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

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.

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

BMC Public Health ◽

10.1186/s12889-019-7854-2 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 3

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.

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

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i49b33351 ◽

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.

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Knowledge on Intrapartum Danger Sign Influences Place of Delivery: The Case of Raya Kobo District, Northeastern Ethiopia

International Journal of Child Health and Nutrition ◽

10.6000/1929-4247.2021.10.02.1 ◽

2021 ◽

Vol 10 (2) ◽

pp. 44-50

Author(s):

Nigus Bililign Yimer ◽

◽

Misgan Legesse Liben

Keyword(s):

Maternal Health ◽

Health Services ◽

Antenatal Care ◽

Institutional Delivery ◽

Maternal Health Services ◽

District Health ◽

Delivery Service ◽

Danger Signs ◽

Study Participants ◽

Institutional Delivery Service

Background: A skilled birth attendance for every pregnant woman during childbirth is the most crucial intervention for improving maternal health. This study aimed to assess institutional delivery service utilization and associated factors among mothers who gave birth in the last 12 months in Raya Kobo district, Ethiopia. Methods: A community-based cross-sectional study was carried out in the Raya Kobo district of Amhara Regional State during March 2016. Logistic regression analysis was performed to assess the association between each independent variable and the outcome variable. Variables with a p-value <0.05 were considered significant. Results: A total of 493 mothers were included in the study, with a response rate of 95.4%. The mean (+SD) age of the study participants was 29.13 (±6.93) years. About 73% of the study participants had attended at least one antenatal care follow up for their last pregnancy, and 56.6% (95% CI: 52.0, 61.0%) gave birth at health institutions. Travelling for 30 minutes and less [AOR=2.95(1.89, 4.58)], attending antenatal care [AOR=6.0(3.55, 10.13)], having knowledge about intrapartum danger signs [AOR=2.48(1.44, 4.24)] and getting information from health extension workers (HEWs) regarding maternal health services were positively associated. Conclusion: The district health office should strengthen its effort to provide free ambulance accessibility and provide information on danger signs of intrapartum complications and the importance of using institutional delivery service to every mother who came to the antenatal clinic. Furthermore, the district health officials should focus on strengthening the capacity of HEWs in relation to maternal health services.

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The effect of antenatal care on use of institutional delivery service and postnatal care in Ethiopia: a systematic review and meta-analysis

BMC Health Services Research ◽

10.1186/s12913-018-3370-9 ◽

2018 ◽

Vol 18 (1) ◽

Cited By ~ 18

Author(s):

Gedefaw Abeje Fekadu ◽

Getachew Mullu Kassa ◽

Abadi Kidanemariam Berhe ◽

Achenef Asmamaw Muche ◽

Nuradin Abusha Katiso

Keyword(s):

Systematic Review ◽

Antenatal Care ◽

Postnatal Care ◽

Institutional Delivery ◽

Meta Analysis ◽

Delivery Service ◽

Institutional Delivery Service

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Knowledge on Intrapartum Danger Sign Influences Place of Delivery: The Case of Raya Kobo District, Northeastern Ethiopia

International Journal of Child Health and Nutrition ◽

10.6000/1929-4247.2021.10.01.6 ◽

2020 ◽

Vol 10 (1) ◽

pp. 44-50

Author(s):

Nigus Bililign Yimer ◽

Misgan Legesse Liben ◽

Keyword(s):

Maternal Health ◽

Health Services ◽

Antenatal Care ◽

Institutional Delivery ◽

Maternal Health Services ◽

District Health ◽

Delivery Service ◽

Danger Signs ◽

Study Participants ◽

Institutional Delivery Service

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Factors Associated with the Utilization of Institutional Delivery Service among Mothers

Journal of Nepal Health Research Council ◽

10.3126/jnhrc.v15i3.18845 ◽

2018 ◽

Vol 15 (3) ◽

pp. 228-234 ◽

Cited By ~ 2

Author(s):

Pratima Pathak ◽

Shovana Shrestha ◽

Rashmi Devkota ◽

Basanta Thapa

Keyword(s):

Logistic Regression ◽

Regression Analysis ◽

Logistic Regression Analysis ◽

Institutional Delivery ◽

Multivariable Logistic Regression Analysis ◽

Birth Preparedness ◽

Delivery Service ◽

Factors Associated ◽

Number Of Factors ◽

Institutional Delivery Service

Background: Assessment of utilization of institutional delivery services is crucial to reduce risk of maternal mortality and morbidity in countries like Nepal. This study was conducted to find out the proportion of utilization of institutional delivery service and associated factors among mothers.Methods: Data was collected from the total of 129 mothers of Kathar VDC, Chitwan district who delivered baby within last one year proceeding the period of data collection using census method. Descriptive statistics and binary logistic regression analysis were applied.Results: Out of 129 mothers, 78.3% had their delivery in the health facilities. Binary logistic analysis showed number of factors associated with utilization of institutional delivery service such as ethnicity, respondents educational level, number of pregnancy, number of ANC visit and birth preparedness status. But in the multivariable logistic regression analysis, no. of ANC visit (AOR = 10.03, 95 % CI = 1.02-98.29) was only independent factors affecting institutional delivery service utilization.Conclusions: A number of factors have been shown to affect the utilization of institutional delivery. Therefore, concerned authority should plan and implement awareness programme aiming at increasing antenatal clinic visits and utilization of institutional delivery service.

