home Births in Rural Sierra Leone: A Cross-Sectional Study.

Jenny Wussow^1,2, Tatyana D Fedorova³, Moses Ibrahim Conteh⁴

¹Global Health Section, Department of Public Health, University of Copenhagen, Copenhagen, Denmark. jenny.wussow99@web.de.

Maternal and Child Health Journal

|June 2, 2026

Summary

High maternal mortality in Sierra Leone is linked to home births. Key factors include poor healthcare experiences, distance to facilities, and cost, necessitating improved access and quality of care.

Keywords:

Antenatal care Home Birth Maternal Health Sierra Leone Tonkolili

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Published on: August 22, 2012

Area of Science:

Maternal Health
Public Health
Global Health

Background:

Sierra Leone faces some of the highest maternal mortality rates globally.
Home births in rural areas contribute significantly to these high rates.

Purpose of the Study:

To identify characteristics and reasons for home births among women in rural Sierra Leone.
To inform interventions aimed at reducing maternal mortality.

Main Methods:

A cross-sectional survey of 555 women of childbearing age in the Mathonkara Catchment area.
Data collected via structured questionnaire on birthplaces, demographics, maternal health, and care-seeking behaviors.

Main Results:

Home birth prevalence was 26.67%.
Factors associated with home births included poor healthcare experiences (AOR=19.11), distance >1km (AOR=7.15), ≤3 antenatal care visits (AOR=4.84), and prior home births (AOR=4.17).
Reasons cited were nighttime labor, transportation costs/availability, and healthcare service costs.

Conclusions:

Home births in rural Sierra Leone are influenced by multiple factors.
Addressing quality of care, respectful treatment, distance, economic costs, and transportation is crucial for improving facility-based births and maternal outcomes.