scholarly journals Association between antenatal care follow-up and institutional delivery service utilization: analysis of 2016 Ethiopia demographic and health survey

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Eskezaiw Abebe ◽  
Abdu Seid ◽  
Getnet Gedefaw ◽  
Zelalem T. Haile ◽  
Gillian Ice
Keyword(s):  
Logistic Regression ◽  
Antenatal Care ◽  
Service Utilization ◽  
Health Survey ◽  
Institutional Delivery ◽  
Wealth Index ◽  
Household Wealth ◽  
Delivery Service ◽  
Institutional Delivery Service

Abstract Background Globally, the magnitude of maternal mortality is the major public health problem. Nearly all (99%) of maternal deaths occur in low- and middle-income countries. Of which 66% occur in sub-Saharan Africa. Institutional delivery under the hygienic environment with the necessary skills and equipment promotes to identify and treat complications, infections, and the death of the mother and baby. In Ethiopia, the utilization of maternal health services is very low. For instance, 62% of women had antenatal care utilization during pregnancy while only 26% of women utilize institutions for delivery in 2016. Therefore, this study examined the association between antenatal care follow up and intestinal delivery among a nationally representative woman in Ethiopia. Methods A cross-sectional study design was used to examine 7575 women from the 2016 Ethiopia Demographic and Health Survey. Both descriptive and inferential statistics were utilized. Variables in the bivariate logistic regression with p-value < 0.2 were entered into the multivariable logistic regression. Odds ratios and corresponding 95% confidence intervals (CI) were reported. In the multivariable analysis, variables with p-value < 0.05 were considered as statistically significant. Results The prevalence of institutional delivery service utilization for last childbirth was 11.3%. In comparison with women with no antenatal care visits, the multivariable odds ratio (95% confidence interval) of institutional delivery among those who attend one to three and four or more antenatal care visit were 2.49 (1.66, 3.74) and 3.90 (2.60, 5.84), respectively. Other factors significantly associated with institutional delivery include urban residence 2.25 (1.44, 3.51), complete primary education 3.22 (2.09, 4.98), complete secondary or higher education 1.59 (1.16, 2.17), poorer household wealth index 2.57 (1.57, 4.20), middle household wealth index 1.63 (1.05, 2.52), and richer household wealth index 1.56(1.03, 2.58). Conclusion Antenatal care follow-up was significantly associated with institutional delivery service utilization. As the number of antenatal care visits increased the odds of facility delivery increased. Thus, improved access and utilization of antenatal care can be an effective strategy to increase institutional deliveries and optimal maternal and child health outcomes.

scholarly journals Institutional Delivery Service Utilization and Associated Factors in Rural Communities of Central Gondar zone, Northwest Ethiopia

2020 ◽  
Author(s):  
Adane Nigusie Weldeab ◽  
Telake Azale ◽  
Mezgebu Yitayal ◽  
Lemma Derseh
Keyword(s):  
Antenatal Care ◽  
Service Utilization ◽  
Institutional Delivery ◽  
Health Workers ◽  
Wealth Index ◽  
Educational Status ◽  
Household Wealth ◽  
Place Of Delivery ◽  
Delivery Service ◽  
Institutional Delivery Service

