Magnitude of Safe Delivery Services Utilization and Associated Factors Among Women of Childbearing Age in Egela Sub-Woreda, Tigray, Northern Ethiopia

Abstract

Abstract:In Ethiopia, the levels of maternal and infant mortality and morbidity are among the highest in the world.Community based studies about safe delivery service utilization are not enough. As per the few studies done, professional assisted delivery is low in the country and particularly in Tigray region where the study was conducted. Community based cross sectional both quantitative and qualitative study were conducted in subworeda Egela, Northern Ethiopia on assessment of safe delivery service utilization and associated factors in mothers of childbearing age. The data for the quantitative method was collected using a pretested structured questionnaire on a sample of 380 mothers. The qualitative data were collected by FGDs with mothers of childbearing age, with the administrative bodies in the Subworeda and health professionals. The data were entered and analyzed using SPSS 16.0 and the appropriate statistical methods was used in the presentation, test of significant associations of variables at CI of 95%. The study revealed that 10.3% of the women deliver in health institution. 25% of the urban and 6.3% of the rural women deliver at health institutions. The socio-demographic variables s, obstetric factors, ANC attendance, TT vaccination & distance of health institution, were significantly associated with institutional delivery. In general this study revealed that the proportion of births delivered in the health institutions were unsatisfactory. The socio-demographic, obstetric and health service factors like distance of health institution were determinant factors. Therefore, establishing centers for emergency obstetric care other than the health center in accessible areas, providing health education for women of childbearing age by focusing on the Multi-para are the possible solutions should be recommended.

Prevention of Mother to Child Transmission of Hiv in Ethiopia: An Integrative Review

“…Compared to previous year's level of ANC service utilization level; it was in an increasing order. In support of this report and recent mini national health survey of Ethiopia 2014, a number of studies from the country revealed a low level of ANC utilization in different health care settings [22,30,31] . The most common factors cited for low level of ANC utilization were low level of awareness and perception towards ANC, low perception level for maternal health, low awareness for pregnancy complication, low level of educational status of women, low level of economic status of women.…”

“…Moreover, only 7% of the women got the chance to attend PNC [16] . In support of the national health survey of the country, a number of studies from the countries revealed that low level of institutional delivery; ranged from 4.1% to 28.6% [22,[29][30][31] . In contrast to these studies one study revealed 78.8% of the study participants attended institutional delivery in their past delivery [32] .…”

“…In contrast to these studies one study revealed 78.8% of the study participants attended institutional delivery in their past delivery [32] . Moreover, the factors associated with institutional delivery were socio-demographic characteristics: educational status of the women, Maternal age, ANC visit, Gestational age, awareness about health facility, birth order, preference of skilled health provider, awareness and perception of women & distance of health institution [29][30][31] . As has been distinguished, the more studies including the health survey of the country showed;…”

“…However, among deliveries conducted at home 6.8% were assisted by HEWs. Yohannes A, Gobana T, Araya F and Obse N [30] 2016…”

Determinants of Institutional Delivery Among Mothers Who Gave Birth in the Last One Year in Dejen Woreda, Ethiopia, 2016: A Cross Sectional Study

“…A study conducted in Woldia town and Dodota Woreda, showed that 48.3% and 18.2% gave their last birth at health institutions respectively and in Dodota mothers who were informed about place of delivery were 55 times more likely to deliver at health facilities and women who reside in rural areas were less likely to deliver at health institutions [19,20]. Similarly, the cross sectional study conducted in Tigray region and Munisa Woreda showed that 4.1% 10.3% and 12.3% gave birth at the health facility [21][22][23]. Another study conducted in Sidama zone showed that age and educational status of the mothers and husbands, a frequency of antenatal visit, birth order, and maternal knowledge and prior experience of delivering at a health facility were independent predictors of skilled birth attendance [24].…”