<p>Magnitude and Associated Factors of Institutional Delivery Among Reproductive Age Women in Southwest Ethiopia</p>

Abstract

Background: Despite the global maternal mortality ratio (MMR) fallen by nearly 44% from 1990 to 2015, however, maternal mortality remains a global problem. Reducing maternal morbidity and mortality is a global priority, which is particularly relevant for developing countries like Ethiopia. A good strategy for reducing maternal morbidity and mortality is increasing institutional delivery service utilization. This study aimed to assess the magnitude and associated factors of institutional delivery among reproductive-age women in southwest Ethiopia. Methods: A community-based cross-sectional study was conducted among 526 women at Mizan-Aman town from January 1 to 30, 2019. The data were collected through face-to-face interviews, and a structured questionnaire was used to assess the prevalence and associated factors of institutional delivery among reproductive-age women who delivered in the past one year. The collected data were entered into the Epi Data manager and analyzed using SPSS version 21. Binary logistic regression was done to determine the association between dependent and expected independent variables. Statistical significance was declared at p < 0.05 in the multivariable logistic regression analysis. Results: Of the 526 mothers interviewed, the proportion of institutional delivery was 76%, 95% CI (72.4%-79.7%). The study also found maternal age 25-34 years (AOR=1.89, 95% CI [1.42-3.26]) and 35 years and above (AOR=3.51, 95% CI [1.52-7.85]), monthly income ≥36 USD (AOR=2.22, 95% CI [1.12-4.13]), being multiparity (AOR=1.98, 95% CI [1.08-3.62]), having ANC visit (AOR=10.5, 95% CI [6.76-28.3]), knowledge of pregnancy danger signs (AOR=5.51, 95% CI [3.46-10.2]) and experience of pregnancy danger signs (AOR=3.86, 95% CI [2.67-7.29]) were significantly associated with institutional delivery. Conclusion: The utilization of institutional delivery service among mothers in the study area was good. But, more effort is needed to increase service utilization to 100%. The provision of the continuous house to house health education regarding institutional delivery is an important segment of intervention that can be done through health extension workers. Besides, counseling mothers on the importance of institutional delivery by health professionals at each ANC follow-up visit plays paramount importance.

Magnitude, Trends, and Determinants of Institutional Delivery Among Reproductive Age Women in Kersa Health and Demographic Surveillance System Site, Eastern Ethiopia: A Multilevel Analysis

“…Mothers who received antenatal care had 73% higher odds of institutional delivery, compared to those who did not receive antenatal care. This finding is aligned with the studies from Ethiopia ( 36 , 58 – 60 ), Pradesh, India ( 61 ), Tanzania ( 62 ), and Bangladesh ( 63 ). One of the services given by ANC includes counseling for the place of delivery preparation ( 64 ).…”

“…The study found the overall magnitude of institutional delivery 45.03% with 95% CI (44.33-45.72). This finding was higher than studies conducted in Afar, Ethiopia (35%) (12), in the Gurage zone, Ethiopia (31%) (35), and lower than studies done in Southwest Ethiopia (76%) (36), and South Ethiopia (74%) (10). Studies revealed that socio-demographic factors such as residence area, nearness of health facility, and maternal education can affect the level of maternal health care utilization, particularly institutional deliveries (37,38).…”

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

“…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 ].…”

Institutional delivery service utilisation and associated factors among mothers of childbearing age in Delgi District, Northwest Ethiopia: a community-based cross-sectional study design

“…Younger mothers are more likely to be prepared/educated and have better access to knowledge than older mothers, which may be the cause. A study conducted among Arsi, 12 Southwest Ethiopia, 33 Bahir-Dar, 13 Tigray, 14 Northwest Ethiopia, 15 Sekela District 16 and Holeta Town 17 supports this finding. Besides, institution delivery service use was significantly linked to the mother's education level and husbands' education level.…”