Factors Associated with the Place of Delivery among Women in Ogun East Senatorial District Nigeria: A Rural-Urban Comparative Cross-Sectional Study
Main Article Content
Keywords
Factors, Place of Delivery, Women, Nigeria, Rural, Urban, District
Abstract
Background: Choosing the appropriate place for delivery has a significant impact on the outcome of labour and childbirth. This study aimed to identify the factors associated with the place of delivery among women in Ogun East senatorial district, Nigeria.
Methodology: Using a multistage sampling technique, a comparative cross-sectional study was conducted among 375 women in Ogun East Senatorial District. An interviewer-administered, structured questionnaire was used. Data were analyzed using IBM SPSS version 22.0. Statistical significance was set at p<0.05. Relevant descriptive and inferential statistics were calculated. Results were presented in frequency tables.
Results: More urban respondents (n=296, 78.9%) utilized health facilities as a place of delivery during their last pregnancy than rural respondents (n=288, 76.8%). The factors associated with the place of delivery included marital status, educational status, cost of health service, and proximity to the health facility.
Conclusion: The findings underscore the need for public health policies that improve rural access to affordable and nearby maternal health services, which could enhance facility-based deliveries and reduce maternal and neonatal risks.
References
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23. Umar AS, Bawa SB. Determinants of Institutional Delivery in Yobe State, Nigeria. Am J Public Health Res 2016;4(1):1–7.
24. Yaya S, Bishwajit G, Uthman OA, Amouzou A. Why some women fail to give birth at health facilities: A comparative study between Ethiopia and Nigeria. PLOS One 2018;13(5):e0196896.
25. Rosado C, Callaghan-Koru JA, Estifanos AS, Sheferaw E, Shay T, De Graft-Johnson J, Rawlins B, Gibson H, Baqui AH, Nonyane BAS. Effect of Birth Preparedness on Institutional Delivery in Semiurban Ethiopia: A Cross-Sectional Study. Ann Glob Health. 2019 Mar 21;85(1):44. doi: 10.5334/aogh.920.
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27. Ameyaw EK, Ahinkorah BO, Seidu AA. Does knowledge of pregnancy complications influence health facility delivery? Analysis of 2014 Bangladesh Demographic and Health Survey. PLOS ONE 2020;15(8):e0237963.
28. Cofie LE, Barrington C, Singh K, Sodzi-Tettey S, Akaligaung A. Birth location preferences of mothers and fathers in rural Ghana: Implications for pregnancy, labor and birth outcomes. BMC Pregnancy Childbirth 2015;15(1):165.https://doi.org/10.1186/s12884-015-0604-2
29. Iyaniwura CA, Yussuf Q. Utilization of Antenatal care and Delivery services in Sagamu, South Western Nigeria. Afr J Reprod Health 2009;13(3):111–22.
30. Ebuehi OM, Akintujoye I. Perception and utilization of traditional birth attendants by pregnant women attending primary health care clinics in a rural Local Government Area in Ogun State, Nigeria. Int J Womens Health 2012;4(1):25–34.
31. Ayamlowo L, Odetola T, Ayamlowo S. Determinants of choice of birthplace among women in rural communities of southwestern Nigeria. International Journal of Africa Nursing Sciences 2020;13(1):100224. DOI: 10.1016/j.ijans.2020.100244
32. Samuel O, Zewotir T, North D. Decomposing the urban–rural inequalities in the utilisation of maternal health care services: evidence from 27 selected countries in Sub-Saharan Africa. Reprod Health 18, 216 (2021). https://doi.org/10.1186/s12978-021-01268-8.
33. Eke P, Ossai E, Azuogu B, Agu P, Ogbonnaya L. Rural-urban differences in utilization of antenatal anddelivery servicesin Ebonyi state, Nigeria. Niger J Clin Pract. 2021 Jun;24(6):925-936. doi: 10.4103/njcp.njcp_629_19.
34. National Bureau of Statistics. 2017 Demographic statistics bulletin [Internet]. [cited 2020 May 16]; Available from: www.nigerianstat.gov.ng
35. How to Calculate Population Projections [Internet]. Sciencing [cited 2021 Dec 9]; Available from: https://sciencing.com/calculate-population-projections-8473012.html
36. Taylor D. The calculation of sample size and power in the planning of experiments. 1983.
37. Shehu CE, Ibrahim MTO, Oche MO, Nwobodo EI. Determinants of place of delivery: A comparison between an urban and a rural community in Nigeria. J Public Health Epidemiol 2016;8(6):91–101.
