&lt;p&gt;Institutional Delivery Among Young Women in Ethiopia: Further Analysis of Trends and Determinants, from the Four Consecutive Ethiopia Demographic and Health Survey&lt;/p&gt;

Terfa, Yonas Biratu; Kebede, Ayantu; Belina, Sena

doi:10.2147/ijwh.s275153

Cited by 3 publications

(5 citation statements)

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“…Mothers who have less than two children were 2.71 times more likely to give birth at the health facility. This finding was in line with other studies 18 46 69. Mothers with more parity may consider that giving birth at home is not risky as they have previously experienced birth at home 16 17 19.…”

Section: Discussionsupporting

confidence: 92%

Factors associated with institutional delivery among mothers who gave birth within 1 year prior to the study at Gilgelbelles town, Northwest Ethiopia: a mixed-methods study

et al. 2022

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ObjectivesThis study aimed to assess factors associated with institutional delivery among mothers who had delivered within 1 year prior to the study at Gilgelbelles town, Northwest, Ethiopia.DesignA community-based mixed-methods study was conducted from 1 February 2020 to 2 March 2020.SettingThis study was conducted at Gilgelbelles town, Northwest Ethiopia.ParticipantsIncluded 422 mothers who delivered 1 year prior to the study at Gilgelbelles town.Outcome measuresUtilisation of institutional delivery and factors associated with institutional delivery.MethodsThe quantitative data were collected by the simple random sampling technique, entered into Epi data V.3.1, and analysed using SPSS V.23.0. The qualitative data were collected by using in-depth interviews and thematic analysis was done manually to supplement the quantitative result.ResultsIn this study, 39.6% (95% CI=34.8 to 44.3) of mothers were given childbirth at the health facility. In multivariable analysis maternal age group of 15–20 years, secondary and above educational level, good knowledge on danger signs of obstetric, antenatal care visits, good awareness of birth preparedness and complications readiness plan, getting married after the age of 18 years, faced at least one complication during pregnancy, less than two children, travelled <30 min to reach a nearby health facility, having decision making power and not practised traditional malpractice during labour were significantly associated with institutional delivery. The qualitative result shows that cultural factors of the society and the lack of adequate delivery material in the health facility were identified as the major reason for the low utilisation of institutional delivery services.ConclusionThis study showed that the proportion of institutional delivery was low. Sociodemographic, reproductive and knowledge-related factors were associated with institutional delivery. This indicates a need of taking appropriate interventions by integrating other stakeholders to increase the utilisation of institutional delivery services.

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Section: Discussionsupporting

confidence: 92%

Factors associated with institutional delivery among mothers who gave birth within 1 year prior to the study at Gilgelbelles town, Northwest Ethiopia: a mixed-methods study

et al. 2022

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“…Maternal education level is a significant factor that affects giving birth at the health facility. This finding is consistent with other studies done in Ethiopia and Nepal [35,37,38,57]. Adolescent women with secondary or higher education have more knowledge about maternal health, and they are more aware of maternal health care services, including health facility delivery [13,58].…”

Section: Discussionsupporting

confidence: 92%

“…In this study, the prevalence of health facility delivery among adolescent women in Ethiopia increased from 4.6% in 2005 to 38.7% in 2016. This finding is comparable with a study done in Ethiopia [35,47]. This finding might be due to the launching of the Health Extension Program (HEP), improving access to health care to meet the primary attention of the SDGs agenda and the introduction of integrated community cause management program [48,49].…”

Section: Discussionsupporting

confidence: 80%

“…Previous studies conducted around the world and in Ethiopia have identified several factors affecting the use of health facility delivery. Factors associated with health facility delivery were socio-demographic and economic variables, obstetric-related factors, and accessibility of health facilities [12,[30][31][32][33][34][35][36][37][38]. Evidence showed that no previous studies have been conducted on health facility delivery among adolescent women using decompositional analysis.…”

Section: Introductionmentioning

confidence: 99%

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Trends and factors contributing to health facility delivery among adolescent women in Ethiopia: multivariate decomposition analysis

