TY - JOUR
T1 - Utilization of institutional delivery service at Wukro and Butajera districts in the Northern and South Central Ethiopia
AU - Hagos, Seifu
AU - Shaweno, Debebe
AU - Assegid, Meselech
AU - Mekonnen, Alemayehu
AU - Afework, Mesganaw F.
AU - Ahmed, Saifuddin
N1 - Funding Information:
First and for most, we like to thank the Gates Institute, Bloomberg School of Public Health, Johns Hopkins University (GI/JHU) for funding this study. This study is funded under the collaborative agreement between the GI/JHU and the School of Public Health at Addis Ababa University (SPH/AAU). We are very much grateful to the director of the Gates Institute, Dr Amy Tsui for her enormous contribution in fostering the collaboration between the GI/SPH/ JHU and the SPH/AAU. We would also like to acknowledge the School of Public Health at Addis Ababa University and the School’s administrative and academic staff for their contribution in facilitating the study. We are very much thankful to members of the research team, study coordinators, enumerators, and data entry clerks for their work in discharging their respective responsibilities. We are also highly thankful to all study participants for their willingness to participate in the study. We also declare that the funding body has no role in designing of the study, collection, analysis, and interpretation of data, writing of this manuscript and in the decision to submit for publication.
PY - 2014/5/28
Y1 - 2014/5/28
N2 - Background: Ethiopia has one of the highest maternal mortality in the world. Institutional delivery is the key intervention in reducing maternal mortality and complications. However, the uptake of the service has remained low and the factors which contribute to this low uptake appear to vary widely. Our study aims to determine the magnitude and identify factors affecting delivery at health institution in two districts in Ethiopia.Methods: A community based cross sectional household survey was conducted from January to February 2012 in 12 randomly selected villages of Wukro and Butajera districts in the northern and south central parts of Ethiopia, respectively. Data were collected using a pretested questionnaire from 4949 women who delivered in the two years preceding the survey.Results: One in four women delivered the index child at a health facility. Among women who delivered at health facility, 16.1% deliveries were in government hospitals and 7.8% were in health centers. The factors that significantly affected institutional delivery in this study were district in which the women lived (AOR: 2.21, 95% CI: 1.28, 3.82), women age at interview (AOR: 1.96, 95% CI: 1.05, 3.62), women's education (AOR: 3.53, 95% CI: 1.22, 10.20), wealth status (AOR: 16.82, 95% CI: 7.96, 35.54), women's occupation (AOR: 1.50, 95% CI: 1.01, 2.24), antenatal care (4+) use (AOR: 1.77, 95% CI: 1.42, 2.20), and number of pregnancies (AOR: 0.25, 95% CI: 0.18,0.35). We found that women who were autonomous in decision making about place of delivery were less likely to deliver in health facility (AOR: 0.38, 95% CI: 0.23,0.63).Conclusions: Institutional delivery is still low in the Ethiopia. The most important factors that determine use of institutional delivery appear to be women education and household economic status.Women's autonomy in decision making on place of delivery did not improve health facility delivery in our study population.Actions targeting the disadvantaged, improving quality of services and service availability in the area are likely to significantly increase institutional delivery.
AB - Background: Ethiopia has one of the highest maternal mortality in the world. Institutional delivery is the key intervention in reducing maternal mortality and complications. However, the uptake of the service has remained low and the factors which contribute to this low uptake appear to vary widely. Our study aims to determine the magnitude and identify factors affecting delivery at health institution in two districts in Ethiopia.Methods: A community based cross sectional household survey was conducted from January to February 2012 in 12 randomly selected villages of Wukro and Butajera districts in the northern and south central parts of Ethiopia, respectively. Data were collected using a pretested questionnaire from 4949 women who delivered in the two years preceding the survey.Results: One in four women delivered the index child at a health facility. Among women who delivered at health facility, 16.1% deliveries were in government hospitals and 7.8% were in health centers. The factors that significantly affected institutional delivery in this study were district in which the women lived (AOR: 2.21, 95% CI: 1.28, 3.82), women age at interview (AOR: 1.96, 95% CI: 1.05, 3.62), women's education (AOR: 3.53, 95% CI: 1.22, 10.20), wealth status (AOR: 16.82, 95% CI: 7.96, 35.54), women's occupation (AOR: 1.50, 95% CI: 1.01, 2.24), antenatal care (4+) use (AOR: 1.77, 95% CI: 1.42, 2.20), and number of pregnancies (AOR: 0.25, 95% CI: 0.18,0.35). We found that women who were autonomous in decision making about place of delivery were less likely to deliver in health facility (AOR: 0.38, 95% CI: 0.23,0.63).Conclusions: Institutional delivery is still low in the Ethiopia. The most important factors that determine use of institutional delivery appear to be women education and household economic status.Women's autonomy in decision making on place of delivery did not improve health facility delivery in our study population.Actions targeting the disadvantaged, improving quality of services and service availability in the area are likely to significantly increase institutional delivery.
KW - Ethiopia
KW - Institutional delivery
KW - Skilled attendance birth
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U2 - 10.1186/1471-2393-14-178
DO - 10.1186/1471-2393-14-178
M3 - Article
C2 - 24886375
AN - SCOPUS:84902082899
SN - 1471-2393
VL - 14
JO - BMC pregnancy and childbirth
JF - BMC pregnancy and childbirth
IS - 1
M1 - 178
ER -