ASSESSMENT OF INSTITUTIONAL DELIVERY AND ITS ASSOCIATED FACTORS AMONG CHILDBEARING WOMEN IN NORTH MECHA WOREDA, AMHARA REGION, ETHIOPIA

Abstract

Objective: This study aimed to assess institutional delivery and its associated factors among childbearing women in North Mecha woreda, Amhara region, Ethiopia. Methods: A cross-sectional descriptive study was conducted among 422 childbearing women from October 2019 to June 2020. Multistage sampling was used to cluster and select study subjects in urban and rural areas. The study participants were selected using systematic sampling from a listing of women who had been born within the study area. Both bivariate and multivariable logistic regressions were employed. AOR with a 95% confidence interval (CI) and p < 0.05 was used to determine significant factors. Results: The prevalence of institutional delivery was 36.8%. Duration of labor within 12 h (AOR=5.950, CI: 2.852–12.415), within 12 and above hours (AOR=6.653, CI: 1.948–22.717), outcome of last baby (AOR=10.178, CI: 1.871–55.364), residence (AOR=6.275, CI: 1.717–22.936), husband’s occupation (AOR=0.109, CI: 0.014–0.840), husband education (AOR=4.865, CI: 1.225–19.321) health facility near to residence (AOR=4.851, CI=2.782– 8.459), and time taking to reach health facilities (AOR=14.363, CI: 5.761–35.806) were significantly associated with institutional delivery. Conclusion: The study findings revealed that interventions are needed to enhance the rate of institutional delivery in the study area. Factors associated with safe delivery service utilization are interrelated to each other and related to the mother and health system.