Science Journal of Public Health

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Magnitude and Determinants of Antenatal and Delivery Service Utilization in Arba Minch Town, South Ethiopia

Received: 26 March 2015    Accepted: 14 April 2015    Published: 23 April 2015
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Abstract

Introduction: Maternal health care services utilization could save unnecessary severe complications and death among women during pregnancy, delivery and after delivery. Numerous factors such as characteristics of the women and their family, characteristics of illness as well as the health care system, including accessibility, acceptability, cost and quality of care, are contributed directly with the use of maternal health care. Thus it is necessary to examine these and other determinants of maternal health service utilization. Objectives: To assess the magnitude and determinants of Antenatal and delivery service utilization of pregnant women and women who delivered two years prior to the study in Arba Minch town. Methodology: Community based cross sectional study has been conducted on pregnant women and women who delivered two years prior to the study found in Arba Minch town in 2010. Simple random sampling technique was used to get the study subjects. Data were collected by trained personnel using a pre tested standardized questionnaire. Results: Among 774 respondents, mean number of pregnancy and delivery were 2.4 and 2.2 respectively. From mothers who were pregnant during the study period and 2 years prior to the study period, 715(92.4%) had ANC checkup and 478(66.8%) are preferred to deliver in health institutions. Level of education, marital status, husband’s attitude toward ANC, planned pregnancy, illness experience during last and current pregnancy, perceived susceptibility to dangerous health problems were found significantly associated with ANC utilization. For delivery service in health institution, Level of education, husband attitude towards ANC, age at first pregnancy, plan for pregnancy and ANC checkup during pregnancy to be significant predictors. Conclusion: Level of education, age at first pregnancy, plan for pregnancy and husband’s attitude were some of the factors that influence maternal health service utilization. Therefore programs and strategies should be focused on improving women education and male involvement in reproductive issue. More efforts also needed to strengthen the accessibility of maternal health services to the community.

DOI 10.11648/j.sjph.20150303.16
Published in Science Journal of Public Health (Volume 3, Issue 3, May 2015)
Page(s) 339-343
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Antenatal Service Utilization, Delivery Service Utilization, Arba Minch Town

References
[1] WHO, UNICEF, UNFPA and the World Bank. Maternal mortality in 2005: developed by WHO, UNICEF, UNFPA and the World Bank. Geneva; 2007.
[2] Tracking progress in maternal, newborn & child survival: the 2008 report. New York, United Nations Children’s Fund; 2008. Web site: http://www.countdown2015mnch.org/index.php?option=com_content&view=article&id=68&itemid=61.
[3] WHO and UNICEF. Antenatal care in developing countries: promises, achievements and missed opportunities. WHO/UNICEF; 2003.Web site: http://www.who.int/reproductive_health/global_monitoring/data.html. Countdown to 2015.
[4] World Health Organization. Proportion of births attended by a skilled health worker 2008 updates.WHO; Geneva: 2008.
[5] Maternal, newborn and child survival. 2008. Web site: http://www.countdown2015mnch.org/documents/.../ethiopia_20080304.pdf.
[6] Central Statistics Agency [Ethiopia] and ORC Macro. Ethiopia Demographic and Health survey 2005. Addis Ababa, Ethiopia and Calverton, Maryland, USA: Central Statistics Agency and ORC Macro; 2006.
[7] Rhoune Ochako, Jean-Christophe Fotso, Lawrence Ikamari, Anne Khasakhala. Utilization of maternal health services among young women in Kenya: Insights from the Kenya Demographic and Health Survey. BMC Pregnancy Childbirth 2011; 11(1). doi: 10.1186/1471-2393-11-1.[BMC].
[8] Abel Ntambue ML, Francoise Malonga K, Michele Dramaix-Wilmet, Philippe Donnen. Determinants of maternal health services utilization in urban settings of the study of Lubumbashi city. BMC Pregnancy Childbirth 2012; 12(66). doi: 10.1186/1471-2393-12-66. [BMC].
[9] Zeine Abonsse, Mirkuzie Woldie, Shimeles Ololo. Factors Influencing Antenatal Care Service Utilization in Hadiya Zone. Ethiopian Journal of Health Science 2010; 20(2): 75–82.
[10] Fenta M. Assessment of factors affecting utilization of maternal health care services in ayssaita and dubti towns. A thesis presented to school of graduate studies Addis Ababa University 2005.
[11] De Allegri M, et al. Determinants of utilization of maternal care services after the reduction of user fees: A case study from rural Burkina Faso. Health Policy 2010, doi:10.1016/j.healthpol.2010.10.010.
Author Information
  • Arba Minch University, College of Medicine and Health Sciences, Arba Minch, Ethiopia

  • Arba Minch University, College of Medicine and Health Sciences, Arba Minch, Ethiopia

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    Ewnetu Firdawek, Dayan Aragu. (2015). Magnitude and Determinants of Antenatal and Delivery Service Utilization in Arba Minch Town, South Ethiopia. Science Journal of Public Health, 3(3), 339-343. https://doi.org/10.11648/j.sjph.20150303.16

