Institutional delivery utilization and associated factors among delivered women in Dawuro Zone, Southern Nation Nationalities Peoples Region

Mikias Zelalem, Tesfa Gebeyehu, Darulo Kurkura, Damene D. Amamo

Abstract

Globally, around 13.6 million maternal deaths occurred in the last 25 years. Ethiopia accounts one of the highest global maternal deaths, with more than 50% of births taking place at home. Hence, the aim of this study was to determine institutional delivery utilization in Waka town. Community based cross sectional study is the study design chosen. The study was conducted, on mothers having a history of at least 1 birth within the last 2 years, who were selected by a systemic random sampling (K=2), from both kebeles, which is selected by a simple random sampling from the 2 kebeles in the study area. For data collection, an interview with questionnaire containing both closed and open-ended questions, along with non-participant observation method was employed. For analysis, descriptive statistics, along with bivariate and multivariate analytical method was computed. Statistical significance was considered at p < 0.05, and the strength of statistical association was assessed by odds ratio (OR) with 95% confidence interval. The prevalence of institutional delivery service utilization in Waka town was found to be 89.4%. Educational status, marital status, intention of the pregnancy, ANC follows up, and Knowledge of birth complications have shown significant association. (Afr J Reprod Health 2023; 27 [9]: 76-86).

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References

United Nations. The Millennium Development Goals

Report. UN; 2015

UNICEF. Healthy Mothers, Healthy Babies: Taking stock

on maternal health. UNICEF; 2020.

EPHI and ICF. Ethiopian mini Demographic and Health

Survey 2019. EPHI; 2019.

Hadis M, Dibaba A, Ababor S and Assefa Y. Improving

skilled birth attendance in Ethiopia (SURE policy

brief). Addis AbabaEthiopia: Ethiopian Public Health

Institute; 2014. Available from:

www.evipnet.org/sure [18/5/2020].

Andersen R, Newman J. Societal and Individual

Determinants of Medical Care Utilization in the

United States. The Milbank Quarterly. 2005; Vol.83:

-28.

Masresha A, Robera O, Ayanos T and Tefera B.

Institutional delivery service use and associated

factors among women who delivered during the last 2

years in Dallocha town, SNNPR, Ethiopia. Nursing

Open. 2019: 188-193.

Solomon W, Amare K and Mengistu W. Utilization of

institutional delivery service and associated factors

among mothers in North-West Ethiopian. BMC

research notes. 2018: 2-5.

Zerihun T, Tizta T and Misra. Male Involvement on Skilled

Delivery Care Utilization in Maraka Wereda,

Southern Ethiopia: A Community Based Cross

Sectional Study. Science PG.2015: 700-704.

Lelisa S, Melkamu B and Yusuf A. Maternal and newborn

health services utilization in Jimma Zone, Southwest

Ethiopia: a community based cross sectional study.

BMC pregnancy and child birth. 2019: 4-10.

Canavan, A. Review of global literature on maternal health

interventions and outcomes related to skilled birth

attendance. KIT Working Papers Series. 2009: 6-7.

Sanni Y, Ghose B and Michael E. Factors associated with

maternal utilization of health facilities for delivery in

Ethiopia. Royal Society of Tropical Medicine and

Hygiene.2018: 312-316.

Tesfaye G, Miguel S, Kerstin E and Isabel G. The Health

Extension Program and Its Association with Change

in Utilization of Selected Maternal Health Services in

Tigray Region, Ethiopia: A Segmented Linear

Regression Analysis. PLOS ONE. 2015: 6-12.

Zeleke A, Wondwossen T and Tesfay G. Multilevel

analysis of individual and community level factors

associated with institutional delivery in Ethiopia.

BMC research notes. 2015: 3-8

Masresha A, Robera O, Ayanos T and Tefera B.

Institutional delivery service use and associated

factors among women who delivered during the last 2

years in Dallocha town, SNNPR, Ethiopia. Nursing

Open. 2019: 188-193.

Brehanu B. Factors associated with delivery care among

women of reproductive age in Oromia, Ethiopia.

Addis Ababa Ethiopia: Addis Ababa University of

Graduate studies; 2018.p. 21.

Niguse T and Tafesse L. Utilization of institutional

delivery service and associated factors in Bench Maji

zone, Southwest Ethiopia: community based cross

sectional study. BMC health services research. 2017:

-8.

Tesfay G, Miguel S, Kerstin E and Isabel G. The Health

Extension Program and Its Association with Change

in Utilization of Selected Maternal Health Services in Tigray Region, Ethiopia: A Segmented Linear

Regression Analysis. PLOS ONE. 2015: 6-12.

Wako G and Dejene H. Institutional delivery service

utilization and associated factors among women of

reproductive age in the mobile pastoral community of

the Liban District in Gujji Zone, Oromia, Southern

Ethiopia: a cross sectional study. BMC pregnancy and

child birth. 2017: 3-9.

Mihiretu A, Tadele D and Mengistu M. Institutional

Delivery Service Utilization among Women from

Rural Districts of Wolaita and Dawro Zones,

Southern Ethiopia; a Community Based CrossSectional Study. PLOS ONE. 2016: 4-9.

Zerihun T, Tizta T and Misra. Male Involvement on

Skilled Delivery Care Utilization in Maraka Wereda,

Southern Ethiopia: A Community Based Cross

Sectional Study. Science PG.2015: 700-704.

Adane N, Telake A and Mezgebu Y. Institutional Delivery

Service Utilization and Associated Factors in

Ethiopia: A Systematic Review and Meta-Analysis.

BMC pregnancy and childbirth. 2019: 10-16.

Brehanu B. Factors associated with delivery care among

women of reproductive age in Oromia, Ethiopia.

Addis Ababa Ethiopia: Addis Ababa University of

Graduate studies; 2018.p. 21.

Niguse T and Tafesse L. Utilization of institutional

delivery service and associated factors in Bench Maji

zone, Southwest Ethiopia : community based cross

sectional study. BMC health services research. 2017:

-8.

Biresaw W and Shegaw Z. Compassionate and respectful

maternity care during facility based child birth and

women’s intent to use maternity service in Bahir Dar,

Ethiopia. BMC pregnancy and childbirth. 2018: 3-8.

Luelseged A, Mussie A and Ayal D. Magnitude of

institutional delivery service utilization and

associated factors among women in pastoral

community of Awash Fentale district Afar Regional

State, Ethiopia. BMC research notes. 2018: 2-5.

Biresaw W and Shegaw Z. Compassionate and respectful

maternity care during facility based child birth and

women’s intent to use maternity service in Bahir Dar,

Ethiopia. BMC pregnancy and childbirth. 2018: 3-8.

Eskezaiw A, Abdu S and Getnet G. Association between

antenatal care follow-up and institutional delivery

service utilization: analysis of 2016 Ethiopia

demographic and health survey. BMC public health.

: 3-5.

Sanni Y, Ghose B and Olalekan A. Why some women fail

to give birth at health facilities: A comparative study

between Ethiopia and Nigeria. PLOS ONE. 2018:

-9.

CSA and ICF. EDHS 2016.CSA; 2016.

United Nations. The Millennium Development Goals

Report.UN; 2015

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