Institutional delivery service utilization and associated factors in Banja District, Awie Zone, Amhara Regional Sate, Ethiopia

Abstract

Introduction: Many women lose their lives in the process of giving life. Maternal mortality remains high in the developing world. This study was conducted to assess institutional delivery service utilization and associated factors in Banja District, Amhara region, Ethiopia, 2013. Methods: A community-based cross-sectional study was conducted among mothers who gave birth in the last two years prior to the study in Banja District from June to July 2013. Multistage sampling technique was used to select the total of 394 study participants. Data were collected by means of a pretested standardized questionnaire. Analysis was carried out by using SPSS version 16. Crude and adjusted odds ratio with 95% confidence interval was calculated by using binary logistic regression. p-value less than 0.05 was considered as statistically significant. Results: The study indicated that only 15.7% of the respondents delivered in health institution. Age of mothers 15-24 years, educational status of the mothers with secondary and above, the existence of educated family members, mothers with previous experience with institutional delivery and mothers' Knowledge on the danger signs of labor were significantly associated with institutional delivery service utilization at p-value less than 0.05. Conclusions: Institutional delivery service utilization in the study area was low (15.7%). Therefore, policy makers, health planers and programmers should recognize determinants of institutional delivery service utilization. More efforts should be given to educate mothers and families. Previous experience sharing and knowledge transfer will be crucial to bring expected institutional delivery utilization.

Utilization of institutional delivery service and associated factors among mothers in North West Ethiopian

“…This finding is consistent with the reports from districts of Ethiopia, where respondents within the age group of 15–24 years were about 4 times more likely to give birth in health facility as compared to age group of 35 and above respectively [18, 22, 27]. This might be due to the fact that younger mothers are more likely to be educated and they may have a better opportunity to access information as compared to older mothers.…”

“…The current finding is consistent with the findings reported from SSA, Nepal, East Delhi India, and Ethiopia, where the proportion of mothers who gave birth in health facility were 53, 48, 51, 47 and 48.3% respectively [3, 11, 12, 20, 21]. However, the current prevalence of health facility delivery is higher when compared to reports from districts of Ethiopia, where the proportion of mothers who gave birth at health facility were 15.7, 37.9 and 25% respectively [17, 22, 23]. This discrepancy might be due to the difference in intervention that has been taking place by the midwives, Health extension workers and women development army in auditing and mobilizing pregnant mothers for maternal health service utilization to reach all segments of the population.…”

Predictors of institutional delivery service utilization, among women of reproductive age group in Dima District, Agnua zone, Gambella, Ethiopia

“…This implies that mothers who had good numbers of prenatal cares prefer to use health institution than those who did not get ANC visits. The result of this study is consistent with that of Dodota of Oromia, Banja District in Amehara, respectively (Adissalem and Meaza, 2012;Wolelie et al, 2014).…”

“…The result obtained in this study is however slightly lower than the study conducted in Ghana East Municipality which had a result of 78.90% in 2010 (Esena et al, 2013). This result is still very high compared to other studies conducted in other part of Ethiopia: Banja District in Amehara Region, 15.00% and Semer Seharti District-Tigray 4.10% (Wolelie et al, 2014;Assfaw, 2010). The inconsistency observed may be due to the different interventional actions which were undertaken at regional levels.…”

Facility-Based Delivery Service Utilisation Among Women of Childbearing Age in Nguti Health District, Cameroon: Prevalence and Predictors

“…We found no studies done in Cameroon on health facility delivery service utilisation before this one but a high level (95.9%) of non-health facility utilisation during delivery has been reported in a study done in Ethiopia [3]. Also, the factors influencing health facility delivery service utilisation in this study though varying in proportions are similar to factors influencing health facility-based deliveries as reported in studies conducted elsewhere [3,5]. In fact, some of the factors documented in this study as influencing maternal deliveries out of health facility (few or no availability of health facilities, long distances between health facilities and women's homes, sudden onset of labour, no transport to go to a health facility when in labour, bad behaviours of health workers) have also been reported in other studies elsewhere [4,9,10].…”