38. Amu H, Dickson KS. Health insurance subscription among women in reproductive age in Ghana: do socio-demographics matter? Health Econ Rev. 2016 Dec;6(1):24. doi: 10.1186/s13561-016-0102-x.
39. Siabulanje C, Massar K, Hamer H, Ruiter RAC. Reasons for home delivery and use of traditional birth attendants in rural Zambia: a qualitative study. BMC Pregnancy and Childbirth | Full Text. 2015;15(1):216.
40. Shambe I, Pam V, Enokela M, Oyebode T, Gyang M, Gyang B, et al. Reasons for Choice of Place of Delivery among Women of Reproductive Age in a Semi urban Population in North-Central Nigeria: Choice of place of delivery among women of reproductive age. J Biomed Res Clin Pract 2018;1(1):61–6.
41. Enuameh Y, Okawa S, Asante K, Kikuchi K, Mahama E, Ansa E, et al. Factors Influencing Health Facility Delivery in Predominantly Rural Communities across the Three Ecological Zones in Ghana: A Cross-Sectional Study - PubMed. PLOS ONE 2016;11(3):e0152235.
42. National Population Commission, ICF. Nigeria Demographic and Health Survey 2018 - Final Report. 2019.
43. Tancred T, Marchant T, Hanson C, Schellenberg J, Manzi F. Birth preparedness and place of birth in Tandahimba district, Tanzania: what women prepare for birth, where they go to deliver, and why. BMC Pregnancy Childbirth 2016;16(1):165.
44. Dickson KS, Adde KS, Amu H. What Influences Where They Give Birth? Determinants of Place of Delivery among Women in Rural Ghana. Int J Reprod Med 2016; 2016:7203980.
2. Ihunanya M, Omolade F, Eugene M, Akpotor ME. Factors Influencing Place of Birth among Mothers Attending Infant Welfare Clinic at Iberekodo Primary Health Care Center, Abeokuta, Ogun State, Nigeria. Int J Caring Sci 2019;12(3):1675–83.
3. Hagos S, Shaweno D, Assegid M, Mekonnen A, Afework MF, Ahmed S. Utilization of institutional delivery service at Wukro and Butajera districts in the Northern and South Central Ethiopia. BMC Pregnancy Childbirth 2014;14(1): 178.https://doi.org/10.1186/1471-2393-14-178
4. Gabrysch, S., Campbell, O.M. Still too far to walk: Literature review of the determinants of delivery service use. BMC Pregnancy
Childbirth 2009;9:34.https://doi.org/10.1186/1471-2393-9-34
5. Kodom PNB, Kodom M, Senah K. “Why We Deliver Elsewhere”: Women’s Preferred Places of Delivery and Their Effects. Sociol Anthropol 2018;6(3):321–9.
6. Browning G, Halcli A, Webster F. Understanding Contemporary Society: Theories of the Present. SAGE; 1999.
7. Doctor HV, Nkhana-Salimu S, Abdulsalam-Anibilowo M. Health facility delivery in sub-Saharan Africa: successes, challenges, and implications for the 2030 development agenda. BMC Public Health 2018;18(1): 765.https://doi.org/10.1186/s12889-018-5695-z
8. UCSF Global Health Sciences global health group. Strategies to increase health facility deliveries: three case studies. [Internet]. [cited 2020 May 28]; Available from: https://globalhealthsciences.ucsf.edu/sites/globalhealthsciences.ucsf.edu/files/pub/pshi-strategies-to-increase-health-facility-deliveries.pd.f.
