Institutional delivery services utilization and associated factors among mothers who gave birth in the last year in Mandura district, Northwest Ethiopia

Mitikie, Kassahun Asres; Wassie, Gizachew Tadesse; Beyene, Melkamu

doi:10.1371/journal.pone.0243466

Cited by 21 publications

(25 citation statements)

References 21 publications

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“…The results of this study releveled that women who had only rst birth ( rst parity) were more likely to deliver in a health facility. This nding was consistent with previous studies in Nepal [45,46], Ethiopia [47,48], Ghana [7,39,49], and Senegal [50]. The possible explanation could be that women with higher parity may have self-con dence to deliver at home and not prefer to deliver in a health facility.…”

Section: Discussionsupporting

confidence: 91%

Factors associated with health facility delivery among reproductive age women in Nepal: An analysis of Nepal Multiple Indicator Cluster Survey 2019

Thapa

Upreti

2022

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BackgroundDelivery in health facility is an essentials factor in improving maternal health. Reducing maternal mortality is the one of the targets of Sustainable Development Goal 3. Health facility delivery is still major concern in Nepal. This study aims to determine the factors associated with delivery in health facility among women aged 15-49 years in Nepal. Methods This study used data from Nepal Multiple Indicator Cluster Survey 2019, a nationally representative cross-sectional survey. This survey was a two-stage, stratified cluster sampling. A total of 1,950 married women age 15-49 years who had at least one live birth in the last two years preceding the survey were included in the analysis. Bivariate and multivariate logistic regression analysis were performed in this study.ResultsSeventy-eight percent of women delivered in health facility. Women from urban area (AOR= 1.64, p<0.01), women residing in Sudurpaschim province (AOR=5.68, p<0.001), women who used internet (AOR=1.53, p<0.05), women with first parity (AOR=2.79, p<0.001), and women from richest household status (AOR= 6.10, p<0.005) and women who attained at least four ANC visits (AOR=12.77, p<0.001) were associated with higher odds of delivering in a health facility. ConclusionConsideration should be given to female education, poverty reduction and promotion of maternal healthcare services with particular attention to uneducated women or with low education levels, who reside in rural areas, women from poor household status and disparity in maternal health services across the provinces.

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Section: Discussionsupporting

confidence: 91%

Factors associated with health facility delivery among reproductive age women in Nepal: An analysis of Nepal Multiple Indicator Cluster Survey 2019

Thapa

Upreti

2022

Preprint

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“…There was high variation throughout different administrative levels in the country. For instance, institutional delivery was 72% in Bule Hora in Oromiya [ 18 ]; 89.1% in Damot district in SNNP [ 19 ]; 61.5% in North-Western part of the country [ 20 ]; 76% in Southwest Ethiopia [ 21 ]; 71.7% in Dejen Woreda; 78.8% in Bahir Dar [ 22 ]; 18.3% in Dangila woreda; 47% in semi-urban parts of the country [ 23 ]; 38% in Mandura district [ 24 ]; 53% in Hossana town [ 25 ]; 74% in Dallocha town [ 26 ] and 49% in Hetosa district [ 27 ]. The rate of increase was 5.4% in 2000 and 11.8%,2011 [ 28 ].…”

Section: Introductionmentioning

confidence: 99%

Determinants and spatial distribution of institutional delivery in Ethiopia: evidence from Ethiopian Mini Demographic and Health Surveys 2019

2022

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Background Over the past few decades, maternal and child mortality had drawn the attention of governments and policymakers. Institutional delivery has been among the implementations needed to reduce maternal and child mortality. The fact that the problem was persisted intensified studies to research for more factors. Thus, the current study was intended for further analyses of EMDHS to identify the magnitude, spatial patterns, and predictors of institutional delivery. Methods A cross-sectional survey data from EMDHS 2019 was analyzed involving 5488 reproductive-age women regarding institutional deliveries. We presented descriptive statistics using mean, standard deviations, and proportions. To check the nature of the distribution of institutional delivery, we applied the global Moran’s I statistics. Getis-Ord Gi statistics was applied to detect spatial locations, and we applied spatial interpolation to predict unknown locations of institutional delivery using the Ordinary Kriging method. Kulldorff’s SatScan was also applied to identify the specific local clustering nature of institutional delivery using the Bernoulli method. We applied multilevel binary logistic regression for the scrutiny of individual and community-level factors. We applied P < 0.25 to include variables in the model and P < 0.05 to declare associations. AOR with 95% CI was used to describe variables. Results The prevalence of institution/facility delivery was 2666.45(48.58%) in the survey. The average number of children was 4.03 ± 2.47, and most women in this survey were in the age range of the 25-29 years (31.84%) and 30–34 years (21.61%). Women who learned primary education (AOR = 1.52; 95% CI 1.20–1.95), secondary education (AOR = 1.77; 95% CI 1.03–3.07), and higher education (AOR = 5.41; 95% 1.91–15.25), while those who can read and write sentences (AOR = 1.94; 95% 1.28–2.94), Rich (AOR = 2.40 95% CI 1.82–3.16), and those followed 1–2 ANC (AOR = 2.08; 95% CI 1.57–2.76), 3 ANCs (AOR = 3.24; 95% CI 2.51–418), and ≥ 4 ANCs (AOR = 4.91; 95% CI 3.93–6.15) had higher odds of delivering at health institutions. Conclusion The institutional delivery was unsatisfactory in Ethiopia, and there were various factors associated differently across the different regions. Pastoralist regions showed high home delivery than institutions which invites further interventions specific to those regions. Factors like age, highest education level achieved, preceding birth interval, literacy status, wealth status, birth order, regions, and rural residences were all affected institutional delivery so that interventions considering awareness, access, and availability of the services are vital.

