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Submitted
January 10, 2025
Accepted
June 3, 2025
Published
June 30, 2025
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Abstract

Background: Faced with high rates of home births and maternal mortality, the Senegalese government has made enormous efforts to improve the provision of care. However, the use of health facilities for home births remains a challenge.


Materials and methods: The study used a mixed-methods approach. Data from women who gave birth in the Niakhar observatory area between 1983 and 2020 were used, and chi-square tests and qualitative analyses were performed.


Results: The results show that all variables are significant at the 0.5% level. Women giving birth at home were those who were married, griottes, poor, uneducated, aged 35-49, had given birth more than four times and had had fewer than two antenatal consultations. Qualitative results showed that physical condition, lack of understanding, privacy concerns of older women and economic barriers all contributed to the increase in the phenomenon.


Conclusion: In rural areas, health problems are complex and require a more integrated approach. Determinants can run counter to the public policies put in place. It is therefore essential, when developing health policies, to integrate measures adapted to the type of population. 

Keywords

Maternité, Accouchement à domicile, Déterminants de la santé, Niakhar.

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Copyright (c) 2025 Pape Latyr Faye

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Author Biography

Pape Latyr Faye , University of Quebec, Rimouski, Canada

Pape Latyr Faye is a PhD student in environmental sciences at the Université du Québec à Rimouski. He specializes in health geography and has four years of experience in public health and epidemiology. His current research focuses on the health impacts of climate change, specifically examining coastal aquifer salinization and its effects on drinking water quality and vulnerable populations in eastern Canada. 

How to Cite
Faye, P. L. (2025). Determinants of Childbirth Choice in Rural Senegal: Mixed-Methods Analysis Using Data from the Niakhar Demographic Surveillance System. Pan-African Journal of Health and Environmental Science, 4(1), 14–27. https://doi.org/10.56893/ajhes2025v04i01.02
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References

