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 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 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 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 Delay in Making Decision to Seek Institutional Delivery Service Utilization and Associated Factors among Mothers Attending Public Health Facilities in Dawuro Zone, Southern Ethiopia

2020 ◽  
Vol 5 (1) ◽  
Keyword(s):  
Public Health ◽  
Service Utilization ◽  
Associated Factors ◽  
Institutional Delivery ◽  
Health Facilities ◽  
Delivery Care ◽  
Time Interval ◽  
Delivery Service ◽  
First Onset ◽  
Institutional Delivery Service

Background: Delay in institutional delivery refers to the time interval from the first onset of labour to start to receiving first healthcare. Delay in deciding to seek care (first delay), identifying and reaching medical facility (second delay), and receiving adequate and appropriate treatment (third delay) are three major factors that contribute to maternal death in developing countries. The time interval from the first onset of labour to decision to seek emergency obstetric care from health facility and time longer than the expected time (one hour) is considered as first delay. Objective: This study was aimed to investigate delay in deciding to seek institutional delivery care and associated factors among mothers attending public health facilities in Dawuro zone. Methods: Institution based cross-sectional study was employed from March 1-30, 2017. Consecutive sampling technique was used to interview mothers who presented to health facilities to receive delivery service. Data were collected using structured interviewer administered questionnaire. Results: Total of 394 mothers were participated in the study. One hundred sixty six [42%] of the study subjects were delayed in making decision to seek delivery service utilization from health facilities. A significant relationship was found between mother’s residence in rural areas, mother’s educational level primary and below, average monthly income of the family < 1000 ETB & mother’s antenatal care visit less than 4 times and first delay (maternal delay to seek institutional delivery care). Conclusion: Significant number [42%] of mothers delayed in making decision to seek delivery service utilization from health facilities. Therefore, strategies to identify determinants of delay in making decision to seek institutional delivery service and enhance practices for further reduction in this delay is needed.

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

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.

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.

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