epidemiology-2016_scientifictracks-abstracts

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Volume 6, Issue 5(Suppl) Epidemiology (Sunnyvale)
ISSN: 2161-1165 ECR, Open Access
Page 70
Notes:
Epidemiology 2016
October 3-5, 2016
conferenceseries.com
Epidemiology & Public HealthOctober 3-5, 2016|London, UK
4th International Conference on
RISK FACTORS ASSOCIATED WITH DIFFERENT TYPES OF BIRTH ATTENDANTS FOR
HOME DELIVERIES: A CROSS-SECTIONAL DATAANALYSIS OF 2010 SOUTH SUDAN
HOUSEHOLD SURVEY
Ngatho S Mugoa, Michael J Dibleya, Kingsley E Aghob and Anthony B Zwic
aUniversity of Sydney, Australia
bUniversity of Western Sydney, Australia
cUniversity of New South Wales, Australia
Background: In South Sudan, home deliveries attended by un-skilled birth attendants put the mother and her newborn at
increased risk of perinatal morbidity and mortality. This study aimed to identify risk factors associated with home delivery by
unskilled birth attendants or unassisted delivery.
Methods: We examined data for 2,767 (weighted total) women aged 15-49 years who delivered at home two years prior to
South Sudan Household Health Survey 2010. Multinomial logistic regression analyses were used to identify risk factors for
home delivery by unskilled birth attendants.
Results: The prevalence of unassisted home delivery, un-skilled birth attendants and skilled birth attendants (SBAs) was 19%
[95% confidence interval (CI): (17.0, 20.5)], 45% [95% CI: (42.4, 47.0)] and 36% [95% CI: (34.2, 38.6)] respectively. After
adjusting for potential confounding factors, the following were associated with an increased odds for unassisted deliveries, or
by unskilled birth attendants: mothers with no schooling, mothers who did not attend antenatal care (ANC) during pregnancy,
mother who had lower quality of ANC services, mothers from poor households, and mothers who had no prior knowledge
about obstetric danger signs.
Conclusions: This study found that non-utilization of maternal health care services, such as ANC, was significantly associated
with unattended home birth or home birth attended by un-skilled health providers. To increase uptake of SBAs at home
delivery will require easier access to ANC services, health promotion of the importance and benefits of the use of SBAs for
delivery, targeting both mothers and their families, and training and deployment of more skilled birth attendants across the
country.
Biography
Ngatho S Mugo is an Australian South Sudanese. Currently enrolled as a higher degree research student, PhD (Medicine), in the School of Public Health, University
of Sydney. Her research interest is to identifying the determines of maternal, neonate and child health in order to reduce maternal and child mortality in South Sudan
Ngatho S Mugo et al., Epidemiology (Sunnyvale), 6:5(Suppl)