[ Facteurs psychosociaux du recours à l’accouchement assiste par du personnel qualifie en milieu médical dans la ville de Moundou au Tchad ]
Ngadandé Madjita1 and Kamdem Kamgno Helene2
1 Doctorant et chercheur en Sciences de la population, Institut de Formation et de Recherche Démographiques (IFORD), Université de Yaoundé II, RD Congo
2 Enseignant chercheur, Université de Yaoundé II, RD Congo
Original language: French
Copyright © 2026 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
The objective of this study was to identify the psychosocial factors influencing the use of medically assisted childbirth by qualified personnel in the city of Moundou, Chad. Data were collected through targeted surveys conducted in Moundou, involving a sample of 542 women. The analysis was performed using STAT software, version 15. Binary logistic regression within a multivariate framework was used to determine the factors affecting the dependent variable. The use of assisted delivery by qualified personnel in a medical setting in the city of Moundou was influenced by women’s perception of their ability to control their behaviour (Unfavourable: OR= 0.25; p ≤ 0.01), the woman’s level of education (secondary and above: OR= 2.34; p<0.01), the woman’s age (25 to 34 years: OR= 0.43; p<0.05), marital status (not in a union: OR=0.50; p<0.10), decision-making autonomy (spouse alone: OR = 0.46; p<0.05), ethnicity (Muslim ethnicity: OR=0.19; p<0.05), religion (Muslim: OR=4.87; p<0.05), spouse’s age (20 to 29 years old: OR=0.58; p<0.10), the woman’s occupation (shopkeeper/civil servant: OR=1.74; p<0.05) and the man’s level of education (primary: OR= 0.51; p<0.05). Identifying these factors can help policymakers enhance maternal health strategies and promote equitable access to skilled birth attendance.
Author Keywords: psychosocial factors, recourse, assisted childbirth, medical environment, Moundou, Chad.
Ngadandé Madjita1 and Kamdem Kamgno Helene2
1 Doctorant et chercheur en Sciences de la population, Institut de Formation et de Recherche Démographiques (IFORD), Université de Yaoundé II, RD Congo
2 Enseignant chercheur, Université de Yaoundé II, RD Congo
Original language: French
Copyright © 2026 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
The objective of this study was to identify the psychosocial factors influencing the use of medically assisted childbirth by qualified personnel in the city of Moundou, Chad. Data were collected through targeted surveys conducted in Moundou, involving a sample of 542 women. The analysis was performed using STAT software, version 15. Binary logistic regression within a multivariate framework was used to determine the factors affecting the dependent variable. The use of assisted delivery by qualified personnel in a medical setting in the city of Moundou was influenced by women’s perception of their ability to control their behaviour (Unfavourable: OR= 0.25; p ≤ 0.01), the woman’s level of education (secondary and above: OR= 2.34; p<0.01), the woman’s age (25 to 34 years: OR= 0.43; p<0.05), marital status (not in a union: OR=0.50; p<0.10), decision-making autonomy (spouse alone: OR = 0.46; p<0.05), ethnicity (Muslim ethnicity: OR=0.19; p<0.05), religion (Muslim: OR=4.87; p<0.05), spouse’s age (20 to 29 years old: OR=0.58; p<0.10), the woman’s occupation (shopkeeper/civil servant: OR=1.74; p<0.05) and the man’s level of education (primary: OR= 0.51; p<0.05). Identifying these factors can help policymakers enhance maternal health strategies and promote equitable access to skilled birth attendance.
Author Keywords: psychosocial factors, recourse, assisted childbirth, medical environment, Moundou, Chad.
Abstract: (french)
Objectif: Identifier les facteurs psychosociaux du recours à l’accouchement assisté par le personnel qualifié en milieu médical dans la ville de Moundou au Tchad. Les données provenaient des enquêtes spécifiques réalisées dans la ville de Moundou au Tchad, auprès de 542 femmes. Les données ont été analysées avec le logiciel STAT, version 15. La régression logistique binaire dans une approche multivariée a permis d’identifier les facteurs influençant la variable dépendante. Le recours à l’accouchement assisté était influencé par la perception de la femme à contrôler son comportement (Défavorable: OR= 0,25; p ≤ 0,01), le niveau d’instruction de la femme (Secondaire et plus: OR= 2,34; p<0,01), l’âge de la femme (25 à 34 ans: OR= 0,43; p<0,05), statut matrimoniale (Pas en union: OR=O, 50; p<0,10), l’autonomie décisionnelle (Conjoint seul: OR = 0,46; p<0,05), l’ethnie (Ethnie d’obédience Musulmane: OR=0,19; p<0,05), la religion (Musulmane: OR=4,87; p<0,05), l’âge du conjoint (20 à 29ans: OR=0,58; p<0,10), l’occupation de la femme (Commerçantes, fonctionnaires: OR=1,74; p<0,05) et le niveau d’instruction de l’homme (Primaire: OR= 0,51; p<0,05). L’identification de ces facteurs devrait permettre aux décideurs d’améliorer la politique de la santé maternelle.
Author Keywords: facteurs psychosociaux, recours, accouchement assisté, milieu médical, Moundou, Tchad.
