Place of delivery and its determinants among women in rural and urban communities in Kano State, Nigeria

Usman Iliyasu; Zakka Musa; Aliyu Shehu Ibrahim; Nazeef Mohammed; Abba Rabi’u; Ibrahim Ibrahim Kurba; Musa  Kalle Isma’il; Aisha Aliyu Ibrahim; Usman Bashir; Aisha Aliyu Abulfathi; Hassan Sambo

doi:10.18203/2320-6012.ijrms20253939

Authors

Usman Iliyasu Department of Community Medicine, Federal University of Health Sciences, Azare, Bauchi State, Nigeria
Zakka Musa Department of Community Medicine, Federal University of Health Sciences, Azare, Bauchi State, Nigeria
Aliyu Shehu Ibrahim Department of Community Medicine, Federal University of Health Sciences, Azare, Bauchi State, Nigeria
Nazeef Mohammed Department of Community Medicine, Federal University of Health Sciences, Azare, Bauchi State, Nigeria
Abba Rabi’u Department of Community Medicine, Federal University of Health Sciences, Azare, Bauchi State, Nigeria
Ibrahim Ibrahim Kurba Department of Human Physiology, Federal University of Health Sciences, Azare, Nigeria
Musa Kalle Isma’il Department of Paediatrics, Federal University of Health Sciences Teaching Hospital, Azare, Nigeria
Aisha Aliyu Ibrahim Department of Family Medicine, Murtala Muhammed Specialist Hospital, Kano, Kano State, Nigeria
Usman Bashir Department of Community Medicine, Bayero University Kano, Public university in Kano, Nigeria
Aisha Aliyu Abulfathi Department of Community Medicine, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria
Hassan Sambo Department of Environmental Health Science, Faculty of Allied Health Sciences, Federal University of Health Sciences, Azare

DOI:

https://doi.org/10.18203/2320-6012.ijrms20253939

Keywords:

Determinants, Urban, Rural, Place of delivery, Skilled birth attendant

Abstract

Background: Childbirth poses significant risks, particularly in Nigeria where many births occur outside health facilities and without skilled attendants, skyrocketing maternal morbidity and mortality. This study assessed and compared place of delivery and its determinants among women in urban and rural Kano State.

Methods: A cross-sectional study was conducted. A multistage sampling technique selected 292 urban and 300 rural women of reproductive age group. Quantitative data were analysed using SPSS 20.

Results: Overall, 32.1% of women delivered in health facilities, while 67.9% delivered at home. Hospital deliveries were higher in urban (39.7%) than rural areas (24.7%). Safety, avoidance of problems, and trust in health workers facilitate hospital delivery. Conversely, customs, quick labour, and fear of hospital staff were major reasons for home delivery. Mother’s education (Urban: aOR; 3.023 (95% CI; 1.459-6.264), p=0.003), (Rural: aOR; 2.311 (95% CI; 1.106-4.829), p=0.026) and spousal education level (Urban: aOR; 2.925 (95% CI; 1.357-6.306), p=0.006), (Rural: aOR; 2.183 (95% CI; 1.241-3.840), p=0.007) remained predictors in both areas with secondary and above likely to deliver in hospital. While occupation was significant in the urban communities (aOR; 2.392 (95% CI; 1.137-5.031), p=0.022), antenatal care visits in the rural communities (aOR; 2.427 (95% CI; 1.408 - 4.367), p=0.001).

Conclusions: The study found a high proportion of home deliveries with associated sociodemographic and socio-economic factors. Emphasis on hospital delivery and addressing sociodemographic and socioeconomic factors facilitating home deliveries is recommended.

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