Abstract Introduction: Institutional delivery has been considered as one of the important strategies to improve maternal and child health, and significantly reduces birth related complications however it is still low in developing countries though there are some improvements. Hence, the aim of this study was to assess the prevalence of institutional delivery service utilization and associated factors among women who gave birth in Central Gondar zone, North West Ethiopia. Methods: A community-based cross-sectional study was conducted from September to December 2019. A multistage systematic sampling technique was used to select a total of 1,394 study participants. Data were collected from women who gave birth during the past one year by using structured and pretested questionnaire. Binary logistic regression was performed to identify factors at 95% confidence level. Results: The prevalence of institutional delivery service utilization was 58.17 % (95%CI: 55.57%, 60.77%). Multivariable logistic regression showed that women age ( ≥35years) (AOR= 1.43; 95% CI 1.04,1.96), having a family size of less than five (AOR= 4.61; 95% CI 3.34,6.34), husbands educational status of primary school (AOR= 1.64; 95% CI 1.19,2.24), middle level household wealth index (AOR= 1.78; 95% CI 1.25,2.54), rich level household wealth index (AOR= 2.01; 95% CI 1.42,2.86), having family discussion (AOR= 4.05; 95% CI 2.74,5.97), antenatal care visit during their recent pregnancy (AOR= 1.86;95% CI 1.16,2.97),distance from the nearby clinic(≤30min) (AOR= 2.92; 95% CI 1.53,5.58), decision power about place of delivery (AOR= 2.50; 95% CI 1.56,4.01) and bad behavior of health workers (AOR= 0.27; 95% CI 0.19,0.39) were significantly associated with utilization of institutional delivery service. Conclusion: Institutional delivery service utilization was low in the study area. Women age (≥35years), having a family size of less than five, educational status of husband (primary), household wealth index (middle and rich), family discussion, antenatal care visit, distance from the nearby clinic (≤30min), decision power about place of delivery and bad behavior of health workers were predictors of institutional delivery. This study implies that strengthening family discussion and up taking antenatal Care services in regular ways are few of the suggested recommendations.

scholarly journals Statistical Analysis of Determinants of Institutional Delivery Service among Reproductive Age Women in Ethiopia

2021 ◽  
pp. 146-153
Author(s):  
Mekonin Abera Negeri
Keyword(s):  
Antenatal Care ◽  
Health Care Services ◽  
Institutional Delivery ◽  
Household Head ◽  
Wealth Index ◽  
Reproductive Age ◽  
Index Number ◽  
Delivery Service ◽  
Living Children ◽  
Institutional Delivery Service

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.

scholarly journals Intention to use institutional delivery service and its predictors among pregnant women, North West Ethiopia: Using theory of planned behavior

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0248697
Author(s):  
Abirham Ayana ◽  
Ayenew Kassie ◽  
Telake Azale
Keyword(s):  
Logistic Regression ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Institutional Delivery ◽  
Behavioral Control ◽  
Perceived Behavioral Control ◽  
Intention To Use ◽  
Rural Residence ◽  
Delivery Service ◽  
Institutional Delivery Service

Background Improving institutional delivery service is the most crucial strategies to reduce maternal and neonatal mortalities. In developing countries, only 50% of pregnant women deliver in health facilities and in Ethiopia only 48% of pregnant women deliver in health facilities. Maternal mortality remains the highest in Ethiopia. This study assessed intention to use institutional delivery service and its predictors among pregnant women using theory of planned behavior. Methods Community-based cross-sectional study was conducted among 645 Yilmana Densa District Pregnant women using multi-stage followed by cluster sampling technique. Data were entered into Epi Data version 4.6.0.2 and analyzed with STATA version 14. Binary logistic regression analysis was done to identify independent predictors of intention at 95% confidence level and P < 0.05 was used to determine statistically significant predictors. Results Intention of pregnant women to use institutional delivery service was 74.3% (CI; 70.71%, 77.6%). In the multivariable logistic regression; those who had 1–3 and 4 &above antenatal care 2.85(1.41, 5.75) and 3.14(1.16, 8.45) respectively, those who had past experience of institutional delivery (AOR = 3.39, 95%CI: 1.72, 6.71), parity of 1–3 and 4 & above % (AOR = 0.37, 0.19, 0.71) and (AOR = 0.25, 95%CI: 0.12, 0.55) respectively, rural residence (AOR = 0.51, 95%CI: 0.27, 0.96), favorable attitude (AOR = 2.93, 95%CI: 1.56, 5.50), favorable perceived behavioral control (AOR = 2.60, 95%CI: 1.44, 4.69) were factors significantly associated with intention to use institutional delivery service. Conclusion and recommendation Majority of the pregnant women were intended to deliver in the institution. Good Knowledge on institutional delivery, antenatal care visit, past experience of institutional delivery, rural residence, parity, attitude and perceived behavioral control were identified factors significantly associated with intention to use institutional delivery service. So, strengthening awareness creation and behavioral change communication programs are required at all levels of health system to raise intention of residents towards institutional delivery.

