Qualitative Study of Factors Associated with Home Deliveries and Practices in Kilifi County-Kenya

Abstract

Background: Maternal morbidity and mortality is a global health challenge and majorities are associated with lack of trained supervision at delivery especially in sub-Saharan Africa. In Kenya, according to the demographic health survey of 2008/09 indicates a high maternal mortality ratio (MMR) of 488 per 100,000, attributed to the high proportion of home deliveries which accounts 56%. Objective: The main objective of this study was to explore and describe factors associated with home deliveries. Methods: Data were gathered using focus group discussion (FGD) and in-depth interviews (IDIs) among mothers seeking immunization services in selected health facilities within Kilifi County. The participants were selected purposively. The data was put under themes consistent with the research objectives and then analysed thematically. Result: The predominant factors associated with home delivery identified by this study were Human Immunodeficiency Virus (HIV) testing, vaginal examinations, degree of pain, sudden onset of delivery, husband’s consent, lack of transport and cost of delivery. There were no major cultural factors associated with home deliveries except administration of herbs during labor to relieve pain. Most of the participants were comfortable with home deliveries once the mother’s and fetus’s health are perceived in good condition. Conclusion: The findings provide vital information on the factors associated with home deliveries and practices in the county. Policy makers, health administrators, managers and caregivers should put in place relevant and effective strategies to mitigate the barriers described above in order to increase facility-based deliveries.