title: Rethinking how to promote maternity care-seeking: factors associated with institutional delivery in Guinea.
abstract: This article presents findings from a study on women's delivery care-seeking in two regions of Guinea. We explored exposure to interventions promoting birth preparedness and complication readiness among women with recent live births and stillbirths. Using multivariate regression models, we identified factors associated with women's knowledge and practices related to birth preparedness, as well as their use of health facilities during childbirth. We found that women's knowledge about preparations for any birth (normal or complicated) was positively associated with increased preparation for birth, which itself was associated with institutional delivery. Knowledge about complication readiness, obstetric risks, and danger signs was not associated with birth preparation or with institutional delivery. The study findings highlight the importance of focusing on preparation for all births--and not simply obstetric emergencies--in interventions aimed at increasing women's use of skilled maternity care.
authors.affiliation: a EngenderHealth , New York , New York , USA.
authors.forename: Ellen
authors.initials: E
authors.lastname: Brazier
authors.forename: Renée
authors.initials: R
authors.lastname: Fiorentino
authors.forename: Saidou
authors.initials: S
authors.lastname: Barry
authors.forename: Yaya
authors.initials: Y
authors.lastname: Kasse
authors.forename: Sita
authors.initials: S
authors.lastname: Millimono
mesh_terms: D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D036861:Delivery, Obstetric; D005260:Female; D016701:Guinea; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006801:Humans; D007407:Interviews as Topic; D016015:Logistic Models; D008427:Maternal Health Services; D015999:Multivariate Analysis; D010353:Patient Education as Topic / Q000379:methods*; D011247:Pregnancy; D011295:Prenatal Care; D055815:Young Adult