Abstract
BackgroundEighty-five percent of the global burden of maternal mortality was covered by Sub-Saharan Africa. Ethiopia is a major contributor to the death of mothers with a maternal mortality ratio of 676 per 100,000 live births. Only 10% of deliveries in Ethiopia were at health facility with the least (6.4%) in the Afar region. However, there is limited evidence about factors of institutional delivery in the study area. Thus, this study aimed to assess the magnitude and associated factors of institutional delivery practice among women in the pastoral community of Dubti district, Northeast Ethiopia.MethodsA community based cross-sectional study was conducted from April to May 2016, in the pastoral community of Dubti district. A total of 381 women were selected using systematic sampling technique and interviewed using a standardized structured questionnaire. Binary logistic regression analysis was computed. In the final multivariable logistic regression analysis adjusted odds ratio (AOR) with 95% confidence interval (CI) was used to declare the factors associated with institutional delivery.ResultsThis study revealed that 35.2% (95% CI: 30.5–40.1) of women were delivered at the health facility. Women who had travelled less than an hour to reach the nearest health facilities (AOR: 4.90, 95% CI: 2.62–9.18), attending antenatal care (AOR: 2.50, 95% CI:1.48–4.23), previous history of stillbirth (AOR: 4.34, 95% CI: 1.78–10.58), good knowledge (AOR: 2.09, 95% CI:1.23–3.56), and husband involved in decision making on delivery place (AOR: 4.42, 95% CI: 1.98–9.90) were the factors associated with institutional delivery practice.ConclusionsThe overall institutional delivery practices in the study area was low as compared to the national level. This low practice of institutional delivery was contributed by residing far from the facility, does not received antenatal care, and having low awareness about ANC follow up and institutional delivery services. Therefore, strengthening the accessibility of health facility to nearby mothers resided, antenatal care services, and awareness creation provision at the community level for pregnant women in the pastoral community can improve institutional delivery practice.
Highlights
Eighty-five percent of the global burden of maternal mortality was covered by Sub-Saharan Africa
The practice of institutional delivery services utilization is very low in the pastoral community of Dubti district
Sub-Saharan Africa accounts for 56% and Southern Asia 29% which is constituted for 85% of the global burden of maternal death [2]
Summary
Eighty-five percent of the global burden of maternal mortality was covered by Sub-Saharan Africa. Ethiopia is a major contributor to the death of mothers with a maternal mortality ratio of 676 per 100,000 live births. This study aimed to assess the magnitude and associated factors of institutional delivery practice among women in the pastoral community of Dubti district, Northeast Ethiopia. Sub-Saharan Africa accounts for 56% and Southern Asia 29% which is constituted for 85% of the global burden of maternal death [2]. Complications during pregnancy and childbirth are the leading causes of death among adolescent girls aged 15–19 years in low and middle-income countries resulting in thousands of deaths each year [4, 5]. Ethiopia was one of the leading contributors to maternal deaths in Sub-Saharan African countries. 19% of women had four or more antenatal care (ANC) visits during their recent pregnancy and only 10% of pregnant women delivered at the health facility [8] which indicates low utilization of modern maternal health care
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