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British Journal of Medicine and Medical Research, ISSN: 2231-0614,Vol.: 4, Issue.: 29 (11-20 October)


Why is Perinatal Mortality Higher among Women Delivered at Health Facility in Rural Northwest Ethiopia? A Qualitative Study


Gashaw Andargie1*, Yemane Berhane2, Alemayehu Worku3 and Yigzaw Kebede1

1Institute of Public Health, College of Medicine and Health Sciences, The University of Gondar, P.O.Box 196, Gondar, Ethiopia.
2Department of Epidemiology and Biostatistics, Addis Continental Institute of Public Health, Addis Ababa, Ethiopia.
3School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia.

Article Information


(1) Crispim Cerutti Junior, Department of Social Medicine, Federal University of Espirito Santo, Brazil.


(1) Anonymous.

(2) Anonymous.

(3) Anonymous.

Complete Peer review History: http://www.sciencedomain.org/review-history/5132


This study investigated the reasons for high perinatal deaths among newborns delivered in health facilities in rural northwest Ethiopia. Qualitative in-depth interviews were conducted with 11 survivors of obstetric complications and 11 normal home deliveries. The interviews were audio recorded and transcribed verbatim. Open code qualitative 3.6 software was used for managing data and analysis. The primary reasons attributed to high mortality among health-facility-delivered babies were delay in recognizing danger signs of labor and delay in decision to seek care. Most women arrive to health institutions late with seriously complicated labor. Lack of transport, finance, and perceived poor quality of services are additional reasons to delayed seeking of health care during labor. Increasing public education on danger signs of labour, improving quality of emergency obstetric care in the nearby health facilities, and facilitating affordable referral mechanisms are critical to enhance prompt household decision-making and decreasing perinatal deaths in rural communities.

Keywords :

Qualitative study design; skilled birth attendance; in-depth interview; place of delivery.

Full Article - PDF    Page 4834-4843

DOI : 10.9734/BJMMR/2014/9254

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