Factors Associated with the Utilization of Institutional Delivery Service among Mothers

Pathak, Pratima; Shrestha, Shovana; Devkota, Rashmi; Thapa, Basanta

doi:10.3126/jnhrc.v15i3.18845

Cited by 16 publications

(20 citation statements)

References 5 publications

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“…Furthermore, women who had at least one antenatal care (ANC) visit at the health facility was 82% less likely to deliver at home than those who had no ANC visit. Similar evidence reported from a metaanalysis in Ethiopia (37), Kenya (38), Nepal (39), and Akordet town, Eritrea (22). Women during ANC follow up got health education about the choice of place of delivery and the benefit of health facility delivery.…”

Section: Discussionsupporting

confidence: 75%

Spatio-temporal distribution and associated factors of home delivery in Ethiopia. Further multilevel and spatial analysis of Ethiopian Demographic and Health Surveys 2005 - 2016

Tessema

Tiruneh

2020

Preprint

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Background: Globally, between 2012 -2017, 80% of live births occurred at health facilities assisted by skilled health personnel. In Ethiopia, in 2016 only 26% of live births attended by skilled health personal. The aim of this study was to assess the spatial patterns and associated factors of home delivery in Ethiopia using 2005, 2011, and 2016 Ethiopian Demographic and Health Surveys. Method: A total of 33 482 women who gave live birth in the five years preceding each survey were included for this study. ArcGIS version 10.7 software was used to visualize the spatial distribution of home delivery. The Bernoulli model was applied using Kilduff SaTScan version 9.6 software to identify significant purely spatial clusters for home delivery in Ethiopia. A multilevel logistic regression model was fitted to identify factors associated with home delivery. A p-value < 0.05 was taken to declare statistically significant predictors. Result: Home delivery was declined from 94.78% in 2005, 90.05% in 2011, and 73.44% in 2016 in Ethiopia. Among the three surveys, consistently high clustering of home delivery was observed in Amhara and Southern Nations Nationalities and People’s Regions (SNNPR) of Ethiopia. In spatial scan statistics analysis, a total of 128 clusters (RR= 1.04, P-value < 0.001) in 2005, and 90 clusters (RR = 1.11, P-value < 0.001) in 2011, and 55 clusters (RR = 1.29, P-value < 0.001) in 2016 significant primary clusters were identified. Educational status of women and husband, religion, distance to the health facility, mobile access, antenatal care visit, birth order, parity, wealth index, residence, and Region were statistically significant predictors of home delivery.Conclusion: The spatial distribution of home delivery among the three consecutive surveys were non-random in Ethiopia. Educational status of women and husband, religion, distance to the health facility, wealth index, residence, parity, mobile access, Region, and antenatal care visit were statistically significant predictors of home delivery in Ethiopia. Therefore, an intervention needs to improve the coverage of antenatal care visit, and health care facilities. Ministry of health and other stakeholders should give special attention to women living in Amhara and SNNPR states of Ethiopia.

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Section: Discussionsupporting

confidence: 75%

Spatio-temporal distribution and associated factors of home delivery in Ethiopia. Further multilevel and spatial analysis of Ethiopian Demographic and Health Surveys 2005 - 2016

Tessema

Tiruneh

2020

Preprint

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“…Women with lower parity were more likely to deliver in the health facility. This nding was in line with studies (23,30,31). This might be because women with lower parity tend to give careful attention to seeking delivery assistance due to their lack of experience in pregnancy and fear of complication.…”

Section: Discussionsupporting

confidence: 93%

Institutional Delivery Services Utilization and Associated Factors Among Mothers Who Gave Birth in The Last Year in Mandura District, North West Ethiopia, 2019.

