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Factors contributing to home delivery in Musanze: A Community based cross-sectional study
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  • Fidele NIZEYIMANA,
  • Vital SINGIRANKABO,
  • Akram Muhammad,
  • Placide MUTABAZI,
  • Elbossaty Walaa Fikry
Fidele NIZEYIMANA
Nkumba University

Corresponding Author:[email protected]

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Vital SINGIRANKABO
UNHCR Rwanda, Senior WASH assistant, Netherlands Institute for Housing and Urban Development Studies. P.O. Box 1935 3000 BX Rotterdam-Netherlands,
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Akram Muhammad
Government College University Faisalbad Pakistan
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Placide MUTABAZI
Save the Children Rwanda
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Elbossaty Walaa Fikry
Damietta University
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Abstract

Objective: To determine the factors contributing to home delivery. Design: The study was cross-sectional. Setting: The study was quantitative and was conducted in all villages of Musanze sector which has home delivery. Data were collected going house to house for mothers who delivered at home. Data were collected using interviewer-administered questionnaire. Sample: All 38 women who delivered at home in 2016-2017 were enrolled in the study. Methods: To know who were delivered at home, researcher takes a copy of monthly reports of CHWs for each village & draw villages which had reported home delivery in the studies period. Before distributing questionnaire, the researcher asked the mother if she had delivered at home for the reported month and if she agrees, the researcher continues with the questionnaire distribution. Main outcome measures: Many factors finds contributing to home delivery. Those include cultural, social and financial factors. Results: The study finds that 23.7% of mothers who delivered at home had a high risk pregnancy, 23.7% had not a health insurance, 63.1% delivered during the night & 23.7% delivered during the rain fall. 29% have not visited by a CHW when they were pregnant, 10.6% have attended any ANC visit & 10.6% were accustomed to home delivery. Conclusion: Mobilization of pregnant mother to come hosting at the health facility one week before the expected delivery date, mobilization on health risk related to home delivery, high risk pregnancy and to avail the means of transport for women who start labor at home. Findings: Authors’ fees