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Determinants of use of skilled birth attendance among mothers who gave birth in the past 12 months in Raya Alamata District: community based Comparative cross sectional study

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dc.contributor.advisor Ali, Ahmed (PhD)
dc.contributor.author Tadese, Fentaw
dc.date.accessioned 2018-08-06T08:39:19Z
dc.date.available 2018-08-06T08:39:19Z
dc.date.issued 2013-06
dc.identifier.uri http://localhost:80/xmlui/handle/123456789/11035
dc.description.abstract Background: A large number of women are dying due to factors related to pregnancy and childbirth, especially in developing countries including Ethiopia, where maternal mortality ratio is one of the highest in the world. It is known that having a skilled birth attendant at every delivery can lead to marked reductions in maternal mortality. In Ethiopia, most births take place at home, particularly in rural areas, being not attended by a skilled birth attendant. The utilization of maternal health services is a complex phenomenon and it is influenced by several factors. Objectives: This study assessed factors that determine the utilization of skilled birth attendants among mothers who gave birth in the past 12 months in Raya Alamata District, Tigray Region, Ethiopia. Methods: Community-based comparative cross sectional study was conducted among mothers who gave birth in the past 12 months. Mixed methods of study combining both quantitative and qualitative research were used. A total of 580 study participants were recruited for the study. The investigator prepared pre-tested and structured questionnaire to collect data. Logistic regression was performed using SPSS version 16.0 software and thematic interpretation based on main categories was done for the qualitative data. Results: A total of 567 mothers (172 urban and 395 rural) were included in the analysis. Only 23.1% of births were attended by SBAs. Over 44% of urban women delivered with skilled assistance compared to 13.9% of rural women. In multivariate analysis urban residence (AOR = 2.2, 95%CI: 1.2, 4.0), maternal formal education (AOR=5.2, 95%CI: 3.0-8.8), ANC visit during the last pregnancy (AOR = 3.8, 95%CI: 2.0-7.3), joint final decision making (AOR=3.3, 95%CI: 1.9-6.1), knowledgeable (AOR=2.95, 95%CI: 1.7-5.1) and favourable attitude towards danger signs of pregnancy, child birth and delivery services (AOR=2.6, 95%CI: 1.3-5.1) were most significant determinants of SBA use by mother. Age at interview 15-24 and 25-34 had also a significant effect on skilled birth attendant utilization with (AOR=4.8, 95%CI: 2.0-11.6) and (AOR=3.8, (95%CI: 1.7-8.6) respectively. Conclusion and recommendation: Utilization of skilled delivery attendance services was still low with a high number of deliveries being attended by unqualified persons at home. Promotion of universal ANC follow-up and encouragement of mothers regarding the need for SBAs during childbirth is of paramount importance. Increase the awareness of mothers and their partners about the benefits of institutional delivery and SBAs and use of different means of behavioral change communication is very fundamental. en_US
dc.language.iso en en_US
dc.publisher Addis Abeba Universty en_US
dc.subject Determinants of use of skilled birth attendance en_US
dc.title Determinants of use of skilled birth attendance among mothers who gave birth in the past 12 months in Raya Alamata District: community based Comparative cross sectional study en_US
dc.type Thesis en_US


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