Assessment of Safe Delivery Service Utilization and Associated Factors Among Mothers who Gave Birth During Five Years Preceding the Survey in Wayu Town, Oromia Regional State, 2014
Creators: name: Temesgen, Kababa
Publisher: name: National Academic Digital Repository of Ethiopia
Year: 2014

description: Background: High maternal mortality rate is one of the major public health concerns in developing countries including Ethiopia. Most of the deaths are caused by factors attributed to pregnancy and childbirth. In Ethiopia about 10% of women delivered in health facility with wide variation among regions being lowest in SNNP (5.6%) and highest in Addis Ababa (62%). Objective: This study assessed safe delivery service utilization and associated factors among mothers who gave birth during five years preceding the survey in Wayu town, Roomie Regional State, 2014. Methods and Materials: A cross sectional analytical study was carried out among women with children less than five years prior to survey conducted in from January,2014 to May, 2014 in Wayu town. Systematic random sampling technique was used to select 371 participants. A pre tested and structured questionnaire was used to collect data. Bivariate and multivariate logistic regression data analysis was performed using SPSS version 21.0 software. Statistical tests were done at a level of significance of p &lt; 0.05. Result: A total of 371 women were recruited into the study, whereby 107(28.8%) of the mothers were in the age range of 20 – 24 years, 342 (92.2%) were married, 237 (63.9%) were educated and 134(36.1%) were unable to read and write. The study indicated that 175(47.2%) of the mothers delivered in health facilities and 196(52.8%) mothers who gave birth at home. Of 196(52.8%) mothers who gave birth at home, 52 (14%) deliveries conducted by Traditional birth attendants and 142 (38.3%) without any assistance of skilled personnel while only two deliveries occurs on the way to health facility. The common reasons for home delivery were sudden onset of labor 125 (63.8%), presence of TBAs 30 (14.3%), Negative attitude of health workers 2(1%), and others 41(20.2%) were Believe in God, Fear of high cost services, Lack of skilled personnel, Poor services, Negligence of women. Factors such as; maternal education (AOR=3.746, 95%CI= 1.118, 12.552), parity (AOR=2.620, 95%CI= 1.294, 2.885), socio economic status (AOR=2.457, 95%CI=1.054, 3.837), and frequency of antenatal care visit (AOR=0.460, CI=0.271-0.783) were statistically significant predictors with delivery in health facility. Conclusion: Inadequate (47%) institutional delivery service utilization was observed in the study area though 80.3% of the mothers attended ANC services during their last pregnancy. A large proportion (53%) of mothers gave birth at home without a skilled attendant. Associated Factors such as maternal education, parity, socio economic status, and frequency of antenatal care visit were statistically significant predictors with delivery in health facility. Recommendation: Community education about pregnancy, child birth and postpartum, training all Health Extension Workers so that they could have some midwifery skills, and Information, education, communication, and empowering mothers are recommended. A qualitative study approach need to be conducted in both urban and Rural of the wereda and should involve health care providers to have deeper understand of factors affecting delivery in health facility Version No 1, version Date 11/06/2014