2022

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Background Although an increase in health facility delivery in Ethiopia over time, adolescent women giving birth at health facilities is still low. Health facility delivery is crucial to improving the health of women and their newborns' health by providing safe delivery services. We aimed to examine the trend change and identify factors contributing to health facility delivery in Ethiopia. Methods We analyzed the data on adolescent women obtained from three Ethiopian Demographic and Health Surveys. A total of weighted samples were 575 in 2005, 492 in 2011, and 378 in 2016. Data management and further statistical analysis were done using STATA 14. Trends and multivariate decomposition analysis were used to examine the trends in health facility delivery over time and the factors contributing to the change in health facility delivery. Results This study showed that the prevalence of health facility delivery among adolescent women in Ethiopia increased significantly from 4.6% (95% CI 3.2–6.7) in 2005 to 38.7% (95% CI 33.9–43.7) in 2016. Decomposition analysis revealed that around 78.4% of the total change in health facility delivery over time was due to the changes in the composition of adolescent women and approximately 21.6% was due to the changes in their behavior. In this study, maternal age, place of residency, wealth index, maternal education, frequency of ANC visits, number of living children, and region were significant factors contributing to an increase in health facility delivery over the study periods. Conclusion The prevalence of health facility delivery for adolescent women in Ethiopia has increased significantly over time. Approximately 78.4% increase in health facility delivery was due to adolescent women’s compositional changes. Public health interventions targeting rural residents and uneducated women would help to increase the prevalence of health facility delivery.

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“…If nothing is done to modify the present number of childbirths supported by professional birth attendants, by 2030, nearly sixteen million newborns in Sub-Saharan Africa will be delivered without experienced birth attendants [9]. Another approach to preventing maternal mortality which is recommended by the World Health Organization (WHO) is every pregnant woman should have at least four antenatal care (ANC) visits before giving birth [10].…”

Section: Introductionmentioning

confidence: 99%

Trend and determinants of home delivery in Gambia, evidence from 2013 and 2020 Gambia Demographic and Health Survey: A multivariate decomposition analysis

Nigatu

2023

PLoS ONE

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Background Home delivery is defined as is an even of pregnant women getting giving birth in a woman her home or other homes without an unskilled health professional assistance. It is continuing as public health problem since its responsible for death of women and newborn. In Gambia there is a high maternal mortality rate, which may be related to home delivery. Therefore, this study aimed to assess the trend of home delivery and identify predictors using Gambia Demographic and Health Survey (GDHS) 2013 and 2019–2020 data sets. Methods A Cross-Section survey was conducted based on GDHS 2013 and 2019–2020 among reproductive age group women. A total of 8607 women participated in this study. A bivariate decomposition model was fitted, and variables that had a p-value > 0.25 were dropped. Finally, variables that got a p-value of < 0.05 with 95% confidence interval (CI) in the multivariate decomposition analysis were considered as statistical significance variables in the overall decomposition. Results There has been a dramatic decrement in maternal home delivery in Gambia. It was 36.18% (95% CI:34.78, 37.58) in 2013 GDHS and 14.39% (95% CI:13.31,15.47) in 2019–2020 GDHS. This reduction is real because there was a change in the characteristics effect of the population and the coefficient effect some variables in the home delivery. Changes in characteristics effect of husband education, women education, rural residents, more than three antenatal cares follow up, and no problem reaching health facilities played a significant role in the reduction of home delivery. Being urban resident and women who had occupation were variables that had a positive effect on coefficient effect change. Conclusion In this study, the home delivery rate had steeply declined in the Gambia during the study period of the two surveys. Just above nine-tenths decrement in home delivery rate resulted because there was a change in the characteristics effect of the study participants. Enhancing more citizens to attend high school and above, narrowing the gap between rural and urban in terms of accessing health facilities, and improving the availability of infrastructure should be done.

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<p>Institutional Delivery Among Young Women in Ethiopia: Further Analysis of Trends and Determinants, from the Four Consecutive Ethiopia Demographic and Health Survey</p>

Cited by 3 publications

References 30 publications

Factors associated with institutional delivery among mothers who gave birth within 1 year prior to the study at Gilgelbelles town, Northwest Ethiopia: a mixed-methods study

Factors associated with institutional delivery among mothers who gave birth within 1 year prior to the study at Gilgelbelles town, Northwest Ethiopia: a mixed-methods study

Trends and factors contributing to health facility delivery among adolescent women in Ethiopia: multivariate decomposition analysis

Trend and determinants of home delivery in Gambia, evidence from 2013 and 2020 Gambia Demographic and Health Survey: A multivariate decomposition analysis

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