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

Abstract

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.