Abstract
Giving birth in a medical institution, under the care and supervision of trained health-care providers, reduces the risk of maternal mortality and promotes child survival. Despite this, most mothers in Ethiopia are giving birth at home. Thus, this study was conducted to assess the level of skilled delivery service use and associated factors among mothers in Enarje Enawga District, Northwest Ethiopia. A community-based cross-sectional study design was employed to recruit a total of 777 mothers who gave birth in the last two years. Data were collected using structured questionnaire. Bi-variable and multivariable logistic regression analyses were employed to assess factors associated with skilled delivery service use. Odds ratios with 95% confidence intervals were computed. Only 156 (20.1%) of the mothers had utilized skilled delivery service in the last two years. Mothers aged 15-24 years (AOR = 5.57), residing in urban areas (AOR = 1.80), and residing within a walking time of 16-30 minutes from health facility (AOR = 3.52) were more likely to use skilled delivery practice. Additionaly, mothers who had four and more antenatal care (ANC) visits (AOR = 4.94) and mothers who received health education (AOR = 5.04) were more likely to use skilled delivery service. The level of skilled delivery service use among mothers was low. Age, residence, distance from health facility, number of ANC visits and health education were found to be associated with skilled delivery service use. Community-based health education programs regarding the risks of home delivery is necessary with a special focus on younger mothers residing in rural area.
Highlights
Maternal health is a central concern both globally and nationally
386(49.7%), of the participants got their first marriage at an age below 15, and 95(12.2%) of them got their first pregnancy below the age of 15
Two hundred sixty-three (33.9%) of the respondents had been pregnant only once, and 8.5% had more than five pregnancies
Summary
Maternal health is a central concern both globally and nationally. improving maternal survival was one of the eight Millennium Development Goals and focuses of Sustainable development goals (SDGs) [1,2,3]. Though mothers comprise a large proportion of a society, more than onequarter in developing countries are at higher risk of obstetric-related morbidity and mortality. They suffer from long-term complications of pregnancy and childbirth including uterine prolapse and vesicovaginal and rectovaginal fistulae. Large proportions of pregnancy-related morbidities and mortalities occur in developing nations [6], especially in subSaharan African countries including Ethiopia [69]. This study was conducted to assess the level of skilled delivery service use and associated factors among mothers in Enarje Enawga District, Northwest Ethiopia. Residence, distance from health facility, number of ANC visits and health education were found to be associated with skilled delivery service use.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
