Factors associated with institutional delivery in Dangila district, North West Ethiopia: a cross-sectional study

Abstract

Introduction: Childbirth in a health institution has been shown to be associated with lower rates of maternal and neonatal mortality. However, about 85% of mothers in Ethiopia deliver at home. Objective: To assess factors associated with institutional delivery service utilization among women who gave birth within one year prior to the study in Dangila district. Methods: A cross-sectional study was conducted from February 01-28, 2015. A total of 763 mothers were interviewed using structured questionnaire. SPSS version 20 was used for analysis. Crude and adjusted Odds ratios were computed for selected variables. A P-value less than 0.05 was considered statistical significant. Results: Only 18.3% of mothers gave birth at health facilities. Knowledge on danger signs [AOR=2.0, 95% CI: (1.1, 3.4)], plan to give birth at health institution [AOR=5.4, 95% CI: (3.0, 9.6)], having ANC follow up during pregnancy [AOR=12.9, 95% CI: (5.0, 33.3)] and time taken to get to a nearby health institution [AOR=5.1, 95% CI: (2.9, 9.1)] were associated with institutional delivery service utilization. Conclusion: Institutional delivery was very low. Knowledge about danger signs, having ANC visits, and time were factors associated with institutional delivery service utilization. Thus,the findings recommend repeated re-enforcement of institutional delivery service utilization through professionals. And also, the findings recommend promotion of institutional delivery service utilization through mass media.

Factors related to choice of place of birth in a district in Nepal

“…Distance to health facility: The results of this study were consistent with other similar studies conducted in rural Nepal (11)(12)(13) and Ethiopia (22,23) where distance to health facility affected attending health facility. Women are more likely to give birth at primary health centres if they are located within a one-hour distance.…”

“…Number of ANC visits and decision regarding place of birth: The results of this study show lower than four ANC visits resulted in decreased utilisation of institutional birth services especially at primary health facilities as shown by a study in Ethiopia (22) and another study in rural Nepal where women who attended antenatal services were four times more likely to attend institutional delivery (12).A study conducted in Nepal regarding uptake of ANC showed how women's decision of uptake of the ANC services is influenced by husbands and mother-in-laws and less influenced by the women themselves (29). Another study conducted in rural Nepal also established that the decision for uptake of the institutional birth services was influenced more by family members or family members and women and not by women alone (11).…”

Institutional Delivery Service Utilization and Associated Factors among Women of Child Bearing Age at Boset Woreda, Oromia Regional State, Central Ethiopia

“…This study also showed that women educated to primary level and above were two times more likely to utilize institutional delivery than those are not able to read and write. The result was in line with studies in other areas [25,27,28,32,33]. This may be explained by educated women's access to information and awareness of pregnancy problems positively influences their behavior of institutional delivery.…”

“…In this study the magnitude of institutional services utilization was 60%. The finding of this study is higher than the institutional delivery services utilization of 18.3 in Dangla District of Amhara region [25], 20.91 in Ankasha Guagusa Woreda of Amhara region [26], 4% in Tigray Region [27], 28.6% in South West Shoa of Oromia [28], 14.5 in Oromia at regional level [14] and 15.4 at national level of Ethiopia [14]. The possible reason for the discrepancy could arise from the time difference between the current study and other studies which were done before two years of data generation.…”

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

“…This study showed that only 3.5% of the participants had not gone for the ANC check-ups which is similar to the study conducted by Dahal RK where 3.2 % mothers did not go for the ANC check-ups 10 . Another study conducted by Demilew YM showed that 33.1% of the women did not go to the ANC visits 15 . The difference might be due to the study area, physical distance and availability of transportation.…”