Journal Article

The limitations on choice: Palestinian women's childbirth location, dissatisfaction with the place of birth and determinants

2007
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Abstract
BACKGROUND: Analysing the Palestinian Central Bureau of Statistics (PCBS) Demographic and Health Survey 2004 (DHS-2004) data, this article focuses on the question of where women living in the Occupied Palestinian Territory give birth, and whether it was the preferred/place of choice for delivery. We further identify some of the determinants of women's dissatisfaction with childbirth location. METHODS: A total of 2158 women residing in the West Bank and Gaza Strip were included in this study. Regression analysis established the association between dissatisfaction with the place of birth and selected determinants. RESULTS: A total of 3.5% of women delivered at home, with the rest in assisted facilities. Overall, 20.5% of women reported that their childbirth location was not the preferred place of delivery. Women who delivered at home; in governmental facilities; in regions other than the central West Bank; who had sudden delivery or did not reach their preferred childbirth location because of closures and siege; because of costs/the availability of insurance; or because there were no other locations available, were significantly more likely to be dissatisfied with their childbirth location compared to those who birthed in private facilities, the central West Bank, and in locations with better and more available services. CONCLUSION: The findings demonstrate that Palestinian women's choice of a place of birth is constrained and modified by the availability, affordability, and limited access to services induced by continuing closures and siege. These findings need to be taken into consideration when planning for maternity services in the Occupied Palestinian Territory.
Year
2007
Language
English
Date Published
Feb
Volume
17
Pages
86-91
Accession Number
16798783
ISBN Number
1101-1262 (Print)1101-1262 (Linking)
Journal Name
Eur J Public Health
Keywords
Parturition
psychology
Adolescent
Adult
Arabs
statistics & numerical data
Delivery
Obstetric
Female
Health Services Accessibility
Home Childbirth
Hospitals
Private
Humans
Maternal Health Services
Methods
Middle Aged
Middle East
Patient Satisfaction