(PHCII) - MMH/MMS

5.0 DISCUSSION.
CHAPTER FIVE
The discussions in this chapter are based on research findings and literature review with
its relationship to objectives of this study.
An overall 208 (52%) of respondents had there confinement at home while health unit
delivery was 192 (48%) of the respondents. This implies that more than a half of
pregnant mothers deliver at home settings where they can be subjected to high health
risks. Similar findings were observed by Tanzania Demographic Health Survey
(1996), which described health facility delivery being 47% and home delivery being
50%. Further more WHO estimates in developing countries deliveries in health units is
only 40% while 54% of all deliveries are out side health units (WHO 1997)
It was found that women with deliveries of (1 – 4) majority of them had their
confinement in health units 139 (34.75%), while women with 5 deliveries and above
who constituted 89 (22.25%) had their confinement at home. This indicated that grand
maltiparous women who are already at risk do subject themselves to further dangers
during delivery by delivering outside health units.
Study findings on distance show that there is an influence on place of delivery as
women living far from the health units did deliver at home. The Focus group discussion
with 8 villages showed negative perception on quality of obstetric care that is there were
inadequate skilled health workers, shortage of equipments, supplies and negative
attitude of health workers to clients. This could be due to poor distribution of skilled
health workers, shortage of equipments, supplies and non employment.
26