  1. Becker, C., Mbodj, M., & Sarr, I. (1999). La dynamique du peuplement sereer. Les Sereer du Sine. Paysans Sereer Dynamiques Agraires et Mobilités au Sénégal. IRD Editions. https://horizon.documentation.ird.fr/exl-doc/pleins_textes/doc34-08/010018772.pdf
  2. Beninguissé, G. (2003). Entre tradition et modernité: fondements sociaux de la prise en charge de la grossesse et de l'accouchement au Cameroun (Vol. 17). Editions L'Harmattan. https://archive.org/details/entretraditionet0000beni
  3. Burgard S. (2004). Race and pregnancy-related care in Brazil and South Africa. Social science & medicine (1982), 59(6), 1127–1146. https://doi.org/10.1016/j.socscimed.2004.01.006
  4. Creswell, J. W., & Creswell, J. D. (2017). Research design: Qualitative, quantitative, and mixed methods approach. Sage Publications. https://edge.sagepub.com/creswellrd5e
  5. De Sousa, A. O., & Waltisperger, D. (1995). La maternité chez les Bijago de Guinée-Bissau: une analyse épidémiologique et son contexte ethnologique (No. 9). Centre Français sur la Population et le Développement. https://horizon.documentation.ird.fr/exl-doc/pleins_textes/2021-08/010015395.pdf
  6. Dedman DJ, Gunnell D, Davey Smith G, Frankel S. Childhood housing conditions and later mortality in the Boyd Orr cohort. Journal of Epidemiology and Community Health. 2001 Jan;55(1):10-15. https://doi.org/10.1136/jech.55.1.10
  7. Delaunay, V., Desclaux, A., & Sokhna, C. (Eds.). (2020). Niakhar, mémoires et perspectives: recherches pluridisciplinaires sur le changement en Afrique. IRD Éditions. https://books.openedition.org/irdeditions/31277
  8. Diallo, H. (2022). Infrastructures, population dynamics and internal migrations in Sub-Saharan Africa (Doctoral dissertation). Université Paris Sciences et Lettres. https://theses.hal.science/tel-04051824
  9. Faye, S. L. (2008). Becoming a mother in Senegal: The experience of motherhood in a setting of social injustice and health service failures]. Sante (Montrouge, France), 18(3), 175–183. https://doi.org/10.1684/san.2008.0111
  10. Fortin, M. F. (2010). Fondements et étapes du processus de recherche: Méthodes quantitatives et qualitatives (2nd ed.). Chenelière Éducation. https://www.cheneliere.ca/fr/bundle-fondements-et-etapes-du-processus-de-recherche-4e-ed-9782765073567.html
  11. Galobardes, B., Shaw, M., Lawlor, D. A., Lynch, J. W., & Davey Smith, G. (2006). Indicators of socioeconomic position (part 1). Journal of Epidemiology and Community Health, 60(1), 7–12. https://doi.org/10.1136/jech.2004.023531
  12. Graham, H. (2005). Intellectual Disabilities and Socioeconomic Inequalities in Health : An Overview of Research. Journal of Applied Research in Intellectual Disabilities, 18(2), 101‑111. https://doi.org/10.1111/j.1468-3148.2005.00239.x
  13. Jewkes, R., Abrahams, N., & Mvo, Z. (1998). Why do nurses abuse patients? Reflections from South African obstetric services. Social Science & Medicine (1982), 47(11), 1781–1795. https://doi.org/10.1016/s0277-9536(98)00240-8
  14. Jong-wook, L. (2005). Public health is a social issue. The Lancet, 365(9464). https://doi.org/10.1016/S0140-6736(05)71115-6
  15. Kabakian-Khasholian, T., Campbell, O., Shediac-Rizkallah, M., & Ghorayeb, F. (2000). Women's experiences of maternity care: satisfaction or passivity? Social Science & Medicine (1982), 51(1), 103–113. https://doi.org/10.1016/s0277-9536(99)00443-8
  16. Krieger N. (2001). Theories for social epidemiology in the 21st century: an ecosocial perspective. International Journal of Epidemiology, 30(4), 668–677. https://doi.org/10.1093/ije/30.4.668
  17. Kroeger A. (1983). Anthropological and socio-medical health care research in developing countries. Social Science & Medicine (1982), 17(3), 147–161. https://doi.org/10.1016/0277-9536(83)90248-4
  18. Mackenbach, J. P., & Gunning-Schepers, L. J. (1997). How should interventions to reduce inequalities in health be evaluated? Journal of Epidemiology and Community Health, 51(4), 359–364. https://doi.org/10.1136/jech.51.4.359
  19. Magadi, M. A., Agwanda, A. O., & Obare, F. O. (2007). A comparative analysis of the use of maternal health services between teenagers and older mothers in sub-Saharan Africa: evidence from Demographic and Health Surveys (DHS). Social Science & Medicine (1982), 64(6), 1311–1325. https://doi.org/10.1016/j.socscimed.2006.11.004
  20. Navaneetham, K., & Dharmalingam, A. (2002). Utilization of maternal health care services in Southern India. Social Science & Medicine (1982), 55(10), 1849–1869. https://doi.org/10.1016/s0277-9536(01)00313-6
  21. Nkurunziza, M. (2015). Accoucher à domicile malgré la gratuité des soins Le cas du milieu rural burundais. Autrepart, 74-75(2), 85-100. https://doi.org/10.3917/autr.074.0085.
  22. Ronsmans, C., & Graham, W. J.; Lancet Maternal Survival Series steering group. (2006). Maternal mortality: who, when, where, and why. The Lancet, 368(9542), 1189-1200. https://doi.org/10.1016/S0140-6736(06)69380-X
  23. Sandberg, J., Park, C., Rytina, S., Delaunay, V., Douillot, L., Boujija, Y., Gning, S. B., Bignami, S., Sokhna, C., Belaid, L., Diouf, I., Fotouhi, B., & Senghor, A. (2019). Social learning, influence, and ethnomedicine: Individual, neighborhood and social network influences on attachment to an ethnomedical cultural model in rural Senegal. Social Science & Medicine (1982), 226, 87–95. https://doi.org/10.1016/j.socscimed.2019.02.028
  24. Solar O, Irwin A. (2010). A conceptual framework for action on the social determinants of health. Social Determinants of Health Discussion Paper 2 (Policy and Practice). https://www.who.int/publications/i/item/9789241500852
  25. Tarlov, A. R. (1996). Social determinants of health: The sociobiological translation. In Health and Social Organization. Routledge. https://www.jstor.org/stable/45131914
  26. UNDP (United Nations Development Programme). 2005. Human Development Report 2005: International cooperation at a crossroads: Aid, trade and security in an unequal world. New York. https://hdr.undp.org/content/human-development-report-2005
  27. Vigneron, E. (2013). Inégalités de santé, inégalités de soins dans les territoires français. Les Tribunes de la santé, 38(1), 41-53. https://doi.org/10.3917/seve.038.0041.
  28. World Health Organization. (2023). Trends in maternal mortality: 2000-2020: estimates from WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. World Health Organization. https://www.who.int/publications/i/item/9789240108462