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5.1. CONCLUSION From the study finding it has been observed that more than half of women had home delivery while less than half of women had health unit deliveries. A larger group of mothers were not knowledgeable to maternal risks during pregnancy and delivery. Moreover women with high parity were found to have delivered at home more than in health units and that distance was found to influence place of delivery because women who lived more than 6 km minority used health units for delivery. Also the study noted that many women who had delivered at home most of them were assisted during delivery by their relatives. However women who had antenatal attendances of four (4) above had delivered in health units. Other factors found to influence low health unit delivery were social economic/ cultural factors in which focus group discussions noted that women were eager to deliver in health units but costs, absence of delivery equipments and negatively perceived attitudes about health personnel were among the major causes for low health unit delivery. However reasons given by mothers who had home deliveries was sudden onset of labour. 5.2. RECOMMENDATION - Health education to the community on advantages of conducting their deliveries in health units where skilled personnel will attend them should be intensified and made more effective. - Train facility workers on good attitude to clients. - CHMT should enough skilled professional of delivery equipments. - According to this study the major inhibiting factors was lack of knowledge on the importance of health unit delivery and material risks associated with home delivery among women of bearing age. To improve the situation health education should be given to mothers and the community so as to equip them with knowledge on the importance of skilled attendant during childbirth. 28
HEALTH EDUCATION MODEL 5.3.THEORETICAL PERSPECTIVE ON HEALTH EDUCATION INPUTS REGARDING TO LOW HEALTH UNIT DELIVERIES IN KIGOMA DISTRICT. INTRODUCTION: Health education model is a guide or idea that can be used for explaining or teaching health education on health and/or health related problems. It consists of several health models that can be applied to a single health intervention depending on the problem to be dealt with. Commonly used models are:- - Health belief model (HBM) - The theory of Reasoned Action (TRA) - Beliefs, Attitude, subjective norms and enabling factors (BASNEF) - Health Action Model (HAM) - Communication of Innovation theory (CIT) HEALTH BELIEF MODEL. It highlights the role of beliefs in stimulating preventive health education. Unlike other models it provides a useful checklist for choosing the point to emphasize in any communication message especially the importance of perceived serious, susceptibility and preventability. (Hubley 1993). THE THEORY OF REASONED ACTION. The Theory of Reasoned Action (TRA) influences significant others on individuals intention to act. In this model Fishben and Ajzen improve an aspect of TRA analysis of health making by separating belief from attitudes (Fishben and Ajzen 1985). Though it compliments and involves aspect of health decision making by separating belief from attitude, it emphasizes the paramount importance of the influence of significant others on the individuals intention to act. 29
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 16: and delivery in Health units for pr
Page 17 and 18: 2.0. LITRATURE REVIEW CHAPTER TWO S
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: Social Economic/Cultural factors ar
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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