Knowledge, attitudes, aptitudes, practices of home births and perception of communities on the risks of non-use of EmONC in Africa and Togo: documentary review.

Abstract

Objective: Present the results of literature review in Africa and Togo on the knowledge, attitudes, skills, practices and perception of individuals, families, communities on the risks associated with home births and the non-use of EmONC. Material and method: An advanced search with MeSH through Boolean operators and MeSH keywords was done
on the PubMed search interface. Results: A total of 42 articles explored focused on more than 30 countries. Through all the articles analyzed, it appears that the determinants of knowledge, attitudes and skills were statistically significant predictors of the practice of home births with statistical values more or less located around AOR between 0.05 and 2.21 and 95% CI: 0.03–0.11 and 1.83–2.69. The remoteness of the health facility from the  woman's home, the rural area, the low exposure to the media, the lack of information on the delivery plan, the choice of the place of delivery by the husband, trust in traditional birth attendants, lack of health insurance, the cost of care, low community engagement
to quality EmONC were statistically significant variables of home birth with p-value less than or equal to 0.05 and 95% IC. The creation of demand for EmONC is unclear.
Conclusion: The determinants studied often emerge in research and are intertwined and cannot be considered in isolation. The logical perception of the link between the non-use of EmONC and home births is not always demonstrated.