DETERMINANTS OF HOME DELIVERY

In Senegal according to data from the Enquête Démographique et de Santé version 2019 (EDS - 2019) published by the Agence Nationale de la Statistique et de la Démographie (ANSD) the proportion of women who used a health institution during childbirth rose from 62% in 2005 to 80% in 2019. In the Niakhar observatory healthcare use during pregnancy and childbirth has evolved fairly slowly over time. In the Niakhar SSDS the rate of healthcare use during childbirth was 11% between 1988 and 1992 16% between 1998 and 2002 34% between 2008 and 2012 and 57% in 2017 despite an acceptable supply of care but with a very marked disparity between geographical units. In fact the rate of home births in the Niakhar observatory is lower than at national level. This study is cross-sectional descriptive and explanatory with the aim of identifying the factors that explain non-use of medical assistance in childbirth in the Niakhar observatory area.