Assessment of the Magnitude and Factors Affecting Safe Delivery and Postpartum Services Utilization Among Women of Reproductive Age Group Living in Ambo Town &amp; Its Surroundings Area, West Shewa Zone, Oromia Regional State, Centeral Ethiopia
Creators: name: Argaw, Abate
Publisher: name: National Academic Digital Repository of Ethiopia
Year: 2009

description: Background: The leading causes of disability and death among women of child bearing age arise from the complication of pregnancy and child birth. Safe delivery and post natal care services form the pillar of safe motherhood strategies to reduce pregnancy related preventable women's and their children's mortality, morbidity and long term disability. Objective: to assess the magnitude and factors affecting Safe delivery and postnatal service utilization among women of reproductive age living in Ambo town and its area Methods: A community based cross-sectional study was conducted from March to April 2009 on mothers aged 18 to 49 years who have had at least one birth during the last 5 years. A multi stage sampling technique was used to select the sample of 581 women. Data were collected through structured pre tested and semi structured questionnaire and check lists. The questionnaire consists of socio demographic variables, attitude of mothers towards utilization of safe delivery and post natal services. FGD, in-depth interview and Review of records were used to support the quantitative study. Data were entered into EPI Info version 6.04 and analyzed on SPSS version 11.0 for windows computer soft ware. X2 test and odds ratio were used to determine significance and strength of association between independent and dependent variable. Logestic regration analysis was done to assess the relation effect factors. The study was conducted after approval of Institutional review board of medical faculty AAU and informed consent was taken from study participants prior to the actual survey. Result: The study revealed that from the total, 389(67%) and 98(17%) of the respondents utilized antenatal and post natal care respectively. Women's education, income, marital status, previous use of peri natal and post natal care, payment for the services were significantly associated with the utilization of safe delivery services at p&lt;0.05. But maternal age, gravidity, parity did not show significant association with health institutional delivery. III On the other hand mothers residence, ethnicity, education, number of pregnancy, child birth and still birth, previous birth complication, and place (Delivery at Health institution) of last delivery were showed an association with maternal use of PNC at P&lt;0.05. Income and Education were independent predictors for maternal health service utilization since they showed a significant association in both bivariate and multi variate analysis. Conclusion: Safe delivery and PNC services utilization depend on women and health worker factors. Demographic and socio-cultural factors were found to be barriers to the utilization of safe delivery services and proportion of births delivered in health facilities is low in the area. User and provider (health system) interrelation determine the utilization of maternal health service. Cognizant of this, investment on female education, providing information to mothers on use of perinatal health service (ANC), improving women's income and status, giving adequate information to community about maternal health care are found to be more important determinant factors for the improvement of safe delivery and PNC services utilization.