scholarly journals Institutional delivery and associated factors in rural communities of Central Gondar Zone, Northwest Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0255079
Author(s):  
Adane Nigusie ◽  
Telake Azale ◽  
Mezgebu Yitayal ◽  
Lemma Derseh
Keyword(s):  
Logistic Regression ◽  
Antenatal Care ◽  
Associated Factors ◽  
Institutional Delivery ◽  
Health Workers ◽  
Wealth Index ◽  
Household Wealth ◽  
Middle Level ◽  
Systematic Sampling ◽  
Wealth Status

Introduction Institutional delivery has been considered as one of the important strategies to improve maternal and child health and significantly reduces birth-related complications. However, it is still low in developing countries though there are some improvements. Hence, the aim of this study was to assess the prevalence of institutional delivery and associated factors in the study area. Methods A community-based cross-sectional study was conducted. A multistage systematic sampling technique was used to select 1,394 study participants. We collected data from 18–48 years old women by using a structured questionnaire. Binary logistic regression was performed to identify factors at 95% confidence level. Results The mean age of respondents was 30 (±0.15). The wealth status of 33.48% respondents was poor and 33.33% rich. The prevalence of institutional delivery was 58.17% (95% CI: 55.57%, 60.77%). Multivariable logistic regression showed that demographic factors: women age (≥35years) (AOR = 1.43; 95% CI 1.04, 1.96), having a family size of less than five (AOR = 4.61; 95% CI 3.34, 6.34), having family discussion (AOR = 4.05; 95% CI 2.74, 5.97), distance from the nearby clinic (≤30min) (AOR = 2.92; 95% CI 1.53, 5.58) and decision power about place of delivery (AOR = 2.50; 95% CI 1.56, 4.01); socio-economic factors: husband’s educational status of primary school (AOR = 1.64; 95% CI 1.19, 2.24), middle level household wealth index (AOR = 1.78; 95% CI 1.25, 2.54) and rich level household wealth index (AOR = 2.01; 95% CI 1.42, 2.86); and programmatic factors: antenatal care visit during their recent pregnancy (AOR = 1.86;95% CI 1.16, 2.97) were affects institutional delivery positively. Whereas bad behavior of health workers (AOR = 0.27; 95% CI 0.19, 0.39) negatively affects institutional delivery. Conclusion Institutional delivery was low in the study area. This study implies that strengthening family discussion and up taking antenatal care services in regular ways are a few of the suggested recommendations.

scholarly journals Institutional Delivery Service Utilization and Associated Factors in Ethiopia: A Systematic Review and Meta Analysis

2020 ◽  
Author(s):  
Adane Nigusie ◽  
Telake Azale ◽  
Mezgebu Yitayal
Keyword(s):  
Service Utilization ◽  
Associated Factors ◽  
Institutional Delivery ◽  
Information Source ◽  
Cochrane Library ◽  
Delivery Service ◽  
Modifiable Factors ◽  
National Prevalence ◽  
Institutional Delivery Service

Abstract Background: Different primary studies in Ethiopia showed the weight of institutional delivery service utilization and the factors associated with it. However, variation among those studies was seen. This study was aimed to estimate the pooled national prevalence and associated factors of Institutional delivery service utilization in Ethiopia.Methods: PubMed, Cochrane library, Web of Science, and Google Scholar were searched. A funnel plot and Egger’s regression test were used to see publication bias. I-squared statistic was applied to check heterogeneity of studies. A weighted Dersimonian laired random effect model was applied to estimate the pooled national prevalence and the effect size of associated factors.Result: A total of twenty four studies were included in this review. The pooled prevalence of Institutional delivery service utilization was 31% (95% CI: 0.30, 0.31; I2 = 0.00%). Attitude towards institutional delivery of 3 studies(AOR=2.83; 95% CI 1.35,5.92 ), maternal age at first pregnancy of 4 studies((AOR= 3.59; 95% CI 2.27,5.69 )), residence setting of 7 studies (AOR= 3.84; 95% CI 1.31, 11.25), educational status of 5 studies(AOR=2.91;95% 1.88,4.52), availability of information source of 6 studies(AOR= 1.80;95% CI 1.16,2.78), ANC follow-up of 13 studies((AOR= 2.57 95% CI 1.46,4.54 )), frequency of ANC follow up of 4 studies(AOR= 4.04;95% CI 1.21,13.46), knowledge of institutional delivery & danger signs during pregnancy of 11 studies((AOR=3.04;95% CI 1.76 ,5.24 )) and place of birth the most recent birth of 4 studies(AOR=8.44;95% CI 5.75,12.39) were identified factors of institutional delivery service utilization.Conclusions: The findings of this review found several modifiable factors such as empowering women through education, promoting antenatal care to prevent home delivery, increasing awareness of women through mass media and making services more accessible would likely to increase utilization of institutional delivery.

