Introduction:

The objective was to determine the prevalence, predictors and reasons for home delivery amongst women of  childbearing age in Dodoma, Tanzania.

Methods: A cross-sectional study was conducted amongst women living in Dodoma Municipality. Data were collected using adapted questionnaires and analysed using SPPS version 23. A multivariable logistic regression model was used to assess the independent predictors of  home delivery.

Results: A total of  425 women of  childbearing age were enrolled in this study. The mean (± SD) age of  the participants was 28.7 (±7.1) years. The prevalence of  home delivery was 35.5% (n=150, 95% CI 30.9 – 40.2). Women with secondary school and above had 93% less odds of  home delivery than women who had no education (AOR=0.0795% CI: 0.03-0.18). Women who lived in rural areas (AOR=3.49, 95% CI: 2.12-5.75), and women living more than 5km from health facilities (AOR=2.67, 95% CI: 1.65-4.37) had higher odds of  home delivery. The main reasons for home delivery were transportation cost, and long distance to the nearest health facilities.

Conclusion: In this population, the prevalence of  home delivery remained to be high. To address this more collaborative multisectoral effort like strengthening health education and strengthening maternity waiting homes are needed.