Abstract
Background: Institutional delivery is giving birth in health institution under the Overall supervision of trained health professional. Proper care during pregnancy and delivery is important for the health of both the mother and the baby. Methods: Collected questionnaires were checked for completeness coded and entered into SPSS version 16.0 software package. The strength of association of predictor variables with institutional delivery service utilization was assessed using odds ratio with 95% confidence interval. Results: From a total of 573 respondents, only 97 (16.9%) of them gave birth at health facilities and majority of them (83.1%) delivered at home. Regarding preference of the mothers about delivery place during their last pregnancy, 310 (54.1%) preferred to deliver at home, 148 (25.8%) preferred to give birth in health facilities with the assistance of skilled professionals and 20.1% of the mothers preferred to deliver in their mother’s home. Most of the respondents 315 (55%) of mothers prefer to be attended by their mothers and relatives and 190 (34%) preferred traditional (untrained) birth attendants. Conclusion: Low utilization of institutional delivery service and low antenatal care visit in their last pregnancy. Mothers who gave birth at home without a skilled attendant were account the large proportion. Educational status, monthly incomes, ANC visit, distance of health institute, gravidity and abortion experience were significantly associated with the utilization of institutional delivery service.
Highlights
A woman requires special attention during 15-44 years of her life since she gets matured sexually and socially, gets married, conceives and gives birth to children during this phase [1]
Binary logistic regression analysis shows; distance from health facility, monthly income, gravidity, ANC visit during last pregnancy, abortion experience of women, educational status of women and their husbands were the factors significantly associated with institutional delivery service utilization
The study results showed that institutional delivery service utilization was 16.9% in the District and the majority of mothers (83.1%) gave birth at home
Summary
A woman requires special attention during 15-44 years of her life since she gets matured sexually and socially, gets married, conceives and gives birth to children during this phase [1]. If proper care is not taken during this childbearing process, it affects the overall health especially the reproductive health of the woman as well as the health and wellbeing of the new-born child [2]. Access to proper medical attention and hygienic conditions during delivery can reduce the risk of complications and infections that may lead to death or serious illness for the mother and/or baby [3,4]. The purpose of this study is assessing the institutional delivery and the hindering factors to take appropriate intervention in order to improve the institutional delivery service in the District. Institutional delivery is giving birth in health institution under the Overall supervision of trained health professional. Proper care during pregnancy and delivery is important for the health of both the mother and the baby
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