9. Adedokun ST, Uthman OA. Women who have not utilized health Service for Delivery in Nigeria: who are they and where do they live? BMC Pregnancy Childbirth 2019;19(1):93. https://doi.org/10.1186/s12884-019-2242-6
10. UNICEF. Data: Monitoring the situation of children and women [Internet]. [cited 2020 May 5]; Available from: https://data.unicef.org/topic/maternal-health/delivery-care/
11. Kifle MM, Kesete HF, Gaim HT, Angosom GS, Araya MB. Health facility or home delivery? Factors influencing the choice of delivery place among mothers living in rural communities of Eritrea. J Health Popul Nutr 2018;37(1):22. https://doi.org/10.1186/s41043-018-0153-1
12. Wanjira C, Mwangi M, Mathenge E, Mbugua G, Ng’ang’a Z. Delivery Practices and Associated Factors among Mothers Seeking Child Welfare Services in Selected Health Facilities in Nyandarua South District, Kenya. BMC Public Health 2011;11(1): 360.https://doi.org/10.1186/1471-2458-11-360
13. Ahinkorah BO. Non-utilization of health facility delivery and its correlates among childbearing women: a cross-sectional analysis of the 2018 Guinea demographic and health survey data. BMC Health Serv Res 2020;20(1): 1016.https://doi.org/10.1186/s12913-020-05893-0
14. Tsegay R, Aregay A, Kidanu K, Alemayehu M, Yohannes G. Determinant factors of home delivery among women in Northern Ethiopia: a case control study. BMC Public Health 2017;17(1): 289.https://doi.org/10.1186/s12889-017-4159-1
15. WHO. Global reference list core indicators (plus health-related SDGs) [Internet]. [cited 2020 Apr 20]; Available from: www.who.int/healthinfo/indicators/2018/en
16. Sialubanje C, Massar K, Hamer DH, Ruiter RAC. Understanding the psychosocial and environmental factors and barriers affecting utilization of maternal healthcare services in Kalomo, Zambia: a qualitative study. Health Educ Res 2014;29(3):521–32. https://doi.org/10.1093/her/cyu011
17. Tsegaye Yegezu R, Kitila SB. Assessment of Factors Affecting Choice of Delivery Place among Pregnant Women in Jimma Zone, South West Ethiopia: Cross Sectional Study. J Womens Health Care 2015;04(211):1–4.
18. United Nations. Progress and information on Sustainable development Goal 3 (2018).
19. Ajah LO, Onu FA, Ogbuinya OC, Ajah MI, Ozumba BC, Agbata AT, et al. Choice of birth place among antenatal clinic attendees in rural mission hospitals in Ebonyi State, South-East Nigeria. PLOS One 2019;14(11):e0211306.
20. Atinge S, Ogunnowo BE, Balogun M. Factors Associated with Choice of Non-Facility Delivery among Women Attending Antenatal Care in Bali Local Government Area of Taraba State, North-Eastern Nigeria. Afr J Reprod Health 2020;24(1):143–51.
21. Yahya MB, Pumpaibool T. Factors influencing the decision to choose a birth center by pregnant women in Gombe state Nigeria: Baseline survey. J Health Res 2019;33(3):228–37. https://doi.org/10.1108/JHR-10-2018-0129
22. National Bureau of Statistics, UNICEF. Multiple indicator cluster survey 2016-2017; survey findings report. 2017.
23. Umar AS, Bawa SB. Determinants of Institutional Delivery in Yobe State, Nigeria. Am J Public Health Res 2016;4(1):1–7.
24. Yaya S, Bishwajit G, Uthman OA, Amouzou A. Why some women fail to give birth at health facilities: A comparative study between Ethiopia and Nigeria. PLOS One 2018;13(5):e0196896.
25. Rosado C, Callaghan-Koru JA, Estifanos AS, Sheferaw E, Shay T, De Graft-Johnson J, Rawlins B, Gibson H, Baqui AH, Nonyane BAS. Effect of Birth Preparedness on Institutional Delivery in Semiurban Ethiopia: A Cross-Sectional Study. Ann Glob Health. 2019 Mar 21;85(1):44. doi: 10.5334/aogh.920.
26. Siyoum M, Astatkie A, Mekonnen S, Bekele G, Taye K, Tenaw Z, et al. Home birth and its determinants among antenatal care-booked women in public hospitals in Wolayta Zone, Southern Ethiopia. PLOS ONE 2018;13(9):e0203609.
27. Ameyaw EK, Ahinkorah BO, Seidu AA. Does knowledge of pregnancy complications influence health facility delivery? Analysis of 2014 Bangladesh Demographic and Health Survey. PLOS ONE 2020;15(8):e0237963.
