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Factors affecting utilization of health facilities for labour and childbirth: a case study from rural Uganda
Open accessAbstract
Background: Since 2000 considerable attention has been placed on maternal health outcomes as the 5th Millennium Goal. In Uganda, only 65% of births are delivered by a skilled birth attendant, contributing to the 435 women that die in every 100,000 births from unattended complications. Factors that impact a women’s decision on where to deliver include cost and household barriers, poor health services and lack of education. Methods: Insight into factors impacting maternal health decision-making in two villages in South Eastern Uganda, were explored through a cross-sectional study using focus group discussions (FDGs) with men and women and administering a simple questionnaire. Results: For men and women in the villages, cultural and community patterns of behavior have the strongest impact on delivery options. While women with no complications could often find options to deliver safely, lack of emergency obstetric care remains a strong factor in maternal deaths. Conclusions: This article proposes that communities be engaged in identifying and leveraging their strengths to find solutions for challenges facing women in achieving safe deliveries.
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“This continuity of care is needed in Uganda and other sub-Saharan African countries due to various evidence of distrust of the healthcare system, lack of women empowerment, poor attitude, and harmful health practices in this region [31, 32].”
From Women’s perceptions of midwifery continuity of care provided by bachelor of midwifery students from a public university in Northern Uganda: a descriptive qualitative study (2026) · cites this paper as [31]
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Cited by
Sorted by citations
Apili, F., Isoke, R., Mann, J., Matte, R. F., Abeja, C. J., Auma, A. G., Atuhairwe, I., Agaba, B., & Ukoha, W. C. (2026) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-026-09489-0
“The participants from a Spanish study and a Ugandan study on the utilization of maternal and child health services shared the same sentiment that midwives in the health facilities were so disrespectful and dehumanized them [30, 31].”
Metadata
- Authors
- Dantas, J. A. R., Singh, D., & Lample, M.
- Affiliations
- Curtin University (AU)
- Corresponding author
- Dantas, Jaya A. R.
- ORCID
- Dantas, Jaya A. R.
- Venue
- BMC Pregnancy and Childbirth
- Published
- 2020-01-16
- Volume
- 20
- Issue
- 1
- Pages
- 39-39
- ISSN
- 1471-2393 (ISSN-L)
- PMC
- PMC6966848
- OpenAlex
- W3013300663
- Cited by
- 37
- References
- 31
- Citations by year
- 2026: 9 · 2025: 10 · 2024: 6 · 2023: 3 · 2022: 3 · 2021: 4 · 2020: 2
- FWCI
- 2.88
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Pregnancy and Childbirth (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- eSpace (Curtin University) (submittedVersion, cc-by)
- Funders
- Curtin University of Technology
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
- Keywords
- maternal health, childbirth location, skilled birth attendance, emergency obstetric care, maternal mortality, rural Uganda, barriers to health care utilization, Millennium Development Goals
- MeSH terms
- Professionalism, Birth Setting, Adolescent, Adult, Decision Making, Educational Status, Fathers, Female, Health Services Accessibility, Home Childbirth, Humans, Male, Maternal Health Services, Middle Aged, Midwifery, Mothers, Obstetrics, Patient Acceptance of Health Care, Pregnancy, Quality of Health Care, Rural Population, Transportation, Uganda, Health Behavior, Health Care Costs, Focus Groups, Qualitative Research, Young Adult
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