Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Asia Pacific Family Medicine
Published in: Asia Pacific Family Medicine 1/2013

Open Access 01-12-2013 | Short report

Factors associated with facility-based delivery in Mayoyao, Ifugao Province, Philippines

Authors: Azusa Shimazaki, Sumihisa Honda, Marcelyn M Dulnuan, Jennylene B Chunanon, Akiko Matsuyama

Published in: Asia Pacific Family Medicine | Issue 1/2013

Login to get access

Abstract

Background

The maternal mortality ratio (MMR) in the Philippines is higher than in most other Southeast Asian countries, and home delivery is a major factor contributing to the high MMR. This study aims to explore the determinants for choice of delivery location in Ifugao Province, where people have poor access to health services.

Findings

A household interview survey using a structured questionnaire was conducted to identify the factors associated with delivery location among 354 women. In all, 44.4% of the respondents delivered at a health facility. Using logistic regression analysis, parity (odds ratio [OR] 3.0, 95% confidence interval [C.I.] 1.6-5.6), higher education (OR 5.9, 95% C.I. 2.7-12.9), distance to a health facility (OR 6.9, 95% C.I. 3.4-14.2), health problems identified at antenatal care (OR 2.4, 95% C.I. 1.3-4.6), and the person deciding on the delivery location (e.g., for the husband OR 3.2, 95% C.I. 1.1-9.4) were found to be statistically associated with facility-based delivery.

Conclusion

Involving the husband and other people in the decision regarding delivery location may influence a woman’s choice to use facility-based delivery services. Our findings have useful implications for improving the existing Safe Motherhood program in the Philippines.
Appendix
Available only for authorised users
Literature
1.
WHO, UNICEF, UNFPA, World Bank: Maternal mortality in 2005. Geneva: WHO, UNICEF,WHO,UNFPA, and the World Bank; 2007.
2.
Thaddeus S, Maine D: Too far to walk: maternal mortality in context. Soc Sci Med 1994,38(8):1091–1110. 10.1016/0277-9536(94)90226-7PubMedCrossRef
3.
Danforth E, Kruk M, Rockers P, Mbaruku G, Galea S: Household decision-making about delivery in health facilities: evidence from Tanzania. J Health Popul Nutr 2009,27(5):696–703.PubMedCentralPubMed
4.
Koblinsky M, Matthews Z, Hussein J, Mavalankar D, Mridha MK, Anwar I, Achadi E, Adjei S, Padmanabhan P, Lerberghe WV: Going to scale with professional skilled care. Lancet 2006,368(9544):1377–1386. 10.1016/S0140-6736(06)69382-3PubMedCrossRef
5.
WHO: The world Health Report 2005. Geneva: WHO Press; 2005.
6.
7.
UNICEF: The state of the world’s children 2008. New York: UNICEF; 2008.
8.
Philippines National Statistics Office and ORC Macro: Philippines National Demographic and Health Survey. Maryland: Philippines National Statistics Office and ORC Macro; 2003.
9.
JICA: Annual Report 2008. Manila: Maternal and Child Health Project; 2008.
10.
Mistry R, Galal O, Lu M: Women’s Autonomy and pregnancy care in rural India: a contextual analysis. Soc Sci Med 2009,69(6):926–933. 10.1016/j.socscimed.2009.07.008PubMedCrossRef
11.
Schuler SR, Hashemi SM: Credit programs, women’s empowerment, and contraceptive use in rural Bangladesh. Stud Fam Plann 1994,25(2):65–76. 10.2307/2138085PubMedCrossRef
12.
Jejeebhoy S: Women’s Education, autonomy, and reproductive behaviour: experience from developing countries. Oxford: Clarendon; 1995.
13.
Upadhyay U, Hindin M: Do higher status and more autonomous women have longer birth intervals?: results from Cebu, Philippines. Soc Sci Med 2005,60(11):2641–2655. 10.1016/j.socscimed.2004.11.032PubMedCrossRef
14.
Fotso J, Ezeh A, Essendi H: Maternal health in resource-poor urban settings: How does women’s autonomy influence the utilization of obstetric care services? Reprod Health 2009,6(1):9. 10.1186/1742-4755-6-9PubMedCentralPubMedCrossRef
15.
Mason K: How family position influences married women's autonomy and power in five Asian countries. In Meeting Report of Committee for International Cooperation in National Research in Demography: 24–26 February 1997; Paris. Edited by: Eugenia M. Paris: East-West Center; 1997:353–371.
16.
Andres TD: Understanding Ifugao values. Manila: A Giraffe Book; 2004.
17.
Wagle RR, Sabroe S, Nielsen BB: Socioeconomic and physical distance to the maternity hospital as predictors for place of delivery: an observation study from Nepal. BMC Pregnancy Childbirth 2004,4(1):8. 10.1186/1471-2393-4-8PubMedCentralPubMedCrossRef
18.
Rogan SEB, Olvena MVR 9th National Convention on Statistics. In Factors affecting maternal health utilizaiton in the Philippines. Manila: National Statistics Office; 2004.
19.
Gage AJ: Barriers to the utilization of maternal health care in rural Mali. Soc Sci Med 2007,65(8):1666–1682. 10.1016/j.socscimed.2007.06.001PubMedCrossRef
20.
Nwakoby B: Use of obstetric services in rural Nigeria. J R Soc Health 1994,114(3):132. 10.1177/146642409411400304PubMedCrossRef
21.
Raghupathy S: Education and the use of maternal health care in Thailand. Soc Sci Med 1996,43(4):459–471. 10.1016/0277-9536(95)00411-4PubMedCrossRef
22.
Ikeako L, Onah H, Iloabachie G: Influence of formal maternal education on the use of maternityservices in Enugu, Nigeria. J Obstet Gynaecol 2006,26(1):30–34. 10.1080/01443610500364004PubMedCrossRef
23.
Onah H, Ikeako L, Iloabachie G: Factors associated with the use of maternity services in Enugu, southeastern Nigeria. Soc Sci Med 2006,63(7):1870–1878. 10.1016/j.socscimed.2006.04.019PubMedCrossRef
24.
Gabrysch S, Campbell OM: Still too far to walk: literature review of the determinants of delivery service use. BMC Pregnancy Childbirth 2009, 9: 34. 10.1186/1471-2393-9-34PubMedCentralPubMedCrossRef
Metadata
Title
Factors associated with facility-based delivery in Mayoyao, Ifugao Province, Philippines
Authors
Azusa Shimazaki
Sumihisa Honda
Marcelyn M Dulnuan
Jennylene B Chunanon
Akiko Matsuyama
Publication date
01-12-2013
Publisher
BioMed Central
Published in
Asia Pacific Family Medicine / Issue 1/2013
Electronic ISSN: 1447-056X
DOI
https://doi.org/10.1186/1447-056X-12-5

Other articles of this Issue 1/2013

Asia Pacific Family Medicine 1/2013 Go to the issue

Research

Use of insecticide treated net and malaria preventive education: effect on malaria parasitemia among people living with AIDS in Nigeria, a cross-sectional study

Research

Restructuring the Ikeda City school urinary screening system: report of a screening survey

Short report

Women’s impressions of their inpatient birth care as provided by family physicians in the Shizuoka Family Medicine Training Program in Japan

Research

Alberta family physicians’ willingness to work during an influenza pandemic: a cross-sectional study

Research

Research consultation clinic: impetus towards facilitating primary care research