Abstract
BackgroundMaternal mortality remains a major global public health concern despite many international efforts. Facility-based childbirth increases access to appropriate skilled attendance and emergency obstetric care services as the vast majority of obstetric complications occur during delivery. The purpose of the study was to determine the proportion of facility delivery and assess factors influencing utilization of health facility for childbirth.MethodsA cross-sectional study was conducted in two rural districts of Hadiya zone, southern Ethiopia. Participants who delivered within three years of the survey were selected by stratified random sampling. Trained interviewers administered a pre-tested semi-structured questionnaire. We employed bivariate analysis and logistic regression to identify determinants of facility-based delivery.ResultsData from 751 participants showed that 26.9% of deliveries were attended in health facilities. In bivariate analysis, maternal age, education, husband’s level of education, possession of radio, antenatal care, place of recent ANC attended, planned pregnancy, wealth quintile, parity, birth preparedness and complication readiness, being a model family and distance from the nearest health facility were associated with facility delivery. On multiple logistic regression, age, educational status, antenatal care, distance from the nearest health facility, wealth quintile, being a model family, planned pregnancy and place of recent ANC attended were the determinants of facility-based childbirth.ConclusionEfforts to improve institutional deliveries in the region must strengthen initiatives that promote female education, opportunities for wealth creation, female empowerment and increased uptake of family planning among others. Service related barriers and cultural influences on the use of health facility for childbirth require further evaluation.Electronic supplementary materialThe online version of this article (doi:10.1186/s12884-016-1151-1) contains supplementary material, which is available to authorized users.
Highlights
Maternal mortality remains a major global public health concern despite many international efforts
[3] When it comes to Ethiopia, utilization of health facility for childbirth is much lower, only 10% of childbirths occur in the health facilities; home deliveries are very common in the rural areas accounting for about 95% of all deliveries
We had only two (0.0027%) of respondents who gave birth on their way to the health facility, we found these to be very small to be analysed alone we added them to the home deliveries
Summary
Maternal mortality remains a major global public health concern despite many international efforts. Facility-based childbirth increases access to appropriate skilled attendance and emergency obstetric care services as the vast majority of obstetric complications occur during delivery. Two thirds of maternal deaths occur around the time of childbirth; majority of these complications cannot be predicted by any high-risk approach since they occur at any time without any warning sign [2] Home delivery is believed to be a major factor contributing to such incidences. The 16 government priority interventions are vaccinating children, modern treatment to common childhood illnesses, using family planning, facility based delivery, sleeping under mosquito bed nets, building own latrine, antenatal care use, proper solid and liquid waste disposal, giving health education to others on harmful traditional practices, personal hygiene, healthy home environment, proper excreta disposal, food hygiene, control of insects and rodents, nutrition, and adolescent reproductive health [8]
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