scholarly journals Institutional Delivery Service Utilization And Associated Factors In Ethiopia: A Systematic Review And Meta Analysis

2019 ◽  
Author(s):  
Adane Nigusie ◽  
Telake Azale ◽  
Mezgebu Yitayal
Keyword(s):  
Service Utilization ◽  
Fixed Effects ◽  
Associated Factors ◽  
Institutional Delivery ◽  
Information Source ◽  
Cochrane Library ◽  
Delivery Service ◽  
National Prevalence ◽  
Institutional Delivery Service

Abstract Background: Different primary studies in Ethiopia showed the weight of institutional delivery service utilization and factors associated with it. However, variation among those studies was seen. This study was aimed to estimate the pooled national prevalence and associated factors of Institutional delivery service utilization in Ethiopia. Methods: PubMed, Cochrane library, Web of Science, and Google Scholar were searched. A funnel plot and Egger’s regression test were used to see publication bias. I-squared statistic was applied to check heterogeneity of studies. A weighted inverse variance fixed-effects model and Dersimonian laired random effect model was applied to estimate the pooled national prevalence and the effect size of associated factors. Result: A total of 24 studies with 19,969 participants were used for prevalence estimation. The pooled prevalence of Institutional delivery service utilization was 31% (95% CI: 0.30-0.312; I2 = 0.000%). Attitude towards institutional delivery(AOR=2.83; 95% CI 1.35 5.92 ), maternal age at first pregnancy((AOR= 3.592; 95% CI 2.269 5.686 )), residence setting(AOR= 3.844; 95% CI 1.313 11.253), educational status of mothers(AOR=2.915;95% 1.881-4.517), availability of information source(AOR= 1.797;95% CI 1.160 2.783), ANC follow-up((AOR= 2.574 95% CI 1.460 4.54 )), frequency of ANC follow up(AOR= 4.039;95% CI 1.212 13.462), knowledge of institutional delivery & danger signs during pregnancy((AOR=3.04;95% CI 1.76 5.24 )) and place of birth the most recent birth(AOR=8.44;95% CI 5.748 12.393) were identified factors of institutional delivery service utilization. Conclusions: The prevalence of institutional delivery in Ethiopia remains low. This review may help policy-makers to design institutional delivery service utilization improvements. Keywords: Institutional delivery, service utilization, Ethiopia

scholarly journals Institutional Delivery Service Utilization and Associated Factors in Ethiopia: A Systematic Review and Meta Analysis

2020 ◽  
Author(s):  
Adane Nigusie ◽  
Telake Azale ◽  
Mezgebu Yitayal
Keyword(s):  
Service Utilization ◽  
Associated Factors ◽  
Institutional Delivery ◽  
Information Source ◽  
Cochrane Library ◽  
Delivery Service ◽  
Modifiable Factors ◽  
National Prevalence ◽  
Institutional Delivery Service

