Utilization of Skilled Birth Attendance among Mothers Who Gave Birth in the Last 12 Months in Kembata Tembaro Zone

Abstract

Background. Skilled delivery is considered the single most important strategy in preventing maternal and neonatal morbidity and mortality. It ensures safe birth, reduces actual and potential complications, and increases the survival of most mothers and newborns. Objective. To identify determinants of the utilization of skilled birth attendance among women who gave birth in the last 12 months in the Kembata Tembaro zone, Southern Ethiopia, 2020. Methods. A community-based cross-sectional study was employed from 1 April 2020 to 30 April 2020 among women who gave birth in the last 12 months in the Kembata Tembaro zone. Six hundred twenty-four mothers were recruited for the study as eligible participants. Multistage stratified sampling was used to select three districts and one town administrative unit of the study area. The data were collected and verified for their completeness, followed by editing and coding. Multivariate analysis was performed using the backward LR method to identify factors independently associated with the dependent variable. Statistical significance was declared at a p value of less than 0.05, and the strength of statistical association was measured by adjusted odds ratio and 95% confidence interval. Result. Of 624 study subjects sampled, 607 provided information with a response rate of 97.3%. In this study, 309 (50.9%) women had their last birth at health facilities attended by skilled birth attendants. Place of residence (AOR (95% CI) = 0.33 (0.22,0.58)); age at interview (AOR (95% CI = 3.41 (1.57,5.45)); maternal education (AOR (95% CI) = 1.50 (1.34, 4.19)); history of still birth (AOR (95% CI) = 3.85 (2.14,6.91)); maternal occupation (AOR (95% CI) = 3.35 (1.79,6.27)); husband occupation (AOR (95% CI) = 2.69 (1.70,7.09)); ANC visit (AOR (95% CI) = 4.62 (3.12,7.32)); knowledge of obstetric complications (AOR (95% CI) = 3.10 (1.37,5.21)); and final decision-making about place of delivery (AOR (95% CI) = 3.64 (1.70,7.99)) were significantly associated with the use of skilled birth attendance. Conclusion. In this study, nearly half of the mothers used skilled birth attendance. Place of residence, age at interview, maternal education, history of still birth, maternal occupation, husband occupation, antenatal visit, knowledge about obstetric complications, and final decision-maker about place of delivery were determinants of the use of skilled attendance delivery.

Factors associated with quality of intrapartum care in Kenya: a complex samples analysis of the 2022 Kenya demographic and health survey

“…Study participants who had received assistance during delivery from doctors and nurses/clinical o cers/midwifes were 19.89 and 23.09 times respectively more likely to receive quality intrapartum care than those who received assistance from others such as traditional birth attendants, or relatives. Skilled birth attendance has been highlighted as one of the best strategies in improving maternal and neonatal outcomes during labor [72]. The World Health Organization has highlighted the need to increase access to skilled birth attendance to reduce maternal mortality resulting from intrapartum period by preventing complications and timely interventions on those that arise [73].…”

Barriers to Utilization of Skilled Birth Attendance Among Post-Natal Women in North Horr Ward, Marsarbit County, Kenya

“…In Marsabit County, unskilled birth attendance remains prevalent. Despite antenatal care counselling, only 13% of women delivered at health facilities in 2021 and 2022 in North Horr ward (Mathewos Oridanigo & Kassa, 2022). This exposes mothers and newborns to severe risks, including maternal and infant mortality and long-term health issues (Nyongesa et al, 2018).…”

“…Despite policies advocating for UBAs to transition to supportive roles, their use remains prevalent due to the perceived inadequacy of formal healthcare services (Mutea et al, 2020;Duncan, 2019). Studies show that maternal education influences the likelihood of seeking skilled care, with educated women more likely to use professional services (Kasaye et al, 2017;Mathewos Oridanigo & Kassa, 2022, Simel et al, 2018. This situation underscores the need for comprehensive strategies addressing the multifaceted barriers to skilled birth attendance (Green et al, 2020).…”