The Journal of Health, Population and Nutrition
Vol. 27, No. 5, 2009, pp. 696-703
Bioline Code: hn09069
Full paper language: English
Document type: Research Article
Document available free of charge
The Journal of Health, Population and Nutrition, Vol. 27, No. 5, 2009, pp. 696-703
© Copyright 2009 - International Centre For Diarrhoeal Disease Research, Bangladesh
Household Decision-making about Delivery in Health Facilities: Evidence from Tanzania|
Danforth, E.J.; Kruk, M.E.; Rockers, P.C.; Mbaruku, G. & Galea, S.
This study investigated how partners' perceptions of the healthcare system influence decisions about
delivery-location in low-resource settings. A multistage population-representative sample was used in Kasulu
district, Tanzania, to identify women who had given birth in the last five years and their partners. Of
826 couples in analysis, 506 (61.3%) of the women delivered in the home. In multivariate analysis, factors
associated with delivery in a health facility were agreement of partners on the importance of delivering in
a health facility and agreement that skills of doctors are better than those of traditional birth attendants.
When partners disagreed, the opinion of the woman was more influential in determining delivery-location.
Agreement of partners regarding perceptions about the healthcare system appeared to be an important
driver of decisions about delivery-location. These findings suggest that both partners should be included in
the decision-making process regarding delivery to raise rates of delivery at facility.
Delivery; Healthcare; Health services; Maternal mortality; Partner's influence; Tanzania
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