Institutional delivery service use and associated factors among women who delivered during the last 2 years in Dallocha town, SNNPR, Ethiopia

Assefa, Masresha; Fite, Robera Olana; Taye, Ayanos; Belachew, Tefera

doi:10.1002/nop2.378

Cited by 13 publications

(14 citation statements)

References 37 publications

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“…The proportion of institutional delivery was 76%, 95% CI (72.4%-79.7%). This finding was in line with 74%, 15 74.4%, 22 78.3%, 2 78.8% 16 studies conducted in Ethiopia and 78.1% in Gambia. 20 It was higher than 12.3%, 8 16.9% 29 24.8%, 5 26.2%, 19 31.0%, 9 32.8%, 30 47.3%, 18 63.1%, 31 64.62%, 14 64.8%, 21 71.2% 13 studies conducted in Ethiopia and 67.3% in Tanzania.…”

Section: Discussionsupporting

confidence: 90%

“…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.…”

Section: Introductionmentioning

confidence: 99%

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Magnitude and Associated Factors of Institutional Delivery Among Reproductive Age Women in Southwest Ethiopia

Yosef¹

2020

IJWH

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Background: Despite the global maternal mortality ratio (MMR) fallen by nearly 44% from 1990 to 2015, however, maternal mortality remains a global problem. Reducing maternal morbidity and mortality is a global priority, which is particularly relevant for developing countries like Ethiopia. A good strategy for reducing maternal morbidity and mortality is increasing institutional delivery service utilization. This study aimed to assess the magnitude and associated factors of institutional delivery among reproductive-age women in southwest Ethiopia. Methods: A community-based cross-sectional study was conducted among 526 women at Mizan-Aman town from January 1 to 30, 2019. The data were collected through face-to-face interviews, and a structured questionnaire was used to assess the prevalence and associated factors of institutional delivery among reproductive-age women who delivered in the past one year. The collected data were entered into the Epi Data manager and analyzed using SPSS version 21. Binary logistic regression was done to determine the association between dependent and expected independent variables. Statistical significance was declared at p < 0.05 in the multivariable logistic regression analysis. Results: Of the 526 mothers interviewed, the proportion of institutional delivery was 76%, 95% CI (72.4%-79.7%). The study also found maternal age 25-34 years (AOR=1.89, 95% CI [1.42-3.26]) and 35 years and above (AOR=3.51, 95% CI [1.52-7.85]), monthly income ≥36 USD (AOR=2.22, 95% CI [1.12-4.13]), being multiparity (AOR=1.98, 95% CI [1.08-3.62]), having ANC visit (AOR=10.5, 95% CI [6.76-28.3]), knowledge of pregnancy danger signs (AOR=5.51, 95% CI [3.46-10.2]) and experience of pregnancy danger signs (AOR=3.86, 95% CI [2.67-7.29]) were significantly associated with institutional delivery. Conclusion: The utilization of institutional delivery service among mothers in the study area was good. But, more effort is needed to increase service utilization to 100%. The provision of the continuous house to house health education regarding institutional delivery is an important segment of intervention that can be done through health extension workers. Besides, counseling mothers on the importance of institutional delivery by health professionals at each ANC follow-up visit plays paramount importance.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Magnitude and Associated Factors of Institutional Delivery Among Reproductive Age Women in Southwest Ethiopia

Yosef¹

2020

IJWH

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“…The link between high ANC4 rates and high institutional delivery attendance has been documented [25][26][27][28]. Given this, our findings suggest that the significant decrease in institutional delivery is likely not due to women choosing not to deliver in health facilities, but rather, not being physically capable of reaching the health facility in time.…”

Section: Discussionsupporting

confidence: 53%

When it rains, it pours: detecting seasonal patterns in utilization of maternal healthcare in Mozambique using routine data