Abstract Background: Different primary studies in Ethiopia showed the weight of institutional delivery service utilization and the factors associated with it. However, variation among those studies was seen. This study was aimed to estimate the pooled national prevalence and associated factors of Institutional delivery service utilization in Ethiopia. Methods: PubMed, Cochrane library, Web of Science, and Google Scholar were searched. A funnel plot and Egger’s regression test were used to see publication bias. I-squared statistic was applied to check heterogeneity of studies. A weighted Dersimonian laired random effect model was applied to estimate the pooled national prevalence and the effect size of associated factors. Result: A total of twenty four studies were included in this review. The pooled prevalence of Institutional delivery service utilization was 31% (95% Confidence interval (CI): 30%, 31.2%; I 2 = 0.00%). Attitude towards institutional delivery of 3 studies(Adjusted Odd Ratio (AOR)=2.83; 95% CI 1.35,5.92 ), maternal age at first pregnancy of 4 studies(AOR= 3.59; 95% CI 2.27,5.69 ), residence setting of 7 studies (AOR= 3.84; 95% CI 1.31, 11.25), educational status of 5 studies(AOR=2.91;95% 1.88,4.52), availability of information source of 6 studies(AOR= 1.80;95% CI 1.16,2.78), ANC follow-up of 13 studies((AOR= 2.57 95% CI 1.46,4.54 )), frequency of ANC follow up of 4 studies(AOR= 4.04;95% CI 1.21,13.46), knowledge of institutional delivery & danger signs during pregnancy of 11 studies((AOR=3.04;95% CI 1.76 ,5.24 )) and place of birth the most recent birth of 4 studies(AOR=8.44;95% CI 5.75,12.39) were identified factors of institutional delivery service utilization. Conclusions: The findings of this review found several modifiable factors such as empowering women through education, promoting antenatal care to prevent home delivery, increasing awareness of women through mass media and making services more accessible would likely to increase utilization of institutional delivery.

scholarly journals Prevalence and associated factors of home delivery among women at Jimma town, Jimma Zone, Southwest Ethiopia

2020 ◽  
Vol 6 (4) ◽  
pp. 114-119
Author(s):  
Aynalem Yetwale ◽  
Eneyew Melkamu ◽  
Workiltu Ketema
Keyword(s):  
Logistic Regression ◽  
Antenatal Care ◽  
Educational Status ◽  
Home Delivery ◽  
P Value ◽  
Southwest Ethiopia ◽  
Study Participants ◽  
Jimma Town ◽  
Institutional Delivery Service

Background: Maternal and child mortality and morbidity are higher during childbirth in developing countries compared to developed countries. Institutional delivery service utilization is indispensable to improve maternal and child health.However, the proportion of women utilizing institutional delivery service in Ethiopia is very low. In addition, little is known about factors contributing to home delivery. Objectives: To assess the prevalence of home delivery and associated risk factors at Jimma Town, Southwest Ethiopia. Methods: A community-based cross-sectional study was employed on 423 study participants. Data were collected by semi-structured questionnaire through face to face interview. A systematic sampling technique was used to select study participants. After cleaning and checking completeness of collected data, data was entered into Epi data version 3.3.1 software and exported to Statistical Package for the Social Science (SPSS) version 21.0 for analysis. Logistic regression was used to find out the association between explanatory and response variables. Explanatory variables which fulfill the assumption of logistic regression and had a P-value less than 0.25 from bi-variable logistic regression were considered for the multivariable logistic regression model. The strength of association was evaluated using odds ratio at 95% confidence interval (CI) and P-value < 0.05 was considered to declare significant associations. Results: The prevalence of home delivery in this study was 36.64% (n=155/423 and it had significant association with illiteracy AOR=2.7 [(95%CI); (1.37-5.43)], multi-gravida AOR=2.12 [(95%CI); (1.09-4.10)], history of antenatal care (ANC) follow up AOR=4.15 [(95%CI); (2.57-6.70)] and husband educational status AOR=13.5 [(95%CI); (2.86-63.62)]. Conclusion: The prevalence of home delivery in this study was high compared to world health organizational recommendation. Educational status of the mother, gravida, antenatal care follow up and husband educational status were factors that had a significant association. Women empowerment through educational opportunities, increase antenatal care follow up and male involvement in maternal health service are recommended

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