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Magnitude and Factors Associated with Institutional Delivery Service among Women who have Antenatal Care Follow-Up at Hawassa University Referral Hospital, Ethiopia, 2016

Diversity & Equality in Health and Care ◽

10.21767/2049-5471.100087 ◽

2017 ◽

Vol 14 (1) ◽

Author(s):

Zelalem Tenaw ◽

Mekdes Mekonnen ◽

Mina Mengistu ◽

Tiruwork Getahun

Keyword(s):

Antenatal Care ◽

Institutional Delivery ◽

Referral Hospital ◽

Delivery Service ◽

Factors Associated ◽

Hawassa University ◽

Institutional Delivery Service

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

10.21203/rs.3.rs-49944/v1 ◽

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.

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ANALISIS HUBUNGAN SARANA, PENGETAHUAN, DAN SIKAP BIDAN PRAKTIK MANDIRI DENGAN KEPATUHAN MENJALANKAN STANDAR PELAYANAN ANTENATAL CARE DI KOTA PADANGSIDIMPUAN

Jurnal Penelitian Kebidanan & Kespro ◽

10.36656/jpk2r.v2i1.178 ◽

2019 ◽

Vol 2 (1) ◽

pp. 27-33

Author(s):

Megawati Sinambela ◽

Evi Erianty Hasibuan

Keyword(s):

Logistic Regression ◽

Regression Analysis ◽

Antenatal Care ◽

Pregnant Women ◽

Logistic Regression Analysis ◽

Care Service ◽

Multivariate Logistic Regression Analysis ◽

Bivariate Analysis ◽

Cross Sectional ◽

The North

Antenatal care is a service provided to pregnant women to monitor, support maternal health and detect mothers whether normal or problematic pregnant women. According to the WHO, globally more than 70% of maternal deaths are caused by complications of pregnancy and childbirth such as hemorrhage, hypertension, sepsis, and abortion. Based on data obtained from the profile of the North Sumatra provincial health office in 2017, in the city of Padangsidimpuan in 2017 the coverage of ANC visits reached (76.58%) and had not reached the target in accordance with the 2017 Provincial Health Office strategy plan (95%). This type of research was an observational analytic study with a cross sectional design. The population in this study were independent practice midwives who were in the Padangsidimpuan, the sample in this study amounted to 102 respondents. The technique of collecting data used questionnaires and data analysis used univariate, bivariate and multivariate analysis with logistic regression analysis. Based on bivariate analysis showed that there was a relationship between facilities, knowledge and attitudes of independent midwives with compliance with the standards of antenatal care services with a value of p <0.05. The results of the study with multivariate logistic regression analysis showed that the factors associated with the compliance of independent midwives in carrying out antenatal care service standards were attitudes with values (p = 0.026).

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PENGARUH KARAKTERISTIK IBU DAN PELAYANAN ANTENATAL CARE TERHADAP KEJADIAN BAYI BERAT LAHIR RENDAH DI KLINIK PRATAMA BERTA TAHUN 2015

Elisabeth Health Jurnal ◽

10.52317/ehj.v1i2.199 ◽

2016 ◽

Vol 1 (2) ◽

pp. 37-47

Author(s):

Juliana Ambarita ◽

Merlina Sinabariba

Keyword(s):

Logistic Regression ◽

Antenatal Care ◽

Pregnant Women ◽

Birth Spacing ◽

Observational Research ◽

Easy Access ◽

Regression Result ◽

Multiple Logistic Regression ◽

Number Of Visits ◽

Maternity Clinic

Babies born with low birth weight (LBW) are babies born with weight ≤ 2500 grams. The causes of LBW are age, birth spacing, education, antenatal care. Goals : This study aims to analyze the influence of mother characteristics (education, maternal age, age of pregnancy, parity and distance between births) and antenatal care service (ANC) (number of visits and 7T examination components) to events at Primary Maternity Clinic Berta. Methods : This type of research is an observational research using cross sectional design approach. The population is all mothers giving birth at Maternity Clinic Pratama Berta 172 people. The sample amounted to 153 people with simple random sampling technique. Analysis of data with Chi Square and Multiple Logistic Regression (multiple logistic regression). Result : The results showed that the incidence of BBLR of 11.1%. Multiple logistic regression results stated the distance between births (p = 0.027) and the number of visits (p = 0.042) had an effect on the occurrence of LBW. The Exp value (B) of the birth distance is 3.386, so it can be concluded that pregnant women whose birth distance <24 months have 3 times greater probability of baby experiencing LBW and Exp (B) ANC service amounted to 8,496, so it can be concluded that pregnant women His ANC service is not good has a probability 8,496 times larger the baby has LBW. Conclution : For Employees at the Maternity Clinic, Berta provides easy access to ANC services and conducts reproductive health education for pregnant women about the health of pregnant women, the importance of ANC testing during pregnancy and the importance of using long-term contraceptives to regulate birth spacing.

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