Amooti-Kaguna B, Nuwaha F
Medical Office, Mbarara District, Uganda.
Soc Sci Med. 2000 Jan;50(2):203-13. doi: 10.1016/s0277-9536(99)00275-0.
In order to understand factors influencing choice of delivery sites in Rakai district of south-western Uganda, eight focus group discussions based on the Attitudes-Social influence-Self efficacy model were held with 32 women and 32 men. Semi-structured interviews were also held with 211 women from 21 random cluster samples who had a delivery in the previous 12 months (from 2 June 1997). Forty four percent of the sample delivered at home, 17% at traditional birth attendant's (TBA) place, 32% at public health units, and 7% at private clinics. Among the factors influencing choice of delivery site were: access to maternity services; social influence from the spouse, other relatives, TBAs and health workers; self-efficacy; habit (previous experience) and the concept of normal versus abnormal pregnancy. Attitudinal beliefs towards various delivery sites were well understood and articulated. Attendance of ante-natal care may discourage delivery in health units if the mothers are told that the pregnancy is normal. In order to make delivery safer, there is need to improve access to maternity services, train TBAs and equip them with delivery kits, change mother's self-efficacy beliefs, and involve spouses in education about safe delivery.
为了解影响乌干达西南部拉凯区分娩地点选择的因素，基于态度-社会影响-自我效能模型，对32名女性和32名男性进行了8次焦点小组讨论。还对来自21个随机整群样本的211名在过去12个月内（从1997年6月2日起）分娩的女性进行了半结构化访谈。样本中有44%在家中分娩，17%在传统助产士处分娩，32%在公共卫生单位分娩，7%在私人诊所分娩。影响分娩地点选择的因素包括：获得孕产妇服务的机会；配偶、其他亲属、传统助产士和卫生工作者的社会影响；自我效能；习惯（既往经验）以及正常与异常妊娠的概念。对各种分娩地点的态度信念得到了很好的理解和阐述。如果母亲被告知妊娠正常，产前检查可能会使她们不愿意在卫生单位分娩。为了使分娩更安全，有必要改善孕产妇服务的可及性，培训传统助产士并为其配备分娩工具包，改变母亲的自我效能信念，并让配偶参与安全分娩教育。
