Factors associated with institutional delivery in Dangila district, North West Ethiopia: a cross-sectional study.

Yeshalem Mulugeta Demilew,Azezu Asres Negusie,Gebremedhin Berhe Gebregergs

doi:10.4314/ahs.v16i1.2

Yeshalem Mulugeta Demilew, Azezu Asres Negusie + Show 1 more

Open Access

https://doi.org/10.4314/ahs.v16i1.2

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Abstract

Childbirth in a health institution has been shown to be associated with lower rates of maternal and neonatal mortality. However, about 85% of mothers in Ethiopia deliver at home. To assess factors associated with institutional delivery service utilization among women who gave birth within one year prior to the study in Dangila district. A cross-sectional study was conducted from February 01-28, 2015. A total of 763 mothers were interviewed using structured questionnaire. SPSS version 20 was used for analysis. Crude and adjusted Odds ratios were computed for selected variables. A P-value less than 0.05 was considered statistical significant. Only 18.3% of mothers gave birth at health facilities. Knowledge on danger signs [AOR=2.0, 95% CI: (1.1, 3.4)], plan to give birth at health institution [AOR=5.4, 95% CI: (3.0, 9.6)], having ANC follow up during pregnancy [AOR=12.9, 95% CI: (5.0, 33.3)] and time taken to get to a nearby health institution [AOR=5.1, 95% CI: (2.9, 9.1)] were associated with institutional delivery service utilization. Institutional delivery was very low. Knowledge about danger signs, having ANC visits, and time were factors associated with institutional delivery service utilization. Thus, the findings recommend repeated re-enforcement of institutional delivery service utilization through professionals. And also, the findings recommend promotion of institutional delivery service utilization through mass media.

Highlights

Childbirth in a health institution has been shown to be associated with lower rates of maternal and neonatal mortality
Factors associated with institutional delivery in Dangila District, North West Ethiopia: a cross-sectional study
Considering the last delivery a mother had, in this study, 18.3% of mothers gave birth at a health institution. This finding was consistent with study findings in Ethiopia[10,11,12,13] and Bangladesh[14]. This finding was lower than study findings elsewhere in Ethiopia[15,16] and other developing countries such as Zambia, Uganda, Tanzania and Nepal[17,18,19,20]

Summary

Introduction

Childbirth in a health institution has been shown to be associated with lower rates of maternal and neonatal mortality. Objective: To assess factors associated with institutional delivery service utilization among women who gave birth within one year prior to the study in Dangila district. Knowledge about danger signs, having ANC visits, and time were factors associated with institutional delivery service utilization. Factors associated with institutional delivery in Dangila District, North West Ethiopia: a cross-sectional study. There are about 1.02 million intrapartum stillbirths, 904,000 intrapartum-related neonatal deaths and around 42% maternal deaths each year[5]. This can be reduced if all women give birth in a setting where skilled attendants can provide emergency obstetric care (EmOC) and life-saving neonatal interventions in the event of complications. Different studies identified inconsistent factors that affect institutional delivery service utilization such as individual, demographic, socioeconomic, and other characteristics of the mother, her family and the service environment[4,6,7]

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