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

Abstract

BackgroundReduction of maternal mortality is a global priority particularly in developing countries including Ethiopia where maternal mortality ratio is one of the highest in the world. The key to reducing maternal mortality ratio and improving maternal health is increasing attendance by skilled health personnel throughout pregnancy and delivery. However, delivery service is significantly lower in Amhara Regional State, Ethiopia. Therefore, this study aimed to assess factors affecting institutional delivery service utilization among mothers who gave birth in the last 12 months in Sekela District, Amhara Region, Ethiopia.MethodsCommunity-based cross-sectional study was conducted among mothers with birth in the last 12 months during August, 2010. Multistage sampling technique was used to select 371 participants. A pre tested and structured questionnaire was used to collect data. Bivariate and multivariate data analysis was performed using SPSS version 16.0 software.ResultsThe study indicated that 12.1% of the mothers delivered in health facilities. Of 87.9% mothers who gave birth at home, 80.0% of them were assisted by family members and relatives. The common reasons for home delivery were closer attention from family members and relatives (60.9%), home delivery is usual practice (57.7%), unexpected labour (33.4%), not being sick or no problem at the time of delivery (21.6%) and family influence (14.4%). Being urban resident (AOR [95% CI] = 4.6 [1.91, 10.9]), ANC visit during last pregnancy (AOR [95% CI] = 4.26 [1.1, 16.4]), maternal education level (AOR [95%CI] =11.98 [3.36, 41.4]) and knowledge of mothers on pregnancy and delivery services (AOR [95% CI] = 2.97[1.1, 8.6]) had significant associations with institutional delivery service utilization.ConclusionsVery low institutional delivery service utilization was observed in the study area. Majority of the births at home were assisted by family members and relatives. ANC visit and lack of knowledge on pregnancy and delivery services were found to be associated with delivery service utilization. Strategies with focus on increasing ANC uptake and building knowledge of the mothers and their partners would help to increase utilization of the service. Training and assigning skilled attendants at Health Posta level to provide skilled home delivery would improve utilization of the service.

Level of Institutional Delivery Service Utilization and Associated Factors among Women who Gave Birth in the Last One Year in Gonji Kollela District, Amhara Region, Ethiopia: Cross-Sectional Study

“…Mothers who travel less than one hour by bare foot to reach to the nearby health institute were 5 times more likely to give birth in the health institution than mothers who travel more than 2 h and those who travel 1-2 times were 7 times more likely to delivery in the health institution than those mothers who travel more than 2 h. This study also revealed that mothers who visited ANC during last pregnancy were about 2 times more likely to deliver in health facilities than mothers who did not visit ANC which was Similar to studies conducted in north Gondar, Sekela district and in Metekel Zone [6][7][8].…”

“…This study finding was higher than National EDHS result of 2011 and the study done in Sekela District in 2012 which was 10% and 12.3% respectively; this might be due to the time gap, i.e., since 2011 there could be improvement in accessing and utilizing the service and probably due to relatively good commitment of the district health office and health professionals working there [5,6].…”

Institutional Delivery Service Utilization in Woldia, Ethiopia

“…Previous local studies done in Ethiopia showed that there were variation in skilled birth attendance, 12.3% in Munisa district [6], 4.3% of rural mothers and 40% urban mother in Arsi [7], 12.0% (20.8% in urban and 6.8 % in rural mother) in Metekel [8], 13.5% in North Gondar [9], 12.1% in Sekela district [10]. Previous studies also showed that institutional delivery service utilization were associated with educational status of mothers and their husbands, income level, preferences of the attentions of their relatives, trust on traditional birth attendants, absence of health problems during pregnancy, antenatal visits during pregnancy, short duration of labor, mothers' place of residence, age, perceived distance to the nearest health facility and transportation costs [6,7,8,9,10]. However, little is known about institutional delivery service utilization in Woldia, Ethiopia.…”

Institutional delivery and its associated factors: A community based cross-sectional study in Kavre district

“…This study showed that 68.2% of the participants had more than one hour of distance to birthing facility, whereas in a study conducted by Shah R only 24% of women had one hour or more distance to birthing facility 13 . Another study conducted by Teferra A.S. showed that 19.4% had one to two hours of time taken to visit the nearby health center 17 .…”