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    Ewnetu Firdawek; Dayan Aragu. Magnitude and Determinants of Antenatal and Delivery Service Utilization in Arba Minch Town, South Ethiopia. Sci. J. Public Health 2015, 3(3), 339-343. doi: 10.11648/j.sjph.20150303.16

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    AMA Style

    Ewnetu Firdawek, Dayan Aragu. Magnitude and Determinants of Antenatal and Delivery Service Utilization in Arba Minch Town, South Ethiopia. Sci J Public Health. 2015;3(3):339-343. doi: 10.11648/j.sjph.20150303.16

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  • @article{10.11648/j.sjph.20150303.16,
      author = {Ewnetu Firdawek and Dayan Aragu},
      title = {Magnitude and Determinants of Antenatal and Delivery Service Utilization in Arba Minch Town, South Ethiopia},
      journal = {Science Journal of Public Health},
      volume = {3},
      number = {3},
      pages = {339-343},
      doi = {10.11648/j.sjph.20150303.16},
      url = {https://doi.org/10.11648/j.sjph.20150303.16},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.sjph.20150303.16},
      abstract = {Introduction: Maternal health care services utilization could save unnecessary severe complications and death among women during pregnancy, delivery and after delivery. Numerous factors such as characteristics of the women and their family, characteristics of illness as well as the health care system, including accessibility, acceptability, cost and quality of care, are contributed directly with the use of maternal health care. Thus it is necessary to examine these and other determinants of maternal health service utilization. Objectives: To assess the magnitude and determinants of Antenatal and delivery service utilization of pregnant women and women who delivered two years prior to the study in Arba Minch town. Methodology: Community based cross sectional study has been conducted on pregnant women and women who delivered two years prior to the study found in Arba Minch town in 2010. Simple random sampling technique was used to get the study subjects. Data were collected by trained personnel using a pre tested standardized questionnaire. Results: Among 774 respondents, mean number of pregnancy and delivery were 2.4 and 2.2 respectively. From mothers who were pregnant during the study period and 2 years prior to the study period, 715(92.4%) had ANC checkup and 478(66.8%) are preferred to deliver in health institutions. Level of education, marital status, husband’s attitude toward ANC, planned pregnancy, illness experience during last and current pregnancy, perceived susceptibility to dangerous health problems were found significantly associated with ANC utilization. For delivery service in health institution, Level of education, husband attitude towards ANC, age at first pregnancy, plan for pregnancy and ANC checkup during pregnancy to be significant predictors. Conclusion: Level of education, age at first pregnancy, plan for pregnancy and husband’s attitude were some of the factors that influence maternal health service utilization. Therefore programs and strategies should be focused on improving women education and male involvement in reproductive issue. More efforts also needed to strengthen the accessibility of maternal health services to the community.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Magnitude and Determinants of Antenatal and Delivery Service Utilization in Arba Minch Town, South Ethiopia
    AU  - Ewnetu Firdawek
    AU  - Dayan Aragu
    Y1  - 2015/04/23
    PY  - 2015
    N1  - https://doi.org/10.11648/j.sjph.20150303.16
    DO  - 10.11648/j.sjph.20150303.16
    T2  - Science Journal of Public Health
    JF  - Science Journal of Public Health
    JO  - Science Journal of Public Health
    SP  - 339
    EP  - 343
    PB  - Science Publishing Group
    SN  - 2328-7950
    UR  - https://doi.org/10.11648/j.sjph.20150303.16
    AB  - Introduction: Maternal health care services utilization could save unnecessary severe complications and death among women during pregnancy, delivery and after delivery. Numerous factors such as characteristics of the women and their family, characteristics of illness as well as the health care system, including accessibility, acceptability, cost and quality of care, are contributed directly with the use of maternal health care. Thus it is necessary to examine these and other determinants of maternal health service utilization. Objectives: To assess the magnitude and determinants of Antenatal and delivery service utilization of pregnant women and women who delivered two years prior to the study in Arba Minch town. Methodology: Community based cross sectional study has been conducted on pregnant women and women who delivered two years prior to the study found in Arba Minch town in 2010. Simple random sampling technique was used to get the study subjects. Data were collected by trained personnel using a pre tested standardized questionnaire. Results: Among 774 respondents, mean number of pregnancy and delivery were 2.4 and 2.2 respectively. From mothers who were pregnant during the study period and 2 years prior to the study period, 715(92.4%) had ANC checkup and 478(66.8%) are preferred to deliver in health institutions. Level of education, marital status, husband’s attitude toward ANC, planned pregnancy, illness experience during last and current pregnancy, perceived susceptibility to dangerous health problems were found significantly associated with ANC utilization. For delivery service in health institution, Level of education, husband attitude towards ANC, age at first pregnancy, plan for pregnancy and ANC checkup during pregnancy to be significant predictors. Conclusion: Level of education, age at first pregnancy, plan for pregnancy and husband’s attitude were some of the factors that influence maternal health service utilization. Therefore programs and strategies should be focused on improving women education and male involvement in reproductive issue. More efforts also needed to strengthen the accessibility of maternal health services to the community.
    VL  - 3
    IS  - 3
    ER  - 

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