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Factors Influencing Women’s Choice Of Place Of Delivery In Nigeria
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In Kenya, maternal mortality rate has not reduced over recent years, and
may even have increased from an estimated 380/100000 live births in
1990 to 530/100000 live births in 2008 . Although a number of factors
may have contributed to this, including improved identification of
maternal deaths, health facility delivery remained low at 44% and 42.6%
in the early 1990s and in 2008 respectively [18, 19]. Recent evidence on
determinants of place of delivery in Kenyan utilising a nationally
representative data and controlling for all factors is lacking, yet
understanding the influences on place of delivery in Kenya is crucial to
identifying key priority areas for policy and practise to increase the
prevalence of skilled assisted deliveries.
We have used data from the
2008/2009 Kenya Demographic and Health Survey (KDHS) and linked them
with a 2008 Kenyan Health Facility Database, that provides Global
Positioning System (GPS) coordinates for distance analysis, to describe
the factors that influence where women deliver in Kenya, and the reasons
that women give for delivering at home.
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