Magnitude of institutional delivery service utilization and associated factors among women in pastoral community of Awash Fentale district Afar Regional State, Ethiopia

Abstract

ObjectiveReduction of maternal mortality is a global priority particularly in developing countries like Ethiopia where maternal mortality ratio is one of the highest in the world. Most deliveries in developing countries occur at home without skilled birth attendants. Therefore, the objective of this study was to assess institutional delivery service utilization and associated factors among women in pastoral community of Awash Fentale district, Ethiopia.ResultsOverall, 35.2% of women delivered at health facilities. Women who had good knowledge AOR = 2.1, 95% CI 1.32, 4.87), Ante Natal Care (ANC) follow up (AOR = 3.2, 95% CI 1.55, 6.63), resided in a place where distance to reach at the nearby health facilities takes < 30 min (AOR = 3.1; 95% CI 2.57, 66.33) and women whose husband involved in decision regarding delivery place (AOR = 1.9; 95% CI 1.49, 5.07) were more likely to deliver at health facility. Therefore, strengthening ANC services, improving maternal knowledge, involving husbands in decision of delivery place and expanding health facilities in the community would enhance institutional delivery.Electronic supplementary materialThe online version of this article (10.1186/s13104-018-3261-5) contains supplementary material, which is available to authorized users.

Improving Practice of Institutional Delivery in Southern Ethiopia

“…home deliveries were reported, respectively from Bambia and Liban districts [20,21]. This difference might be attributed to various factors.…”

Institutional delivery service use and associated factors among women who delivered during the last 2 years in Dallocha town, SNNPR, Ethiopia

“…However, millions of women living in developing countries die of complication related to childbirth (Olapade & Lawoyin, ; Tadele & Lamaro, ). This could be tackled through appropriately tailored interventions aimed at improving the use of reproductive health services, which is delivered during antepartum, intrapartum and postpartum periods (Assefa, Alemayehu, & Debie, ; Dida, Darega, & Takele, ; Kebede, Hassen, & Teklehaymanot, ). Since most maternal deaths occur at labour, delivery and within seven days following birth, emergency obstetric care is essential (Habte & Demissie, ).…”

“…Provision of skilled care at delivery is a feasible approach in dealing with obstetrics emergency cases among low income and high parity women (Dumont et al, ). Institutional delivery ensures safe motherhood and is an indicator of maternity health‐related action effectiveness (Assefa et al, ; Tadesse, Bayou, & Nebeb, ). In developing countries, institutional delivery is low which is 38% in Nigeria (Adedokun & Uthman, ), 79% in Kenya (Mochache, Lakhani, El‐Busaidy, Temmerman, & Gichangi, ), 68% in Ghana (Ganle, Kombet, & Baatiema, ), 67.3% in Tanzania (Bishanga et al, ), 74.6% in Liberia (Yaya, Uthman, Bishwajit, & Ekholuenetale, ) and 55% in Nepal (Shah et al, ).…”

Institutional Delivery Service Utilization and Associated Factors in Ethiopia: A Systematic Review and Meta Analysis

“…Finally, 43 studies were screened for full-text review and 24 were included to the prevalence and/ or associated factors analysis (Figure 2). Seven (7) Studies were found in Amhara region [23,24] [25][26][27][28][29], Nine (9) in Oromia [30][31][32][33][34][35][36][37][38], two in Afar [39,40], one in Bienishangul-Gumuz [41] ,three(3) in Southern Nation Nationalities and Peoples region (SNNPR) [42][43][44],one in Gambiela [45] and one in Tigray&Oromiya [46].…”

“…Three included studies from SNNPR region, which was conducted at different period of time shows that the prevalence of institutional delivery service utilization was 14.6%, 31.0% and 78.3% [42][43][44]. Two included studies from Afar region, which was conducted at different period of time shows that the prevalence of institutional delivery service utilization was 35.2% and 18.4% [39,40].Three different studies from Bie.Guz, Gambiela and Tigray&Oromiya (one from each) which was conducted at different period of time shows that the prevalence of institutional delivery service utilization was 51.1%, 63.2% and 25.0% respectively [41, 45 and 46].…”