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Institutional Delivery Service Utilization and Associated Factors Among Women in West Central Ethiopia

Received: 1 February 2019    Accepted: 18 March 2019    Published: 12 April 2019
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Abstract

Pregnancy and child birth related complications are main causes of death and disability among women of childbearing age in developing countries. The Sub-Saharan Africa accounts for more than half of the global maternal deaths and most of these deaths occur during labor and following child birth from preventable causes that can be averted by professional intervention. Hence, the aim of this study was to assess the level of institutional delivery service utilization and associated factors among women who gave birth in West Central Ethiopia. A community based cross-sectional study was conducted from January 10 to February 10, 2014. Quantitative data were collected using a structured questionnaire and analyzed using SPSS V.20.0. Descriptive statistics were used to present the data and logistic regression was applied to check the association between the dependent and independent variables. A total of 410 women were included in the study of whom70.7% had given birth their last baby at health facilities. Women with secondary and above educational status (AOR [95%CI] = 4.525 [95% CI: 1.831-11.180]), those who had an access to Radio and TV (AOR [95%CI] = 3.214 [1.361-7.591]), women from families with average monthly income greater than 1,000.00 Ethiopian Birr (AOR [95%CI] = 3.300 [1.555-6.999]), and women who had antenatal care follow up during their last pregnancy (AOR [95%CI] = 2.409 [1.088-5.335]) were more likely to utilize institutional delivery service. In conclusion, a significant number of women did not give birth their last baby at health facilities. Maternal educational status, access to mass media, family income status and antenatal care visit were important predictors of institutional delivery service utilization. Increasing Health Extension Workers’ involvement in improving community awareness, and women empowerment through education and economic development are important measures to improve institutional delivery service utilization.

Published in Science Journal of Public Health (Volume 7, Issue 2)
DOI 10.11648/j.sjph.20190702.12
Page(s) 38-43
Creative Commons

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

Institutional Delivery, Ambo Town, Delivery Service

References
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[4] Hogan MC, Foreman KJ, Naghavi M, Ahn SY, Wang M, Makela SM, Lopez AD, Lozano R, Murray CJ. Maternal mortality for 181 countries, 1980–2008: a systematic analysis of progress towards Millennium Development Goal 5. The lancet. 2010 May 8; 375(9726):1609-1623.
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[16] Birmeta K, Dibaba Y, Woldeyohannes D. Determinants of maternal health care utilization in Holeta town, central Ethiopia. BMC health services research. 2013; 13(1):256.
[17] Mengesha ZB, Biks GA, Ayele TA, Tessema GA, Koye DN. Determinants of skilled attendance for delivery in Northwest Ethiopia: a community based nested case control study. BMC Public Health. 2013; 13(1):130.
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  • APA Style

    Meseret Ifa, Elias Teferi. (2019). Institutional Delivery Service Utilization and Associated Factors Among Women in West Central Ethiopia. Science Journal of Public Health, 7(2), 38-43. https://doi.org/10.11648/j.sjph.20190702.12

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    ACS Style

    Meseret Ifa; Elias Teferi. Institutional Delivery Service Utilization and Associated Factors Among Women in West Central Ethiopia. Sci. J. Public Health 2019, 7(2), 38-43. doi: 10.11648/j.sjph.20190702.12

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    AMA Style

    Meseret Ifa, Elias Teferi. Institutional Delivery Service Utilization and Associated Factors Among Women in West Central Ethiopia. Sci J Public Health. 2019;7(2):38-43. doi: 10.11648/j.sjph.20190702.12

