Institutional delivery service utilization and associated factors among women of reproductive age in the mobile pastoral community of the Liban District in Guji Zone, Oromia, Southern Ethiopia: a cross sectional study

Wako Golicha Wako,Dejene Hailu Kassa

doi:10.1186/s12884-017-1325-5

Wako Golicha Wako, Dejene Hailu Kassa

Open Access

https://doi.org/10.1186/s12884-017-1325-5

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Abstract

BackgroundGlobally, an estimated 289,000 maternal deaths occurred in 2013. Majority of these deaths occurred in sub-Saharan Africa and Southern Asia. Mobility of pastoralists is a well-recognized survival strategy in arid and semi-arid land of sub-Saharan Africa. However governments often encourage settlement as a solution to the difficulty of providing health services for mobile pastoralists. This study aimed to assess utilization of institutional delivery and associated factors among women of reproductive age in the mobile pastoral community of the Liban District in Guji zone, Oromia, Ethiopia.MethodsA Community based cross-sectional survey was conducted among the mobile pastoralist community of the Liban District. Seven hundred ninety-one (791) randomly selected women, who had birth within the last 2 years preceding the survey, were interviewed using a pretested structured questionnaire. Data were entered into Epi-Info version 3.5.4 and analyzed by Statistical Package for Social Science (SPSS) version 16. Bivariate and multivariate analyses were done.ResultsOut of 791 women who gave birth within the last 2 years preceding the survey, only 110 (13.9%) gave birth in health institutions. Majority (74.1%) of the women gave birth at their home. Ninety-one women (11.5%) gave birth at traditional birth attendant’s home; assisted by traditional birth attendants. Multiple logistic regression shows that women who had readily available cash at the onset of labor (aOR 2.79, 95% CI: 1.29–6.25), delivered the birth preceding the most recent birth in a health institution (aOR 6.8, 95% CI: 3.44–13.45) and had birth related complications during the birth preceding the most recent birth (aOR 1.90, 95% CI: 1.08–3.36) were more likely to deliver at health institutions.ConclusionMajority of the pastoral women seek institutional delivery, only when labor related complications are perceived. Mechanisms of alleviating indirect health care costs affecting institutional delivery need to be addressed in future studies.

Highlights

An estimated 289,000 maternal deaths occurred in 2013
According to the 2013 World Health Organization (WHO) report, maternal deaths are highest in sub-Saharan Africa and Southern Asia
Socio-demographic characteristics of the respondents Out of the total 876 reproductive age women planned for the study, 791 women were successfully interviewed and included into final analysis

Summary

Introduction

An estimated 289,000 maternal deaths occurred in 2013 Majority of these deaths occurred in sub-Saharan Africa and Southern Asia. At the beginning of this century, 189 member states of United Nations endorsed a millennium declaration and committed themselves to eight Millennium Development Goals (MDGs) to improve the living standards of citizens worldwide [1] Two of these goals were to reduce child mortality (MDG 4) and maternal mortality (MDG 5) [1]. According to the 2013 World Health Organization (WHO) report, maternal deaths are highest in sub-Saharan Africa and Southern Asia. Sixty two (62%) percent of global maternal deaths took place in sub-Saharan Africa alone, followed by southern Asia (24%) [3]. Ethiopia is among countries with highest maternal mortality ratio (MMR) in the world with an estimated MMR of 676/ 100,000 live births [4]

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