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dc.contributor.authorMukunya, David
dc.contributor.authorTumwine, James K
dc.contributor.authorNdeezi, Grace
dc.contributor.authorTumuhamye, Josephine
dc.contributor.authorTongun, Justin Bruno
dc.contributor.authorKizito, Samuel
dc.contributor.authorNapyo, Agnes
dc.contributor.authorAchora, Vincentina
dc.contributor.authorOdongkara, Beatrice
dc.contributor.authorArach, Agnes Anna
dc.contributor.authorNankabirwa, Victoria
dc.PublishedJournal of Public Health. 2019, 1-9.
dc.description.abstractAim To assess inequity in utilization of health care facilities during childbirth and factors associated with home births in Lira district, Northern Uganda. Subjects and methods In 2016, we surveyed 930 mothers with children under the age of 2 years in Lira district, Northern Uganda. We used multiple correspondence analysis to construct the wealth index in quintiles, based on household assets. The concentration index is the measure of socioeconomic inequality used in this article, which we calculated using the Stata DASP package. We also conducted multivariable logistic regression to assess factors associated with home births. Results A third of mothers (n = 308) gave birth from home [33%, 95% confidence interval (CI) (26%–41%)]. Giving birth at a health facility was pro-rich with a concentration index of 0.10 [95% CI (0.05–0.14)]. Upon decomposing the concentration index, the most important determinant of inequity was the mother's residence. Factors associated with home births in multivariable logistic regression included rural residence [adjusted odds ratio (AOR) 3.1, 95% CI (1.8–5.3)], precipitate labor [AOR 4.18, 95% CI (2.61–6.71)], and labor starting in the evening or at night. Mothers who had previously given birth from home were more likely to give birth at home again [AOR 40.70, 95% CI (18.70–88.61)], whereas mothers who had experienced a complication during a previous birth were less likely to give birth at home [AOR 0.45, 95% CI (0.28–0.95)]. Conclusion There was inequity in the utilization of health facilities for childbirth. Programs that promote health facility births should prioritize poorer mothers and those in rural areas.en_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.titleInequity in utilization of health care facilities during childbirth: a community-based survey in post-conflict Northern Ugandaen_US
dc.typeJournal articleen_US
dc.typePeer revieweden_US
dc.rights.holderCopyright The Author(s) 2019en_US
dc.source.journalJournal of Public Healthen_US
dc.identifier.citationJournal of Public Health. 2021, 29, 229–237.en_US

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