(PHCII) - MMH/MMS

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
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