Institutional delivery services utilization and its determinant factors among women who gave birth in the past 24 months in Southwest Ethiopia

• Published in: BMC health services research Vol. 20; no. 1; pp. 265 - 10
• Main Authors: Yoseph, Metsehet, Abebe, Solomon Mekonnen, Mekonnen, Fantahun Ayenew, Sisay, Mekonnen, Gonete, Kedir Abdela
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 30-03-2020; BioMed Central; BMC
• Subjects: Adolescent; Adult; Anemia; Childbirth & labor; Comparative analysis; Cross-Sectional Studies; Data collection; Decision Making; Delivery (Childbirth); Delivery services; Delivery, Obstetric - statistics & numerical data; Developing countries; Ethiopia; Facilities and Services Utilization - statistics & numerical data; Factors; Female; Health facilities; Health services utilization; Home Childbirth - statistics & numerical data; Humans; Institutional delivery; Knowledge; LDCs; Maternal Death; Maternal mortality; Middle Aged; Mothers; Mothers - statistics & numerical data; Obstetrics; Patient Acceptance of Health Care; Population; Postnatal mothers; Pregnancy; Principal components analysis; Questionnaires; Regression analysis; Response rates; Rural areas; Rural health care; Sample size; Sociodemographics; Surveys and Questionnaires; Urban health care; Women; Womens health; Young Adult; Ethiopia; Institutional delivery; Postnatal mothers; Ethiopia; Factors
• ISSN: 1472-6963; 1472-6963
• DOI: 10.1186/s12913-020-05121-9

Institutional delivery is a delivery that takes place at any medical facility staffed by skilled delivery assistance. It is estimated that using institutional delivery could reduce 16 to 33% of maternal deaths. Despite the importance of delivering at health institutions, in Ethiopia, mothers prefer to give birth at home. Therefore, the aim of this study was to compare institutional delivery service utilization and associated factors among rural and urban mothers in Mana district, Jimma Zone, Southwest Ethiopia, 2017.
A community based comparative cross sectional study was conducted in Mana district, Southwest Ethiopia from March to June, 2017. A stratified probability sampling technique was used to select a total of 1426 (713 urban, 713 rural) study participants. Data were collected from mothers who gave birth in the past 24 months by using a structured and pretested questionnaire.
The overall prevalence of institutional delivery service utilization was 86.4%. Higher number of antenatal care visits, having good knowledge on the danger signs of labor, increased wealth index, primary and above educational level of the husband, mothers age below 40-year, and less than 30-min travel time to the nearby health institutions had significantly increased the rate of institutional delivery service utilization.
Institutional delivery service utilization is high in the study area. Maternal awareness of danger signs of labor, frequent ANC visit and better education of husband, and household wealth predicted the utilization of the service. Therefore, due attention need to be given to enhancing education, expanding health institutions and creating awareness on advantage of antenatal care follow up and danger signs to make all pregnancies delivered at health institutions.