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“…Access to health care facility a woman traveled less than one hour to reach the nearest health care facility, considered as she has access to a health care facility [18] Home delivery When a mother gave birth at her home or others' home (neighbor, relatives, or family) or when a birth takes place outside of a health institution [15,19].…”

Section: Operational De Nitionsmentioning

confidence: 99%

“…The source population was all women who deliver in the last year and who live in Dembecha zuria woreda. The study population was all mothers who gave birth in the last year [15] and live in Dembecha zuria woreda during the study period in the selected kebeles. We excluded mothers who are not permanent residents of Dembecha zuria woreda and those who were critically ill during the data collection period [14].…”

Section: Study Participantsmentioning

confidence: 99%

Health Institutional Delivery Service Utilization and Associated Factors Among Mothers Who Gave Birth in the Last Year in Dembecha Zaria Woreda, Northwest Ethiopia: A Community Based Cross-Sectional Study

Melesse

Aynalem

2021

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Background: The morbidity and mortality of women is a worldwide challenge and the current global maternal death is more than 800 per day; ninety-nine percent of maternal death occurs in developing countries and in Ethiopia about 30% of all ladies’ death is identified with pregnancy-related causes. We, therefore, did this study to assess the magnitude and associated factors of institutional delivery service utilization among mothers who gave birth in the last year in Dembecha Zuria woreda, Northwest Ethiopia.Methods: A community-based cross-sectional study design was employed, and multistage sampling technique was used. Data were collected through face-to-face interviews with pre-tested structured questionnaires among mothers who gave birth in the last year in Dembecha zuria woreda, Northwest Ethiopia from November 23, 2020 to January 16, 2021. After data collection, data were coded and entered using EPI info version 7 and analyzed using SPSS version 25 statistical software. Binary logistic regression analysis was used to ascertain the association between explanatory variables and the outcome variable. Variables with P value less than 0.25 in the Bivariable analysis and P-value < 0.05 in the multivariable analysis and corresponding 95% CI of odds ratio were considered to declare a result as statistically significant. Result: In this study, the magnitude of institution delivery service utilization among mothers who gave birth in the last year was 179 (42.4%) with 95% CI [37.7, 46.9]. type of pregnancy [AOR: 1.906, (95%CI: 1.017,3.57)]), gravidity [AOR: 1.899 (95% CI: 1.244, 2.898)], ANC follow up [AOR: 2.079 (95% CI: 1.242, 3.482)], husband preference on place of delivery [AOR: 2.036) (95% CI: 1.291. 3.211)] and decision-maker on place of delivery [AOR: 2.853 (95% CI: 1.321, 6.160)] were significantly associated with health institution delivery service utilization.Conclusion: In this study, the magnitude of health institution delivery service utilization was low as compared to the national expectation. The concerned bodies need to create awareness on the function of antenatal care follow-up and empower the mothers to decide on the place of delivery and give counseling for husbands about the importance of health institution delivery.

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Institutional delivery services utilization and associated factors among mothers who gave birth in the last year in Mandura district, Northwest Ethiopia

Cited by 21 publications

References 21 publications

Factors associated with health facility delivery among reproductive age women in Nepal: An analysis of Nepal Multiple Indicator Cluster Survey 2019

Factors associated with health facility delivery among reproductive age women in Nepal: An analysis of Nepal Multiple Indicator Cluster Survey 2019

Determinants and spatial distribution of institutional delivery in Ethiopia: evidence from Ethiopian Mini Demographic and Health Surveys 2019

Health Institutional Delivery Service Utilization and Associated Factors Among Mothers Who Gave Birth in the Last Year in Dembecha Zaria Woreda, Northwest Ethiopia: A Community Based Cross-Sectional Study

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