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1.5. OBJECTIVES 1.5.1. Broad objectives To determine the magnitude of deliveries at health units and their determinants in Kigoma rural district. 1.5.2. Specific Objectives: 1. To determine the magnitude of deliveries at health units. 2. To identify mothers levels of knowledge on maternal risk factors. 3. To determine whether mothers' parity has influence on place of delivery. 4. To determine whether distance to health unit influences on place of delivery 5. To determine community perception on quality obstetric care provided in Health units. 6. To determine whether social economic /cultural factors influences on place of delivery. 1.6. RESEARCH QUESTION 1. What is the magnitude of health unit delivery? 2. What is the level of knowledge of mothers on maternal risks factors? 3. Does parity influence place of delivery 4. Does distance influence place of delivery 5. What is community perception on quality of obstetric care provided in Health units? 6. What are socio-economic/cultural factors influencing health unit deliveries? 5
2.0. LITRATURE REVIEW CHAPTER TWO Several studies have been done to determine the magnitude of health facility deliveries. Underneath are a few of the documented studies. Barbhuiya et al (2001) in their study on prevalence of home deliveries and ante-natal care done in Gazipur Thana Bangladesh results showed that 83% of the respondents received ante-natal check-up throughout their last pregnancy and out of 505 respondents 91.3% of the respondents was found to have delivered at home while only 8.7% at health institutions. On the other hand – Kaguna et al (2000) in their study on factors influencing choice of delivery sites in Rakai district Uganda noted that 44% of the sample delivered at home, 17% at traditional birth attendant’s place, 32% at public health units and 7% at private clinics. In Tanzania the Demographic Health Survey (1996) described health facility delivery being 47% and home delivery being 50%. Another study done by Patrizia (1994) in Zimbabwe reported that whereas ANC attendance rates were high however the deliveries in the majority of cases did not take place at the hospital or planned place which was only 44.3% health unit deliveries. Similarly Godffrey. and Ssembatya in their study done in Mangachi district in Malawi in 1996 reported that although many mothers attend ante-natal clinics at various units in Malawi, less than one quarter of them actually deliver in the health centre, which was 23% of all deliveries in the study. Mothers knowledge is an important factor in enabling them in attending ANC. Findings from a study by Ladfors et al 2001 in a population based study Swedish Women’s opinions about ante-natal delivery and post partum care reported that 81% of porous women answered that, checking blood and urine samples, fetal rate and measurement of fundal height were the most important procedures in ante-natal care. Mother have also been reported to be having substantial knowledge on risk factors. In a study in Ekpoma 6
Page 1 and 2: PRIMARY HEALTH CARE INSTITUTE - IRI
Page 3 and 4: DEDICATION I dedicate this work to
Page 5 and 6: TABLE OF CONTENTS SUBJECT PAGE Decl
Page 7 and 8: LIST OF TABLES Table 1: Distributio
Page 9 and 10: ABREVIATIONS ANC - Ante-Natal Care
Page 11 and 12: ABSTRACT Health unit delivery is a
Page 13 and 14: Globally Safe Mother Hood Initiativ
Page 15: and delivery in Health units for pr
Page 19 and 20: Several other studies have been don
Page 21 and 22: 3.0. RESEARCH METHODOLOGY 3.1. STUD
Page 23 and 24: 3.4. STUDY POPULATION The populatio
Page 25 and 26: The processed data was analyzed man
Page 27 and 28: 4.0. RESEARCH FINDINGS CHAPTER FOUR
Page 29 and 30: Table 5: Distribution of respondent
Page 31 and 32: Table 8: Distribution of Respondent
Page 33 and 34: The table above shows that women wh
Page 35 and 36: Table 14: Reasons given by mothers
Page 37 and 38: Introduction FOCUS GROUP DISCUSSION
Page 39 and 40: Focus group discussion with health
Page 41 and 42: Social Economic/Cultural factors ar
Page 43 and 44: HEALTH EDUCATION MODEL 5.3.THEORETI
Page 45 and 46: To reduce the complications that ap
Page 47 and 48: People will only perform a given be
Page 49 and 50: BIBLIOGRAPHY Ahmad Z. et al (1998).
Page 51 and 52: Ladfors L. et al (2001). A populati
Page 53 and 54: Walraven et al (2000) Maternal mort
Page 55 and 56: 8. How long does it take you to rea
Page 57 and 58: ANNEX 2 FOCUS GROUP DISCUSSION FOR
Page 59 and 60: ANNEX 2: QUESTIONS FOR FOCUS GROUP
Page 61: ANNEX 5: PERMISSION LETTER 47

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