Frequent Antenatal Care Visits Increase Institutional Delivery at Dabat Health and Demographic Surveillance System Site, Northwest Ethiopia

Abstract

Background. Early diagnosis of pregnancy, professional follow-up, and skilled delivery service are the main interventions that reduce maternal morbidity and mortality. Generating local based evidence could support targeted and effective intervention placed by a government. Therefore, determining the prevalence of skilled institutional delivery and its associated factors is of supreme importance. Methods. A community based cross-sectional study was conducted among pregnant women at Dabat Health and Demographic Surveillance System (DHDSS) site from 2014 to 2015. A total of 1290 pregnant women were included in the study. Data were extracted from what was collected as part of the ongoing DHDSS. Variables were extracted from the Household Registration System (HRS2 version 2.1) database and exported to STATA version 14.1 for analysis. Binary logistic regression was used to identify the factors associated with skilled institutional delivery. Statistical test was considered significant at P value < 0.05. Results. The proportion of skilled institutional delivery was 31.0% (95% CI: 28.5, 33.6). Frequent Antenatal care (ANC) visits (Adjusted Odds Ratio (AOR): 2.94; 95% CI: 1.75, 4.94)), living in urban setting (AOR: 9.54; 95% CI: 5.99, 15.17), and ability to read and write (AOR: 1.81; 95% CI: 1.18, 2.75) were factors associated with increased delivery in the health institutions. On the other hand, giving more number of births (AOR: 0.39; 95% CI: 0.22, 0.66) decreased health institution delivery by 61%. Conclusion. Higher rate of skilled institutional delivery has been observed at the surveillance site as compared with the previous national estimates. Giving less number of births, frequent ANC visits, being in urban residence, and ability to read and write increased the likelihood of health institution delivery. Strengthening interventions that could influence the identified factors could improve mothers’ choice to skilled institutional delivery.

Institutional delivery services utilization and its determinant factors among women who gave birth in the past 24 months in Southwest Ethiopia

“…The number of ANC visits tended to increase the utilization of institutional delivery services. This finding is in line with those of other studies conducted in different parts of Ethiopia [33][34][35]. This can be partially explained by the fact that ANC visit is one of the contact points with health professionals and the more the ANC visits done, the better the probability of getting adequate information about danger signs and complications related to pregnancy and the importance of delivering at the health institutions.…”

<p>Magnitude and Associated Factors of Institutional Delivery Among Reproductive Age Women in Southwest Ethiopia</p>

“…8 Early diagnosis of pregnancy, professional follow-up, and skilled delivery service are the main interventions that reduce maternal morbidity and mortality. 9 Several studies revealed that increasing institutional delivery is a good strategy for reducing maternal morbidity and mortality. 8,[10][11][12][13] The factors associated with institutional delivery are multiple and include age, income status, education, occupation, religion, residence, attending ANC, frequency of ANC visit, age at first marriage, age at first pregnancy, types of pregnancy (planned/unplanned), gravidity, parity, owing radio and/or television, knowledge, and occurrence of pregnancy danger signs.…”

“…8,[10][11][12][13] The factors associated with institutional delivery are multiple and include age, income status, education, occupation, religion, residence, attending ANC, frequency of ANC visit, age at first marriage, age at first pregnancy, types of pregnancy (planned/unplanned), gravidity, parity, owing radio and/or television, knowledge, and occurrence of pregnancy danger signs. 1,2,5,8,9,[14][15][16][17][18][19][20][21][22][23] Ethiopia is one of the six countries that contribute to more than 50% of global maternal deaths. 24 Despite it is known that delivery attended by a skilled provider at a health facility reduced maternal deaths, but more than half of all births in Ethiopia take place at home.…”

Determinants of late antenatal care follow up among pregnant women in Easter zone Tigray, Northern Ethiopia, 2018. Unmatched case- control study

“…Maternal mortality due to complications of child birth in sub Saharan African countries is the highest, accounts about 66% from the total mortality in the globe (1). Evidences showed the most common causes of maternal mortalities can be prevented through quality of ANC ( antenatal care ) (2).World health organization recommended all pregnant women should provide the focused ANC services within the first trimester of pregnancy.…”