Mitikie¹,

Wassie

Beyene

2020

Preprint

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Background: The risk of death from complications relating to pregnancy and childbirth for women’s lifetime is higher in developing countries. Improving maternal and child health through a well-organized institutional delivery service is central to achieve reduced maternal and child mortality. Despite the efforts that have been made to improve maternal health outcomes in Ethiopia, institutional delivery is still unacceptably low. This study was aimed to assess institutional delivery service utilization and associated factors in the study area. Methods: Community-based cross-sectional study was conducted. A multi-stage sampling technique was used to employ a total of 546 women. Data were collected using an interviewer-administered questionnaire. Logistic regression models were used to determine factors associated with the outcome variable. Adjusted Odds ratios with 95% CI were computed to measure the strength of association and statistical significance was declared at p-value <0.05.Results: The Prevalence of institutional delivery in the study area was 38% (34%-42%). Factors significantly associated with institutional delivery were ANC visit 1.80(1.12-2.91), knowledge on danger sign 3.60(2.25-5.76), urban residency 2.09(1.15-3.81), Parity 0.49(0.25-0.95) accessibility of health facility 4.60(2.01-10.89), husbands educational level: primary 2.50(1.27-4.91), secondary and above 2.36(1.24-4.48), mothers occupation: governmental employee 2.05(1.00-4.18), and Private employee 2.42 (1.09-5.35). Conclusions: The prevalence of institutional delivery in the District was low. Antenatal visits, residency, knowledge on pregnancy danger signs, parity, accessibility of health facilities, maternal occupation, and husband education were significantly associated with institutional delivery. Strengthen the community-based awareness creation program regarding the danger signs of pregnancy and benefits of institutional delivery through the health developmental army, health extension workers, and local health care service providers; empowering women to get a job access, advocating education in the community, and improving antenatal care utilization would be among important measures to improve institutional delivery utilization.

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“…Consistent with the other studies, this study found that 68.9% women received at least four times ANC (13)(14)(15).…”

Section: Discussionsupporting

confidence: 92%

“…This study reported that women's knowledge on BP&CR significantly affect (AOR 1.543, 95% CI: 1.093-2.179) the utilization of the ANC. Evidences supported that BP&CR is an effective intervention for raising the utilization of maternal health care services in Nepal too (15,23,24).…”

Section: Determinants For the Utilization Of Antenatalmentioning

confidence: 99%

“…CI: 1.402-2.716) more likely to utilize ANC than women disadvantaged Dalit ethnic group. The results of the recent studies from Nepal also concluded that women from ethnic minorities and disadvantaged groups were less likely to utilize maternal health services (15,32). It may be that women with a higher ethnic group are more educated and have more access to health services.…”

Section: Determinants For the Utilization Of Antenatalmentioning

confidence: 99%

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Determinants for the Utilization of Antenatal Care in Nepal

Kaphle¹,

Tjprc²

2018

IJMPS

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INTRODUCTION Antenatal Care (ANC) is an essential component of maternal health service and every woman should receive at least four ANC as prescribed. The aim of this study was to determine the individual, household and community factors responsible for the utilization of the ANC. METHODS An analytical cross-sectional study was conducted in the three randomly selected districts representing the three ecological zones of Nepal among 1302 women with a face to face interview. RESULTS The result of the study showed that 60.8% women received at least 4 ANC according to a national guideline. In multivariate analysis based on the binary logistic regression analysis six out of twelve individual (education (secondary and higher), occupation (business), media exposure, knowledge on BP&CR, knowledge on 4 ANC and knowledge on 4 ANC incentive), five-out of-eight household (family size (≤4), ethnicity (Brahmin/Chhetri), source of household income (job and remit), household income (middle, fourth and highest), sex of decision maker in household regarding health care (female)) and six out of ten community (involvement in community organization, involvement in income saving in community, access to FCHV, distance to nearest government health facility (≤2 km), availability of public transportation and time taken to reach nearest government health facility (≤30 minutes)) factors were revealed as important determinants for the utilization of ANC.

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Factors Associated with the Utilization of Institutional Delivery Service among Mothers

Abstract: INTRODUCTION

Cited by 16 publications

References 5 publications

Spatio-temporal distribution and associated factors of home delivery in Ethiopia. Further multilevel and spatial analysis of Ethiopian Demographic and Health Surveys 2005 - 2016

Spatio-temporal distribution and associated factors of home delivery in Ethiopia. Further multilevel and spatial analysis of Ethiopian Demographic and Health Surveys 2005 - 2016

Institutional Delivery Services Utilization and Associated Factors Among Mothers Who Gave Birth in The Last Year in Mandura District, North West Ethiopia, 2019.

Determinants for the Utilization of Antenatal Care in Nepal

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