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Arba Minch University College of Medicine and Health Sciences, Department of Public Health ` Arba Minch University College of Medicine and Health Sciences, Department of Public Health Home Delivery and Associated Factors among Child Bearing Age Women Who Gave Birth in the Preceding Two Years in Zala District, Southern Ethiopia By: Bedilu Kucho Doka (BSc) A Thesis Submitted to the Department of Public Health, College of Medicine and Health Sciences, Arba Minch University in Partial Fulfillment of the Requirements for the Degree of Masters of Public Health in Epidemiology and Biostatistics October, 2015 Arba Minch, Ethiopia i | P a g e Arba Minch University College of Medicine and Health Sciences, Department of Public Health Home Delivery and Associated Factors among Child Bearing Age Women Who Gave Birth in the Preceding Two Years in Zala District, Southern Ethiopia By: Bedilu Kucho Doka (BSc) Advisors: Amsalu Alagaw (MD, MPH) and Mesfin Kote (MPH) A Thesis Submitted to the Department of Public Health, College of Medicine and Health Sciences, Arba Minch University in Partial Fulfillment of the Requirements for the Degree of Masters of Public Health in Epidemiology and Biostatistics October, 2015 Arba Minch, Ethipia ii | P a g e Arba Minch University College of Medicine and Health Sciences, Department of Public Health Home Delivery and Associated Factors among Child Bearing Age Women Who Gave Birth in the Preceding Two Years in Zala District, Southern Ethiopia By: Bedilu Kucho Doka (BSc) Approve by examining board ________________________ ______________________ Head, Department of public health Advisors 1. Dr. Amsalu Alagaw ________________ 2. Mr. Mesfin Kote __________________ ________________________ ______________________ Examiner, internal ________________________ ______________________ Examiner, external iii | P a g e Acknowledgement First and for most I would like to express my deepest gratitude and appreciation to Dr. Amsalu Alagaw and Mr. Mesfine Kote for their skillful guidance, timely support and enriching constructive comment, which have been very helpful in improving and guiding the research process, starting from the proposal development. My sincere thanks also extends to Arba Minch University, especially College of Medicine and Health Sciences, Department of Public Health, for proper facilitation of this research project. I would like to thank Zala Woreda administration office for financing and cooperating to the successful accomplishment of this research project. My deepest gratitude also goes to all the data collectors and supervisors without whom tireless commitment, this research project would have not been successful. Finally, I would like to acknowledge all the individuals participated in the study, especially the women who have kindly cooperated in providing the information required. iv | P a g e Table of contents Acknowledgement ............................................................................................................. iv Table of contents ................................................................................................................. v List of Tables ................................................................................................................... viii List of figures ..................................................................................................................... ix List of Annexes ................................................................................................................... x Acronyms ........................................................................................................................... xi Abstract ............................................................................................................................. xii 1. Introduction ................................................................................................................. 1 1.1. Background .......................................................................................................... 1 1.2. Statement of the problem ......................................................................................... 1 2. Literature review ............................................................................................................. 3 2.1. Extent of home delivery ........................................................................................... 3 2.2. Factors associated with home delivery..................................................................... 4 2.2.1. Socio-demographic and obstetric factors .......................................................... 4 2.2.2. Cultural factors and Traditional Birth Attendants ............................................. 7 2.3. Significance of the study .......................................................................................... 9 2.4. Conceptual framework on factors that affect home delivery ............................. 10 3. Objective of the study ................................................................................................ 11 3.1. General objective................................................................................................ 11 3.2. Specific objectives.................................................................................................. 11 v | P a g e 4. Methodology .............................................................................................................. 12 4.1. Study design ....................................................................................................... 12 4.2. Study area ........................................................................................................... 12 4.3. Study period ....................................................................................................... 12 4.4. Source population ............................................................................................... 12 4.5. Study population ................................................................................................ 12 4.6. Inclusion and exclusion criteria.......................................................................... 13 4.6.1. Inclusion criteria ......................................................................................... 13 4.6.2. Exclusion criteria ........................................................................................ 13 4.7. Sample size and sampling procedure ................................................................. 13 4.7.1. Sample size determination .......................................................................... 13 4.7.2. Sampling technique for Quantitative study................................................. 15 4.7.3. Sampling technique for Qualitative study................................................... 15 4.7.4. Diagrammatic representation of sampling technique ................................. 16 4.8. Variables............................................................................................................. 17 4.8.1. Dependent ................................................................................................... 17 4.8.2. Independent ................................................................................................. 17 4.9. Operational definition ........................................................................................ 18 4.10. Data collection techniques and tools .............................................................. 19 4.10.1. Quantitative ............................................................................................. 19 4.10.2. Qualitative ............................................................................................... 19 4.11. Data quality assurance .................................................................................... 19 4.12. Data processing and analysis .......................................................................... 20 5. Ethical clearance ........................................................................................................ 21 vi | P a g e 6. Results ....................................................................................................................... 22 6.1. Socio demographic characteristics ..................................................................... 22 6.2. Prevalence and reasons of home delivery .......................................................... 23 6.3. Obstetric and Maternal Characteristics of Respondents .................................... 24 6.4. Home delivery and associated factors ................................................................ 26 7. Discussion .................................................................................................................. 29 7.1. Prevalence of home delivery .............................................................................. 29 7.2. Associated Factors.............................................................................................. 30 7.3. Strength and Limitation of the study .................................................................. 32 8. Conclusion ................................................................................................................. 34 9. Recommendation ....................................................................................................... 35 10. References .............................................................................................................. 36 vii | P a g e List of Tables Table 1-Shows
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