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  • @article{10.11648/j.sjph.20190702.12,
      author = {Meseret Ifa and Elias Teferi},
      title = {Institutional Delivery Service Utilization and Associated Factors Among Women in West Central Ethiopia},
      journal = {Science Journal of Public Health},
      volume = {7},
      number = {2},
      pages = {38-43},
      doi = {10.11648/j.sjph.20190702.12},
      url = {https://doi.org/10.11648/j.sjph.20190702.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20190702.12},
      abstract = {Pregnancy and child birth related complications are main causes of death and disability among women of childbearing age in developing countries. The Sub-Saharan Africa accounts for more than half of the global maternal deaths and most of these deaths occur during labor and following child birth from preventable causes that can be averted by professional intervention. Hence, the aim of this study was to assess the level of institutional delivery service utilization and associated factors among women who gave birth in West Central Ethiopia. A community based cross-sectional study was conducted from January 10 to February 10, 2014. Quantitative data were collected using a structured questionnaire and analyzed using SPSS V.20.0. Descriptive statistics were used to present the data and logistic regression was applied to check the association between the dependent and independent variables. A total of 410 women were included in the study of whom70.7% had given birth their last baby at health facilities. Women with secondary and above educational status (AOR [95%CI] = 4.525 [95% CI: 1.831-11.180]), those who had an access to Radio and TV (AOR [95%CI] = 3.214 [1.361-7.591]), women from families with average monthly income greater than 1,000.00 Ethiopian Birr (AOR [95%CI] = 3.300 [1.555-6.999]), and women who had antenatal care follow up during their last pregnancy (AOR [95%CI] = 2.409 [1.088-5.335]) were more likely to utilize institutional delivery service. In conclusion, a significant number of women did not give birth their last baby at health facilities. Maternal educational status, access to mass media, family income status and antenatal care visit were important predictors of institutional delivery service utilization. Increasing Health Extension Workers’ involvement in improving community awareness, and women empowerment through education and economic development are important measures to improve institutional delivery service utilization.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Institutional Delivery Service Utilization and Associated Factors Among Women in West Central Ethiopia
    AU  - Meseret Ifa
    AU  - Elias Teferi
    Y1  - 2019/04/12
    PY  - 2019
    N1  - https://doi.org/10.11648/j.sjph.20190702.12
    DO  - 10.11648/j.sjph.20190702.12
    T2  - Science Journal of Public Health
    JF  - Science Journal of Public Health
    JO  - Science Journal of Public Health
    SP  - 38
    EP  - 43
    PB  - Science Publishing Group
    SN  - 2328-7950
    UR  - https://doi.org/10.11648/j.sjph.20190702.12
    AB  - Pregnancy and child birth related complications are main causes of death and disability among women of childbearing age in developing countries. The Sub-Saharan Africa accounts for more than half of the global maternal deaths and most of these deaths occur during labor and following child birth from preventable causes that can be averted by professional intervention. Hence, the aim of this study was to assess the level of institutional delivery service utilization and associated factors among women who gave birth in West Central Ethiopia. A community based cross-sectional study was conducted from January 10 to February 10, 2014. Quantitative data were collected using a structured questionnaire and analyzed using SPSS V.20.0. Descriptive statistics were used to present the data and logistic regression was applied to check the association between the dependent and independent variables. A total of 410 women were included in the study of whom70.7% had given birth their last baby at health facilities. Women with secondary and above educational status (AOR [95%CI] = 4.525 [95% CI: 1.831-11.180]), those who had an access to Radio and TV (AOR [95%CI] = 3.214 [1.361-7.591]), women from families with average monthly income greater than 1,000.00 Ethiopian Birr (AOR [95%CI] = 3.300 [1.555-6.999]), and women who had antenatal care follow up during their last pregnancy (AOR [95%CI] = 2.409 [1.088-5.335]) were more likely to utilize institutional delivery service. In conclusion, a significant number of women did not give birth their last baby at health facilities. Maternal educational status, access to mass media, family income status and antenatal care visit were important predictors of institutional delivery service utilization. Increasing Health Extension Workers’ involvement in improving community awareness, and women empowerment through education and economic development are important measures to improve institutional delivery service utilization.
    VL  - 7
    IS  - 2
    ER  - 

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Author Information
  • Department of Public Health, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia

  • Department of Public Health, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia

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