ArticlePloS one2018
Prevalence and correlates of home delivery amongst HIV-infected women attending care at a rural public health facility in Coastal Kenya.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.
- Male Partner Involvement in the Utilization of Hospital Delivery Services by Pregnant Women Living with HIV in Sub Saharan Africa: A Systematic Review and Meta-analysis.Maternal and child health journal · 2019Pooled it
- Preferences for formal and traditional sources of childbirth and postnatal care among women in rural Africa: A systematic review.PloS one · 2019Pooled it
- Bridging the gap: a comprehensive analysis of inequalities in maternal health facility deliveries and associated factors among women of reproductive age in the Gambia (2013-2019/20).BMC public health · 2025Article
- Human immunodeficiency virus infection in pregnant women and its correlation with socioeconomic determinants.Revista da Escola de Enfermagem da U S P · 2023Article
- Geographical variation and predictors of zero utilization for a standard maternal continuum of care among women in Ethiopia: a spatial and geographically weighted regression analysis.BMC pregnancy and childbirth · 2022Article
- Incidence of home delivery among women living with HIV in Lira, Northern Uganda: a prospective cohort study.BMC pregnancy and childbirth · 2021Article
- Understanding Women's Choices: How Women's Perceptions of Quality of Care Influences Place of Delivery in a Rural Sub-County in Kenya. A Qualitative Study.Maternal and child health journal · 2021Article
- Prevalence, progress, and social inequalities of home deliveries in Ghana from 2006 to 2018: insights from the multiple indicator cluster surveys.BMC pregnancy and childbirth · 2021Article
- Determinants of Home Delivery among Mothers in Abobo District, Gambella Region, Ethiopia: A Case Control Study.International journal of reproductive medicine · 2020Article
- Women who have not utilized health Service for Delivery in Nigeria: who are they and where do they live?BMC pregnancy and childbirth · 2019Article
- Correlates of facility-based delivery among women of reproductive age from the Digo community residing in Kwale, Kenya.BMC research notes · 2018Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundHome delivery, referring to pregnant women giving birth in the absence of a skilled birth attendant, is a significant contributor to maternal mortality, and is encouragingly reported to be on a decline in the general population in resource limited settings. However, much less is known about home delivery amongst HIV-infected women in sub-Saharan Africa (sSA). We described the prevalence and correlates of home delivery among HIV-infected women attending care at a rural public health facility in Kilifi, Coastal Kenya.
methodsA cross-sectional design using mixed methods was used. Quantitative data were collected using interviewer-administered questionnaires from HIV-infected women with a recent pregnancy (within 5 years, n = 425), whilst qualitative data were collected using focused group discussions (FGD, n = 5). Data were analysed using logistic regression and a thematic framework approach respectively.
resultsOverall, 108 (25.4%, [95% CI: 21.3-29.8]) participants delivered at home. Correlates of home delivery included lack of formal education (aOR 12.4 [95% CI: 3.4-46.0], p<0.001), history of a previous home delivery (2.7 [95% CI:1.2-6.0], p = 0.019) and being on highly active antiretroviral therapy (HAART, 0.4 [95% CI:0.2-0.8], p = 0.006).Despite a strong endorsement against home delivery, major thematic challenges included consumer-associated barriers, health care provider associated barriers and structural barriers.
conclusionA quarter of HIV-infected women delivered at home, which is comparable to estimates reported from the general population in this rural setting, and much lower than estimates from other sSA settings. A tailored package of care targeting women with no formal education and with a history of a previous home delivery, coupled with interventions towards scaling up HAART and improving the quality of maternal care in HIV-infected women may positively contribute to a decline in home delivery and subsequent maternal mortality in this setting.
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