Institutional Delivery Service Utilization and Associated Factors among Child Bearing Age Women in Goba Woreda, Ethiopia

Abstract

Abstract:In despite of skilled delivery is one of the most tracked Millennium Development Goal indicators, the proportion of births attended by skilled health personnel in Ethiopia is very low. This study aimed at assessing level of institutional delivery service utilization and associated factors among mothers who gave birth during the last twelve months prior to this study. A community based cross sectional study design which is supplemented by qualitative method was conducted on April 2013 in Goba Woreda. One urban and 8 rural smallest administrative unit (kebele) was selected using simple random sampling technique. Then, mothers were selected systematically after 580 study subjects were proportionally allocated to each kebele. Qualitative data were collected through focus group discussions (FGDs). Data were entered and analyzed using SPSS version 16.0. Frequencies, binary and multiple logistic regression analysis were done. The study indicated that 264 (47%) of the mothers delivered in health facilities. The common reasons for health facilities delivery were seeking better service (80.2%) and told to deliver on health facility by health professionals during Anti Natal Care follow up (36.1%). As compared to rural residents, urban residents were 3.6 times more likely to deliver on health facility (AOR=3.6 and 95% CI =1.86, 7.13), Anti Natal Care visit during last pregnancy (AOR=2.7 and 95% CI=1.42, 5.24) and maternal education level (AOR=3.1 and 95%CI=1.41, 6.82) had positive significant associations with institutional delivery service utilization. As compared to government strategy, institutional delivery service utilization was lower in the study area. Place of esidence, Anti Natal Care visit and maternal educational level were found to be associated with institutional delivery service utilization. Strategies with focus on increasing Anti Natal Care uptake and increasing maternal and their partners' educational level help to increase health facility delivery service utilization.

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

“…This indicates that nearly half of mothers were delivered at home without the help of SBA to rescue the life in emergency situation. 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].…”

“…Literatures from Ethiopia also reported that institutional delivery ranges from 15 to 47% [11, 15]. So as to compensate this gap, Ethiopia in its health sector transformation plan has set a goal to increase SBA to 90% by 2019/20 [16].…”

Institutional delivery service utilization and associated factors among women of reproductive age in the mobile pastoral community of the Liban District in Guji Zone, Oromia, Southern Ethiopia: a cross sectional study

“…But it is inconsistent with many others which reported current maternal age as the factor affecting place of delivery [4, 7, 8]. Contrary to many studies, the current study reported that women’s literacy status did not an have association with place of delivery [7–9, 11, 12]. Consistent with many other studies, the current study reported that decision maker [8, 9, 11], husbands’ education [11] and habit of listening radio [8, 9, 11] , did not significantly influence the choice of place of childbirth.…”

“…Contrary to many studies, the current study reported that women’s literacy status did not an have association with place of delivery [7–9, 11, 12]. Consistent with many other studies, the current study reported that decision maker [8, 9, 11], husbands’ education [11] and habit of listening radio [8, 9, 11] , did not significantly influence the choice of place of childbirth. Even though pastoral mobility was claimed as one cause of the difficulty in providing health care to pastoralists, the current study did not show a significant association between extent of household mobility and the place of childbirth.…”

“…In Banja District, 15.7% of women delivered in health institutions [8]. However, the prevalence in this study is much lower than the prevalence in Goba Woreda of Oromia regional state among urban and rural women where 47% (95% CI: 42.9–51.1%) delivered in health institutions [9]. In Ethiopia, evidences show that prevalence of institutional delivery among rural women is lower than among urban women [4, 7].…”