Stone

Sambo

Sawadogo‐Lewis

et al. 2020

BMC Health Serv Res

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Background Climatic conditions and seasonal trends can affect population health, but typically, we consider the effect of climate on the epidemiology of communicable diseases. However, climate can also have an effect on access to care, particularly in remote rural areas of low- and middle-income countries. In this study, we investigate associations between the rainy season and the utilization of maternal health services in Mozambique. Methods We examined patterns in the number of women receiving antenatal care (ANC) and delivering at a health facility for 2012–2019, using data from Mozambique’s Health Management Information Systems. We investigated the association between seasonality (rainfall) and maternal health service utilization (ANC and institutional delivery) at national and provincial level. We fit a negative binomial regression model for institutional delivery and used it to estimate the yearly reduction in institutional deliveries due to the rainy season, with other factors held constant. We used the Lives Saved Tool (LiST) to model increases in mortality due to this estimated decrease in institutional delivery associated with the rainy season. Results In our national analysis, the rate of ANC visits was 1% lower during the rainy season, adjusting for year and province (IRR = 0.99, 95% CI: 0.96–1.03). The rate of institutional deliveries was 6% lower during the rainy season than the dry season, after adjusting for time and province (IRR = 0.94, 95% CI: 0.92–0.96). In provincial analyses, all provinces except for Maputo-Cidade, Maputo-Province, Nampula, and Niassa showed a statistically significantly lower rate of institutional deliveries in the rainy season. None were statistically significantly lower for ANC. We estimate that, due to reductions in institutional delivery attributable only to the rainy season, there were 74 additional maternal deaths and 726 additional deaths of children under the age of 1 month in 2021, that would not have died if the mothers had instead delivered at a facility. Conclusion Fewer women deliver at a health facility during the rainy season in Mozambique than during the dry season. Barriers to receiving care during pregnancy and childbirth must be addressed using a multisectoral approach, considering the impact of geographical inequities.

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“…37 However, a study in Dallocha town, SNNPR, Ethiopia, confirmed the association between the number of ANC visits and home delivery in other settings. 37 , 38 Women with fewer ANC visit might be less likely to get more information about risks and problems that they might encounter during childbirth.…”

Section: Discussionmentioning

confidence: 99%

Determinants of Home Delivery Among Women in Rural Pastoralist Community of Hamar District, Southern Ethiopia: A Case–Control Study

Wondimu¹,

Woldesemayat²

2020

RMHP

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Purpose: Studies addressing determinants of home delivery in pastoralist areas are scarce in Ethiopia. In this study, we aimed to assess determinants of home delivery in rural pastoralist communities of Hamar District, Southern Ethiopia. Patients and Methods: In April 2018, we conducted a community-based case-control study. Of 35 rural kebeles (lowest level of administration) in the district, 8 were randomly selected. Ninety-nine randomly selected cases (mothers who gave birth at home) and 193 controls (mothers who gave birth at health facility) were included in the study. We used structured questionnaires to collect data. Through face-to-face interview, data on place of delivery, sociodemographic characteristics, obstetric history knowledge and attitude of mothers were collected. We used logistic regression model to measure association between variables. Results: Late initiation of antenatal care (AOR = 4.6, 95% CI = 1.2, 17.1), husbands only decision-making (adjusted odds ratio [AOR] =7.2, 95% CI = 2.1, 24.5), women's preference for traditional birth attendants (TBAs) (AOR = 3.9, 95% CI = 1.2, 12.5), and not involving in women's development army (WDA), (AOR = 3.3, 95% CI = 1.0, 10.5) increased the risk of home delivery. Moreover, low maternal knowledge on danger signs of pregnancy (AOR = 6.5, 95% CI = 1.5, 29.0) and negative maternal attitudes towards institutional delivery (AOR = 4.4, 95% CI = 1.4, 14.1) were other factors that increased the risk of home delivery. Conclusion: Among our study participants, a number of factors increased the risk of home delivery. Improving women's awareness on the importance of institutional delivery, establishing systems for integration between TBAs and health facilities, empowering women and promoting them to participation in WDA were recommended.

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Institutional delivery service use and associated factors among women who delivered during the last 2 years in Dallocha town, SNNPR, Ethiopia

Cited by 13 publications

References 37 publications

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

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

When it rains, it pours: detecting seasonal patterns in utilization of maternal healthcare in Mozambique using routine data

<p>Determinants of Home Delivery Among Women in Rural Pastoralist Community of Hamar District, Southern Ethiopia: A Case–Control Study</p>

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