Skilled Birth Attendance Among Women in Hard to Reach Island Fishing Communities on Lake Victoria; A Cross- Sectional Survey
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Date
2020
Journal Title
Journal ISSN
Volume Title
Publisher
Research Square
Abstract
Maternal deaths continue to be a major challenge for maternal health in Uganda. Maternal deaths are
at 336 maternal deaths per 100,000 live births, especially in rural hard to reach communities. Skilled birth
attendance is key to preventing most maternal deaths. Rural fishing communities on Lake Victoria, Uganda could
among communities with poor maternal health outcomes. We evaluated the extent of, and factors associated with
skilled births attendance by women in fishing communities along Lake Victoria, Uganda at the most recent
childbirth.
Methods: A cross sectional survey among 486 consenting women aged 15-49 years, who were pregnant or had a
birth or abortion in the past 6 months was conducted in 6 island fishing communities of Kalangala district, Uganda,
during January-May 2018. Interviewer administered questionnaires were used to collect data on sociodemographics,
antenatal care and skilled birth attendance during the most recent childbirth. Regression modeling
was used to determine factors associated with women’s skilled birth attendance among 450 women with a previous
childbirth.
Results: Majority of women had a skilled delivery during the most recent birth [86.9%,(391/450)], with less than two
in five skilled births being at the islands [34.0%, (133/391)]. Women who received any one of the seven assessed
ANC components were twice as likely to have had a skilled childbirth as those who didn’t receive any ANC
components (AOR=2.1; 95% CI:1.1-4.0).
Joint participant and partner health decisions, reporting no prior pregnancy loss, fewer than two lifetime births and
none fishing related partner occupation were also associated with a likelihood of having had a skilled birth during
the most recent delivery.
Conclusion: Skilled births attendance is still low in these island fishing communities. Tailored interventions to
expand provision of components of ANC may improve women’s skilled birth attendance in these islands.
Description
Keywords
Skilled births, Attendance, Island, Fishing, Community, Women, Uganda
Citation
Ssetaala, A., Nanyonjo, G., Okech, B., Chinyenze, K., Price, M. A., Kiwanuka, N., & Degomme, O. (2020). Skilled Birth Attendance Among Women in Hard to Reach Island Fishing Communities on Lake Victoria; A Cross-Sectional Survey. https://doi.org/10.21203/rs.3.rs-65481/v1