Zelalem Jabessa Wayessa1, Udessa Gemede Dukale2. 1. Department of Midwifery, College of Health and Medical Sciences, Bule Hora University, Bule Hora, Ethiopia. Electronic address: zelalemjebessa@gmail.com. 2. Department of Nursing, College of Health and Medical Sciences, Bule Hora University, Bule Hora, Ethiopia.
Abstract
INTRODUCTION: Globally, approximately 303,000 women died during pregnancy and childbirth in 2015, and 830 women died each day from preventable causes related to pregnancy and childbirth. Although institutional delivery is crucial to save the lives of mothers and infants, many women in Ethiopia give birth at home. Identification of factors that prevent them from giving birth at health facilities is needed to resolve this issue. This study aimed to assess the use of institutional delivery services and associated factors among women of childbearing age in Bule Hora Town, Ethiopia. MATERIALS AND METHODS: A community-based quantitative cross-sectional study was undertaken from 1 February to 30 March 2018. Three hundred and sixty childbearing mothers were involved in the study using a systematic sampling method. The instrument was pre-tested on 5% of the sample in Gerba Town. Data were analysed using bivariate and multi-variate binary logistic regression. RESULTS: The prevalence of institutional delivery in Bule Hora Town was 72%. Age at first pregnancy, maternal education, paternal education, use of antenatal care services, parity, spousal communication regarding place of delivery, and paternal occupation were significantly associated with institutional delivery. CONCLUSIONS: The prevalence of institutional delivery in Bule Hora Town is higher than the national average, but lower than the national target. Policy makers and healthcare institutions should strengthen and create awareness on the importance of institutional delivery.
INTRODUCTION: Globally, approximately 303,000 womendied during pregnancy and childbirth in 2015, and 830 womendied each day from preventable causes related to pregnancy and childbirth. Although institutional delivery is crucial to save the lives of mothers and infants, many women in Ethiopia give birth at home. Identification of factors that prevent them from giving birth at health facilities is needed to resolve this issue. This study aimed to assess the use of institutional delivery services and associated factors among women of childbearing age in Bule Hora Town, Ethiopia. MATERIALS AND METHODS: A community-based quantitative cross-sectional study was undertaken from 1 February to 30 March 2018. Three hundred and sixty childbearing mothers were involved in the study using a systematic sampling method. The instrument was pre-tested on 5% of the sample in Gerba Town. Data were analysed using bivariate and multi-variate binary logistic regression. RESULTS: The prevalence of institutional delivery in Bule Hora Town was 72%. Age at first pregnancy, maternal education, paternal education, use of antenatal care services, parity, spousal communication regarding place of delivery, and paternal occupation were significantly associated with institutional delivery. CONCLUSIONS: The prevalence of institutional delivery in Bule Hora Town is higher than the national average, but lower than the national target. Policy makers and healthcare institutions should strengthen and create awareness on the importance of institutional delivery.