Abstract
BackgroundInstitutional delivery is a delivery that takes place at any medical facility staffed by skilled delivery assistance. It is estimated that using institutional delivery could reduce 16 to 33% of maternal deaths. Despite the importance of delivering at health institutions, in Ethiopia, mothers prefer to give birth at home. Therefore, the aim of this study was to compare institutional delivery service utilization and associated factors among rural and urban mothers in Mana district, Jimma Zone, Southwest Ethiopia, 2017.MethodsA community based comparative cross sectional study was conducted in Mana district, Southwest Ethiopia from March to June, 2017. A stratified probability sampling technique was used to select a total of 1426 (713 urban, 713 rural) study participants. Data were collected from mothers who gave birth in the past 24 months by using a structured and pretested questionnaire.ResultsThe overall prevalence of institutional delivery service utilization was 86.4%. Higher number of antenatal care visits, having good knowledge on the danger signs of labor, increased wealth index, primary and above educational level of the husband, mothers age below 40-year, and less than 30-min travel time to the nearby health institutions had significantly increased the rate of institutional delivery service utilization.ConclusionInstitutional delivery service utilization is high in the study area. Maternal awareness of danger signs of labor, frequent ANC visit and better education of husband, and household wealth predicted the utilization of the service. Therefore, due attention need to be given to enhancing education, expanding health institutions and creating awareness on advantage of antenatal care follow up and danger signs to make all pregnancies delivered at health institutions.
Highlights
Institutional delivery is a delivery that takes place at any medical facility staffed by skilled delivery assistance
Socio demographic and economics characteristics A total of 1424 mothers who gave birth in the past 24 months completed the study with a response rate of 99.9%
Almost all of the urban, (98.0%), and rural, (98.3%), mothers had at least one Antenatal care (ANC) follow up, and 195 (27%) of the urban and 462 (65%) of the rural mothers made four and more ANC visits during their last pregnancy. Out of those who attended ANC, 45 (6.3%) of the urban and 76 (10.7%) of the rural mothers reported that they were not informed about place of delivery during their ANC visits
Summary
Institutional delivery is a delivery that takes place at any medical facility staffed by skilled delivery assistance. Despite the importance of delivering at health institutions, in Ethiopia, mothers prefer to give birth at home. Institutional delivery is a delivery that takes place at any medical facility staffed by skilled delivery assistant Institutional delivery service utilization is one of the key and proven intervention to improve maternal health and wellbeing and to reduce maternal mortality through providing safe delivery and reducing complications that are related to and occurred during birth [1]. It is estimated that using institutional delivery could reduce 16 to 33% of maternal deaths [5, 6]
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