Abstract
ObjectiveThe aim of this study was to assess institutional delivery and its associated factors in Benishangul-Gumez region, North-West of Ethiopia. The data were obtained at community level in a single survey within 1 month and there is no continuation of this study or previously published part elsewhere.ResultsAmong the 428 eligible respondents recruited for this study, 427 of them responded completely to the interview, giving a response rate of 99.8%. Of the total (427) respondents, 51.1% women delivered the recent child at health facility in the 12 months preceding the survey. Among the common reasons for home delivery were, labour was urgent (25.8%), home birth was usual habit for them (23.9%) and distance to health center was too far. Age (AOR = 3.4, 95% CI 1.46, 7.97), husband occupation (AOR = 5.16, 95% CI 1.74, 15.31), frequency of antenatal care visit (AOR = 3.34, 95% CI 1.88, 5.94) and maternal knowledge on danger signs of pregnancy and delivery (AOR = 7.18, 95% CI 3.77, 13.66) were significantly associated factors with institutional delivery. Although, the prevalence of institutional delivery has improved when compared to previous reports, strategic modification is important to increase health facility delivery.
Highlights
The total number of maternal deaths decreased by 45% from 523,000 in 1990 to 289,000 in 2013 with an annual rate of decline by 3.3% [1]
The 99% (286,000) of the global maternal deaths occurred in developing countries, sub-Saharan Africa (SSA) region alone accounting for 62% (179,000) of these deaths [1]
Ethiopia is among countries with highest maternal mortality ratio (MMR) in the world with an estimated MMR of 676/100,000 live births and it is one of among the ten countries accounted for 58% of the global maternal deaths in 2013 [1, 3]
Summary
The total number of maternal deaths decreased by 45% from 523,000 in 1990 to 289,000 in 2013 with an annual rate of decline by 3.3% [1]. In sub-Saharan Africa (SSA), a woman’s risk of dying from preventable complications of pregnancy and childbirth is 1 in 22 [2]. The 99% (286,000) of the global maternal deaths occurred in developing countries, SSA region alone accounting for 62% (179,000) of these deaths [1]. Ethiopia is among countries with highest maternal mortality ratio (MMR) in the world with an estimated MMR of 676/100,000 live births and it is one of among the ten countries accounted for 58% of the global maternal deaths in 2013 [1, 3]. Though skill-attendance is the most important intervention to prevent life threatening complications [4, 5], Ethiopia in its’ Health Sector Development Plan IV’s targeted to increase SBA to 62% by 2015; but the coverage has reached 55% [14].
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