Predictors of institutional delivery service utilization, among women of reproductive age group in Dima District, Agnua zone, Gambella, Ethiopia

Jinka, Serawit Mekonnen; Wodajo, Legesse Tadesse; Agero, Gebi

doi:10.5897/mpr2018.0135

Cited by 11 publications

(4 citation statements)

References 7 publications

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“…This finding was in line with 74%, 15 74.4%, 22 78.3%, 2 78.8% 16 studies conducted in Ethiopia and 78.1% in Gambia. 20 It was higher than 12.3%, 8 16.9% 29 24.8%, 5 26.2%, 19 31.0%, 9 32.8%, 30 47.3%, 18 63.1%, 31 64.62%, 14 64.8%, 21 71.2% 13 studies conducted in Ethiopia and 67.3% in Tanzania. 32 The variation observed could be due to socio-economic; educational and sociocultural profiles.…”

Section: Discussionmentioning

confidence: 90%

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

Yosef¹

2020

IJWH

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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.

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Section: Discussionmentioning

confidence: 90%

“…This finding was consistent with studies conducted elsewhere. 2,8,14,20,30,31 The reason for the increased age of mothers associated with more likely to use the service is due to the increased knowledge and good decision ability of the mothers regarding institutional delivery service.…”

Section: Discussionmentioning

confidence: 99%

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

Yosef¹

2020

IJWH

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“…Skilled Birth Attendants: Health professionals with midwifery skills (midwives, doctors, nurses and etc. with additional midwifery education) who are trained to proficient in the skills necessary to manage normal deliveries and diagnose, manage or refer obstetric complications [21,22].…”

Section: Operational Definitionsmentioning

confidence: 99%

Magnitude and Predictors of Institutional Delivery Among Mothers Who Gave Birth in the Last One Year in Nejo Rural District, West Wollega Zone, Western Ethiopia

Getaneh¹,

Terefa²

2022

SJPH

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Background: Globally about six out of ten births take place in health institutions. However, in Sub-Saharan African countries institutional delivery is very low. Also, in Ethiopia majority of women gave birth at home even though significant numbers of women attended antenatal care follow-up, particularly in the rural area. Objective: This study aimed to assess the magnitude and identify predictors of institutional delivery among mothers who gave birth in the last one year in Nejo rural district of western Ethiopia from September 1 to 30, 2019. Method: A community-based cross-sectional study was employed among 508 mothers who gave birth in the last one year in Nejo rural district of western Ethiopia from September 1 to 30, 2019. The data was collected using a semi-structured pretested questionnaire through face-to-face interviewing of the participants. A multistage sampling technique was used to collect data. Data were entered into Epi-Data version 3.1 and exported to SPSS version 21 for analysis. Binary logistic regression analysis was performed to assess the association between independent and dependent variables. The association was measured by odds ratio with 95% confidence interval and P-value <0.05 was used as the cut-off point to declare significance in the final model. Result: The magnitude of institutional delivery among mothers who gave birth in the last one year was 207 (41.4%). Mothers who attended more than secondary school [AOR=12.0; 95% CI=4.5-26.20], husbands' occupation being government employee [AOR=6.9; 95% CI=2.2-21.5], merchants [AOR=7.6;] and engaged in private work [AOR=0.09; CI=0.02-0.47], ANC visits of three times & above [AOR=2.1, 95% CI=0.00-0.006], health education on maternal health [AOR=6.2, 95% 8.12-39.1] were the significant predictors of institutional delivery. Conclusion: The study found that institutional delivery service utilization at the study area was low, which was below the health sector transformation goal of the country which was planned to make home delivery free in which this indicator is the most important one in modeling kebeles, woredas, and finally to transform woredas. Maternal educational status, husbands' occupation, ANC visits, and health education on maternal health were the most important predictors of institutional delivery service utilization. Hence, health planners, decision-makers, and other stakeholders should give due attention to maternal health improvement strategies in accessing health institutions for the rural community to increase institutional delivery.

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“…Previous studies conducted in the emerging regions assessed the uptake of maternal healthcare and associated factors in a particular stage, pregnancy, delivery, or postpartum, which does not assure that all women receive a package of interventions starting pregnancy to the postpartum period by assessing each maternal service separately [ 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 ]. Detailed information on the completion of the continuum of maternity care in these regions would be helpful for regional and national decision-makers, and programme managers working on improving maternal health.…”

Section: Introductionmentioning

confidence: 99%

Completion of the Continuum of Maternity Care in the Emerging Regions of Ethiopia: Analysis of the 2019 Demographic and Health Survey

Hussen,

Ibrahim,

Tilahun

et al. 2023

IJERPH

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Maternal mortality in Ethiopia was estimated to be 267 per 100,000 live births in 2020. A significant number of maternal deaths occur in the emerging regions of the country: Afar, Somali, Gambela, and Benishangul-Gumuz. Achieving the Sustainable Development Goal (SDG) target requires a dramatic increase in maternal healthcare utilisation during pregnancy, childbirth, and the postpartum period. Yet, there is a paucity of evidence on the continuum of maternity care utilisation in Ethiopia, particularly in the emerging regions. Therefore, this study aimed to assess completion and factors associated with the continuum of maternity care in the emerging regions of Ethiopia. This study used the 2019 Ethiopian Demographic and Health Survey data (n = 1431). Bivariable and multivariable logistic regression analyses were carried out to identify factors associated with the completion of the continuum of maternity care. An adjustment was made to the survey design (weight, stratification, and clustering). 9.5% (95% Confidence Interval (CI): 7.0–13.0) of women completed the continuum of maternity care (four or more antenatal care, institutional delivery, and postnatal care within 24 h). Living in Somali (adjusted Odds Ratio (aOR): 0.23, 95%CI: 0.07–0.78) and Benishangul-Gumuz (aOR 3.41, 95%CI: 1.65–7.04) regions, having a secondary and higher educational level (aOR 2.12, 95%CI: 1.13–4.00), and being in the richest wealth quintile (aOR 4.55, 95%CI: 2.04–10.15) were factors associated with completion of the continuum of maternity care. Although nearly half of the women had one antenatal care, fewer than 10% completed the continuum of maternity care. This indicates that women in these regions are not getting the maximum health benefits from maternal healthcare services, and this might contribute to the high maternal death in the regions. Moreover, the completion of the continuum of maternity care was skewed toward women who are more educated (secondary or higher education) and in the richest quintile.

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Predictors of institutional delivery service utilization, among women of reproductive age group in Dima District, Agnua zone, Gambella, Ethiopia

Cited by 11 publications

References 7 publications

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

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

Magnitude and Predictors of Institutional Delivery Among Mothers Who Gave Birth in the Last One Year in Nejo Rural District, West Wollega Zone, Western Ethiopia

Completion of the Continuum of Maternity Care in the Emerging Regions of Ethiopia: Analysis of the 2019 Demographic and Health Survey

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