Abstract
Health care services during pregnancy and during delivery are important for the survival and wellbeing of both the mother and the infant so that increasing institutional deliveries is a basic concern for reducing maternal and neonatal mortality. This article was focused on assessing the trend of institutional delivery service and identifying associated factors using basic statistical tools. The analysis was based on the hypothetical data of 5753 women in reproductive age carefully managed from Ethiopian Mini Demographic and Health Survey (EMDHS) 2019. The trend of institutional delivery revealed a sharp increase from 26% in 2016 to 49.92% in 2019 based on DHS data of the respective years. The study identified variables such as region, place of residence, education level, sex of household head, wealth index, number of living children and antenatal care as highly significant determinants of institutional delivery service in Ethiopia. Institutional delivery service increases with better access to education, living in urban, being in better off wealth category, and following antenatal care visit. The study recommended that there should be well equipped health facilities for pregnant women at each stage.
Highlights
Maternal mortality and morbidity is a global public health concern
Based on the country representative data, Ethiopian Mini Demographic and Health Survey 2019 data, this study found that the percentage of institutional delivery progressively increased from 26% in 2016 to 49.92% in 2019
The inferential result revealed women living in Tigray, Benishangul Gunuz and Addis Ababa regions were more likely to use institutional delivery service than those women living in Dire Dawa region
Summary
Maternal mortality and morbidity is a global public health concern. It has been reported that the rates of deliveries attended by skilled health workers are low in developing countries and this problem is preventable if a skilled attendant is present during childbirth. According to the Ethiopian Demographic and Health Survey (EDHS) 2016 report, the maternal mortality ratio in Ethiopia was 412/100,000 live births [2]. It has become increasingly clear that maternal mortality in sub-Saharan Africa is highly attributed to home delivery, and most births take place at home. Sub-Saharan Africa and South Asia together contribute over 85% of maternal deaths, and of which only half of deliveries are institutional [3]. Different reasons account for the high maternal mortality ratio in sub-Saharan African countries, including Ethiopia. Low levels of female education and little availability of medical services during pregnancy prevent women receiving care and accessing the best choices for themselves and their children’s health, resulting in critical delays in receiving care and unnecessary maternal complications and deaths [4]
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