Institutional Delivery Service Utilization and Associated Factors among Child Bearing Age Women in Goba Woreda, Ethiopia
Journal of Gynecology and Obstetrics
Volume 2, Issue 4, July 2014, Pages: 63-70
Received: Jan. 19, 2014;
Accepted: Jul. 29, 2014;
Published: Aug. 10, 2014
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Daniel Bogale Odo, Department of Public Health, College of Medicine and Health Sciences, Madawalabu University, Bale Goba, Ethiopia
Desalegn Markos Shifti, Department of Nursing, College of Medicine and Health Sciences, Madawalabu University, Bale Goba, Ethiopia
In despite of skilled delivery is one of the most tracked Millennium Development Goal indicators, the proportion of births attended by skilled health personnel in Ethiopia is very low. This study aimed at assessing level of institutional delivery service utilization and associated factors among mothers who gave birth during the last twelve months prior to this study. A community based cross sectional study design which is supplemented by qualitative method was conducted on April 2013 in Goba Woreda. One urban and 8 rural smallest administrative unit (kebele) was selected using simple random sampling technique. Then, mothers were selected systematically after 580 study subjects were proportionally allocated to each kebele. Qualitative data were collected through focus group discussions (FGDs). Data were entered and analyzed using SPSS version 16.0. Frequencies, binary and multiple logistic regression analysis were done. The study indicated that 264 (47%) of the mothers delivered in health facilities. The common reasons for health facilities delivery were seeking better service (80.2%) and told to deliver on health facility by health professionals during Anti Natal Care follow up (36.1%). As compared to rural residents, urban residents were 3.6 times more likely to deliver on health facility (AOR=3.6 and 95% CI =1.86, 7.13), Anti Natal Care visit during last pregnancy (AOR=2.7 and 95% CI=1.42, 5.24) and maternal education level (AOR=3.1 and 95%CI=1.41, 6.82) had positive significant associations with institutional delivery service utilization. As compared to government strategy, institutional delivery service utilization was lower in the study area. Place of esidence, Anti Natal Care visit and maternal educational level were found to be associated with institutional delivery service utilization. Strategies with focus on increasing Anti Natal Care uptake and increasing maternal and their partners’ educational level help to increase health facility delivery service utilization.
Daniel Bogale Odo,
Desalegn Markos Shifti,
Institutional Delivery Service Utilization and Associated Factors among Child Bearing Age Women in Goba Woreda, Ethiopia, Journal of Gynecology and Obstetrics.
Vol. 2, No. 4,
2014, pp. 63-70.
World Health Organization: Trends in Maternal Mortality: 1990 to 2010 Estimates developed by WHO, UNICEF, UNFPA and The World Bank. Geneva; 2012.
Kamal S.M.M: Preference for Institutional Delivery and Caesarean Sections in Bangladesh. J Health Popul Nutr 2013; 31(1): 96-109.
MC Hogan, KJ Foreman, M Naghavi, SY Ahn, M Wang, SM Makela, AD Lopez, R Lozano, CJ Murray: Maternal mortality for 181 countries, 1980-2008: a systematic analysis of progress towards Millennium Development Goal 5. Lancet 2010; 375(9726):1609–23.
FMOH, UNICEF, UNFPA, WHO and AMDD: National Baseline Assessment for Emergency Obstetric and Newborn Care in Ethiopia; 2008:18.
Central Statistical Agency [Ethiopia] and ORC Macro: Ethiopia Demographic and Health Survey 2005: Addis Ababa. Central Statistical Agency and ORC Macro; 2005.
Central Statistical Agency (Ethiopia) and ICF International: Ethiopian Demographic and Health Survey: Addis Ababa. Ethiopia, Calverton, Maryland and USA; 2012.
Abebe F, Berhane Y, and Girma B: Factors associated with home delivery in Bahirdar, Ethiopia: A case control study. BMC Research Notes, 2012; 5: p. 653.
Amano A, Gebeyehu A, and Birhanu Z: Institutional delivery service utilization in Munisa Woreda, South East Ethiopia: a community based cross-sectional study. BMC Pregnancy and Childbirth, 2012; 12: p. 105.
Awoke W, Muhammed J, and Abeje G: Institutional delivery service utilization in Woldia. Ethiopia Science Journal of Public Health, 2013; 1(1): 18-23 doi: 10.11648/j.sjph.20130101.13.
Fikre and Demissie: Prevalence of institutional delivery and associated factors in Dodota Woreda, Oromia regional state, Ethiopia. Reproductive Health, 2012; 9: p. 33.
Sugathan K.S, Mishra V and Retherford R.D: Promoting Institutional Deliveries In Rural India: The Role of Antenatal-Care Services. National Family Health Survey Subject Reports, 2001; 20.
Nigatu D: Women’s autonomy regarding their own and children’s Health care utilization and associated factors in Goba Woreda, Bale zone, south east Ethiopia, in Public health institutions. Addis Ababa, 2011.
JHPIEGO: Monitoring birth preparedness and complication readiness: tools and Indicators for maternal and newborn health. JHPIEGO; 2004.
Wanjira C, Mwangi M, Mathenge E, Mbugua G and Ng’ang’a Z: Delivery Practices and Associated Factors among Mothers Seeking Child Welfare Services in Selected Health Facilities in Nyandarua South District, Kenya. BMC Public Health, 2011: 11(360).
Onah HE, Ikeako LC, Iloabachie GC: Factors associated with the use of maternity services in Enugu, south-eastern Nigeria. Soc Sci Med, 2006; 63(7): 1870-1878.
Mpembeni RNM, Killewo JZ, Leshabari MT, et al: Use pattern of maternal health services and determinants of skilled care during delivery in Southern Tanzania: implications for achievement of MDG-5 targets. BMC Pregnancy and Childbirth, 2007: 7(29).
Teferra A.S, Alemu F.M, and Woldeyohannes S.M: Institutional delivery service utilization and associated factors among mothers who gave birth in the last 12 months in Sekela District, North West of Ethiopia: A community - based cross sectional study. BMC Pregnancy and Childbirth, 2012: 12(74).
Sugathan K.S, Mishra V, and Retherford R.D: Promoting Institutional Deliveries In Rural India: The Role of Antenatal-Care Services, in National Family Health Survey Subject Reports. 2001, International Institute for Population Sciences: Mumbai, India.
Nigussie M, HaileMariam D and Mitike G: Assessment of safe delivery service utilization among women of childbearing age in north Gondar Zone, North West Ethiopia. Ethiop J Health Dev, 2004: 18(3): 145-152.
Gage A.J: Barriers to the utilization of maternal health care in rural Mali. Soc Sci Med, 2007: 65(8): 1666-1682.