ABSTRACT
Out of health facility delivery is highly challenging and competitive to health facility delivery
in many communities in Bayelsa State, as most women continue to engage in the practice.
Therefore, the study is to explore in-depth, the factors that influence mothers’ decision to
deliver outside health facility where they booked in Bayelsa State. Objectives were to (1)
determine personal factors that inform pregnant mother’s decision to deliver outside the health
facility of booking, (2) identify family factors influencing out-of health facility delivery, (3)
determine institutional factors responsible for their decision to deliver outside the health
facility and (4) determine health care providers factors that inform out-of-health facility
delivery by pregnant mothers. Transcendental phenomenological research design was
adopted, using non-probability sampling technique and purposive sampling methods to obtain
data from 15 participants. Validity and reliability was based on criteria for trustworthiness in a
qualitative research. Instrument for data collection was semi-structured in-depth interview
guide and tape recorder, with an in-depth face-to-face interview that lasted between 10-
35minutes (each participant). Data were analyzed using Colaizzi’s seven steps of data
analysis, presented in themes, codes and subcodes (Nvivo). Findings revealed interplay of
health institutional factors such as attitude of health staff, previous experience of the women,
lack of care and support during labour by health care provider, availability of TBA’s and the
high cost of delivery services in health facilities. Other findings include socio factors such as
distance to health facility, low educational level of respondent and religious beliefs.
Significant finding was the women’s expression of fear of Caesarean Section. However,
mothers expressed confidence in the antenatal care services where they receive information
that both mother and baby is well and safe. Hence, better to deliver at home. Thus, the
following recommendations: (i) Raised awareness on danger signs of pregnancy, labour and
delivery, (ii) Improve relationship of health care providers and the women (iii) Proper and
adequate management system, (iv) Quality assurance policy system and (v) Improving
physical access (road access).
TARI, A (2021). Factors Influencing Mothers’ Decision To Deliver Outside The Health Facility Where They Booked For Antenatal Care: Phenominological Approach, Bayelsa State.. Afribary. Retrieved from https://tracking.afribary.com/works/factors-influencing-mothers-decision-to-deliver-outside-the-health-facility-where-they-booked-for-antenatal-care-phenominological-approach-bayelsa-state
TARI, AMAKOROMO "Factors Influencing Mothers’ Decision To Deliver Outside The Health Facility Where They Booked For Antenatal Care: Phenominological Approach, Bayelsa State." Afribary. Afribary, 15 May. 2021, https://tracking.afribary.com/works/factors-influencing-mothers-decision-to-deliver-outside-the-health-facility-where-they-booked-for-antenatal-care-phenominological-approach-bayelsa-state. Accessed 24 Nov. 2024.
TARI, AMAKOROMO . "Factors Influencing Mothers’ Decision To Deliver Outside The Health Facility Where They Booked For Antenatal Care: Phenominological Approach, Bayelsa State.". Afribary, Afribary, 15 May. 2021. Web. 24 Nov. 2024. < https://tracking.afribary.com/works/factors-influencing-mothers-decision-to-deliver-outside-the-health-facility-where-they-booked-for-antenatal-care-phenominological-approach-bayelsa-state >.
TARI, AMAKOROMO . "Factors Influencing Mothers’ Decision To Deliver Outside The Health Facility Where They Booked For Antenatal Care: Phenominological Approach, Bayelsa State." Afribary (2021). Accessed November 24, 2024. https://tracking.afribary.com/works/factors-influencing-mothers-decision-to-deliver-outside-the-health-facility-where-they-booked-for-antenatal-care-phenominological-approach-bayelsa-state