Institutional delivery service utilization and associated factors in Banja District, Awie Zone, Amhara Regional Sate, Ethiopia
Affiliation(s)
Amhara Regional State Health Bureau, Bahir Dar, Ethiopia. GAMBY College of Medicine and Health Sciences, Bahir Dar, Ethiopia. College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Amhara Regional State Health Bureau, Bahir Dar, Ethiopia. GAMBY College of Medicine and Health Sciences, Bahir Dar, Ethiopia. College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
ABSTRACT
Introduction: Many women lose their lives in the process of giving life. Maternal mortality remains high in the developing world. This study was conducted to assess institutional delivery service utilization and associated factors in Banja District, Amhara region, Ethiopia, 2013. Methods: A community-based cross-sectional study was conducted among mothers who gave birth in the last two years prior to the study in Banja District from June to July 2013. Multistage sampling technique was used to select the total of 394 study participants. Data were collected by means of a pretested standardized questionnaire. Analysis was carried out by using SPSS version 16. Crude and adjusted odds ratio with 95% confidence interval was calculated by using binary logistic regression. p-value less than 0.05 was considered as statistically significant. Results: The study indicated that only 15.7% of the respondents delivered in health institution. Age of mothers 15-24 years, educational status of the mothers with secondary and above, the existence of educated family members, mothers with previous experience with institutional delivery and mothers’ Knowledge on the danger signs of labor were significantly associated with institutional delivery service utilization at p-value less than 0.05. Conclusions: Institutional delivery service utilization in the study area was low (15.7%). Therefore, policy makers, health planers and programmers should recognize determinants of institutional delivery service utilization. More efforts should be given to educate mothers and families. Previous experience sharing and knowledge transfer will be crucial to bring expected institutional delivery utilization.
Introduction: Many women lose their lives in the process of giving life. Maternal mortality remains high in the developing world. This study was conducted to assess institutional delivery service utilization and associated factors in Banja District, Amhara region, Ethiopia, 2013. Methods: A community-based cross-sectional study was conducted among mothers who gave birth in the last two years prior to the study in Banja District from June to July 2013. Multistage sampling technique was used to select the total of 394 study participants. Data were collected by means of a pretested standardized questionnaire. Analysis was carried out by using SPSS version 16. Crude and adjusted odds ratio with 95% confidence interval was calculated by using binary logistic regression. p-value less than 0.05 was considered as statistically significant. Results: The study indicated that only 15.7% of the respondents delivered in health institution. Age of mothers 15-24 years, educational status of the mothers with secondary and above, the existence of educated family members, mothers with previous experience with institutional delivery and mothers’ Knowledge on the danger signs of labor were significantly associated with institutional delivery service utilization at p-value less than 0.05. Conclusions: Institutional delivery service utilization in the study area was low (15.7%). Therefore, policy makers, health planers and programmers should recognize determinants of institutional delivery service utilization. More efforts should be given to educate mothers and families. Previous experience sharing and knowledge transfer will be crucial to bring expected institutional delivery utilization.
Cite this paper
Wolelie, A. , Aychiluhm, M. and Awoke, W. (2014) Institutional delivery service utilization and associated factors in Banja District, Awie Zone, Amhara Regional Sate, Ethiopia. Open Journal of Epidemiology, 4, 30-35. doi: 10.4236/ojepi.2014.41006.
Wolelie, A. , Aychiluhm, M. and Awoke, W. (2014) Institutional delivery service utilization and associated factors in Banja District, Awie Zone, Amhara Regional Sate, Ethiopia. Open Journal of Epidemiology, 4, 30-35. doi: 10.4236/ojepi.2014.41006.
References
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[1] International Information Support Center. Mother and child health.
http://www.asksource.info/res_library/mother.htm [2] United Nations Children’s Fund (UNICEF) (2008) Progress for children: A report card on maternal mortality. http://www.unicef.org/childsurvival/files/Progress_for_Children-No._7_Lo-Res_082008.pdf [3] WHO, UNICEF, UNFPA and The World Bank Estimate Trends in maternal mortality: 1990 to 2010. [4] WHO (2013) Millennium development goal 5: Improve maternal health.
http://www.who.int/mediacentre/factsheets/fs290/en/ [5] United Nations (2008) Millennium development goals report. New York, 24-25. [6] Central Statistical Agency [Ethiopia] and ORC Macro (2006) Ethiopia demographic and health survey (EDHS) 2005. Central Statistical Agency and ORC Macro, Addis Ababa, Ethiopia and Calverton, Maryland. [7] Central Statistical Agency [Ethiopia] and ICF International (2012) Ethiopia Demographic and health survey (EHHS) 2011. Central Statistical Agency and ICF International, Addis Ababa, Ethiopia and Calverton, Maryland. [8] Health Management Information System Report of Banja District Health Office for Year 2012/13. (Unpublished Report for Banja District Health Office). [9] Nigussie, M., Haile, M.D. and Mitike, G. (2004) Assessment of safe delivery service utilization among mothers of childbearing age in north Gondar Zone, North West Ethiopia. Ethiopian journal of Health Development, 18, 145-152. [10] Alemayehu, T., Mazengia, F. and Meseret, S. (2012) Institutional delivery service utilization and associated factors among mothers who gave birth in the last 12 months in Sekela District, North West of Ethiopia. BMC Pregnancy and Childbirth, 12, 74. http://dx.doi.org/10.1186/1471-2393-12-74 [11] Abera, M., Gmariam, A. and Belachew, T. (2011) Predictors of safe delivery service utilization in Arsi zone, south-east Ethiopia. Ethiop Journal of Health Sciences, 21, 101-113. [12] Amano, A., Gebeyehu, A. and Birhanu, Z. (2012) Institutional delivery service utilization in Munisa Woreda, South East Ethiopia: A community based cross sectional study. BMC Pregnancy and Childbirth, 12, 105. http://dx.doi.org/10.1186/1471-2393-12-105