Yeshalem Mulugeta Demilew1, Gebremedhin Berhe Gebregergs2, Azezu Asres Negusie3. 1. School of Public Health, College of Medicine and Health Science, Bahir Dar University. 2. School of Public Health, College of Health Science, Mekelle University. 3. Midwifery Department, College of Medicine and Health Science, Bahir Dar University.
Abstract
INTRODUCTION: Childbirth in a health institution has been shown to be associated with lower rates of maternal and neonatal mortality. However, about 85% of mothers in Ethiopia deliver at home. OBJECTIVE: To assess factors associated with institutional delivery service utilization among women who gave birth within one year prior to the study in Dangila district. METHODS: A cross-sectional study was conducted from February 01-28, 2015. A total of 763 mothers were interviewed using structured questionnaire. SPSS version 20 was used for analysis. Crude and adjusted Odds ratios were computed for selected variables. A P-value less than 0.05 was considered statistical significant. RESULTS: Only 18.3% of mothers gave birth at health facilities. Knowledge on danger signs [AOR=2.0, 95% CI: (1.1, 3.4)], plan to give birth at health institution [AOR=5.4, 95% CI: (3.0, 9.6)], having ANC follow up during pregnancy [AOR=12.9, 95% CI: (5.0, 33.3)] and time taken to get to a nearby health institution [AOR=5.1, 95% CI: (2.9, 9.1)] were associated with institutional delivery service utilization. CONCLUSION: Institutional delivery was very low. Knowledge about danger signs, having ANC visits, and time were factors associated with institutional delivery service utilization. Thus, the findings recommend repeated re-enforcement of institutional delivery service utilization through professionals. And also, the findings recommend promotion of institutional delivery service utilization through mass media.
INTRODUCTION: Childbirth in a health institution has been shown to be associated with lower rates of maternal and neonatal mortality. However, about 85% of mothers in Ethiopia deliver at home. OBJECTIVE: To assess factors associated with institutional delivery service utilization among women who gave birth within one year prior to the study in Dangila district. METHODS: A cross-sectional study was conducted from February 01-28, 2015. A total of 763 mothers were interviewed using structured questionnaire. SPSS version 20 was used for analysis. Crude and adjusted Odds ratios were computed for selected variables. A P-value less than 0.05 was considered statistical significant. RESULTS: Only 18.3% of mothers gave birth at health facilities. Knowledge on danger signs [AOR=2.0, 95% CI: (1.1, 3.4)], plan to give birth at health institution [AOR=5.4, 95% CI: (3.0, 9.6)], having ANC follow up during pregnancy [AOR=12.9, 95% CI: (5.0, 33.3)] and time taken to get to a nearby health institution [AOR=5.1, 95% CI: (2.9, 9.1)] were associated with institutional delivery service utilization. CONCLUSION: Institutional delivery was very low. Knowledge about danger signs, having ANC visits, and time were factors associated with institutional delivery service utilization. Thus, the findings recommend repeated re-enforcement of institutional delivery service utilization through professionals. And also, the findings recommend promotion of institutional delivery service utilization through mass media.
Authors: Dunstan R Bishanga; Mary Drake; Young-Mi Kim; Amasha H Mwanamsangu; Ahmad M Makuwani; Jeremie Zoungrana; Ruth Lemwayi; Marcus J Rijken; Jelle Stekelenburg Journal: PLoS One Date: 2018-12-26 Impact factor: 3.240