28. Cofie LE, Barrington C, Singh K, Sodzi-Tettey S, Akaligaung A. Birth location preferences of mothers and fathers in rural Ghana: Implications for pregnancy, labor and birth outcomes. BMC Pregnancy Childbirth 2015;15(1):165.https://doi.org/10.1186/s12884-015-0604-2
29. Iyaniwura CA, Yussuf Q. Utilization of Antenatal care and Delivery services in Sagamu, South Western Nigeria. Afr J Reprod Health 2009;13(3):111–22.
30. Ebuehi OM, Akintujoye I. Perception and utilization of traditional birth attendants by pregnant women attending primary health care clinics in a rural Local Government Area in Ogun State, Nigeria. Int J Womens Health 2012;4(1):25–34.
31. Ayamlowo L, Odetola T, Ayamlowo S. Determinants of choice of birthplace among women in rural communities of southwestern Nigeria. International Journal of Africa Nursing Sciences 2020;13(1):100224. DOI: 10.1016/j.ijans.2020.100244
32. Samuel O, Zewotir T, North D. Decomposing the urban–rural inequalities in the utilisation of maternal health care services: evidence from 27 selected countries in Sub-Saharan Africa. Reprod Health 18, 216 (2021). https://doi.org/10.1186/s12978-021-01268-8.
33. Eke P, Ossai E, Azuogu B, Agu P, Ogbonnaya L. Rural-urban differences in utilization of antenatal anddelivery servicesin Ebonyi state, Nigeria. Niger J Clin Pract. 2021 Jun;24(6):925-936. doi: 10.4103/njcp.njcp_629_19.
34. National Bureau of Statistics. 2017 Demographic statistics bulletin [Internet]. [cited 2020 May 16]; Available from: www.nigerianstat.gov.ng
35. How to Calculate Population Projections [Internet]. Sciencing [cited 2021 Dec 9]; Available from: https://sciencing.com/calculate-population-projections-8473012.html
36. Taylor D. The calculation of sample size and power in the planning of experiments. 1983.
37. Shehu CE, Ibrahim MTO, Oche MO, Nwobodo EI. Determinants of place of delivery: A comparison between an urban and a rural community in Nigeria. J Public Health Epidemiol 2016;8(6):91–101.
38. Amu H, Dickson KS. Health insurance subscription among women in reproductive age in Ghana: do socio-demographics matter? Health Econ Rev. 2016 Dec;6(1):24. doi: 10.1186/s13561-016-0102-x.
39. Siabulanje C, Massar K, Hamer H, Ruiter RAC. Reasons for home delivery and use of traditional birth attendants in rural Zambia: a qualitative study. BMC Pregnancy and Childbirth | Full Text. 2015;15(1):216.
40. Shambe I, Pam V, Enokela M, Oyebode T, Gyang M, Gyang B, et al. Reasons for Choice of Place of Delivery among Women of Reproductive Age in a Semi urban Population in North-Central Nigeria: Choice of place of delivery among women of reproductive age. J Biomed Res Clin Pract 2018;1(1):61–6.
41. Enuameh Y, Okawa S, Asante K, Kikuchi K, Mahama E, Ansa E, et al. Factors Influencing Health Facility Delivery in Predominantly Rural Communities across the Three Ecological Zones in Ghana: A Cross-Sectional Study - PubMed. PLOS ONE 2016;11(3):e0152235.
42. National Population Commission, ICF. Nigeria Demographic and Health Survey 2018 - Final Report. 2019.
43. Tancred T, Marchant T, Hanson C, Schellenberg J, Manzi F. Birth preparedness and place of birth in Tandahimba district, Tanzania: what women prepare for birth, where they go to deliver, and why. BMC Pregnancy Childbirth 2016;16(1):165.
44. Dickson KS, Adde KS, Amu H. What Influences Where They Give Birth? Determinants of Place of Delivery among Women in Rural Ghana. Int J Reprod Med 2016; 2016:7203980.
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Jan 10, 2025
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Adefala, N. O., Omotosho, A. Y., & Osinaike, A. O. (2025). Factors Associated with the Place of Delivery among Women in Ogun East Senatorial District Nigeria: A Rural-Urban Comparative Cross-Sectional Study. Nigerian Medical Journal, 65(6), 1146–1155. https://doi.org/10.60787/nmj.v65i6.659
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