Distance from health institutions worsened by lack of transportation has been identified as the most common barriers in facility-based deliveries in rural communities. This pre and post intervention study determined the effect of Emergency Tricycle (EmT) as a means of transport in the percentage of facility-based deliveries. Conducted in Liloy, Zamboanga del Norte, this study consisted of 8 barangays located more than 8 kilometers away from health institutions. A purposive sampling was used to recruit a total of 187 respondents; of whom, 96 belong to the historical control and 91 belong to the experimental group. The data collection was done during prenatal visits and house-to-house survey utilizing self-administered questionnaire. In the experimental group, monthly monitoring of deliveries was conducted during post-natal visits. Descriptive statistics and z-test for two proportions were used in data analysis. The findings revealed an increase in the percentage of facility-based deliveries from 68.75% in the historical control to 97.80% in the experimental group with a P value of 0.000. Reasons for home births in historical control were due to distance and lack of transport. Upon the establishment of Emergency Tricycle (EmT), the percentage of home deliveries decreased dramatically from 31.25% to 2.19%. This occurred despite the fact that all respondents in the experimental group initially chose to be delivered in an institutional facility. The unwanted home births were primarily caused by the delayed response of the EmT at the time of labor. This study concluded that EmT, in conjunction with maternal health programs, was effective in increasing the percentage of facility-based delivery in selected barangays in Municipality of Liloy, Zamboanga del Norte.
Keyword: Emergency Tricycle Transport to increase facility based deliveries |