Browsing by Author "Temesgen Kababa"

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    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
    (Addis Ababa University, 2014-06) Temesgen Kababa; Kibie Yezabnesh
    Background: High maternal mortality rate is one of the major public health concerns indeveloping countries including Ethiopia. Most of the deaths are caused by factors attributed topregnancy and childbirth. In Ethiopia about 10% of women delivered in health facility with widevariation 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 amongmothers who gave birth during five years preceding the survey in Wayu town, Roomie RegionalState, 2014. Methods and Materials: A cross sectional analytical study was carried out among women withchildren less than five years prior to survey conducted in from January,2014 to May, 2014 inWayu town. Systematic random sampling technique was used to select 371 participants. A pretested and structured questionnaire was used to collect data. Bivariate and multivariate logisticregression data analysis was performed using SPSS version 21.0 software. Statistical tests weredone at a level of significance of p < 0.05. Result: A total of 371 women were recruited into the study, whereby 107(28.8%) of the motherswere in the age range of 20 – 24 years, 342 (92.2%) were married, 237 (63.9%) were educatedand 134(36.1%) were unable to read and write. The study indicated that 175(47.2%) of themothers delivered in health facilities and 196(52.8%) mothers who gave birth at home. Of196(52.8%) mothers who gave birth at home, 52 (14%) deliveries conducted by Traditional birthattendants and 142 (38.3%) without any assistance of skilled personnel while only two deliveriesoccurs on the way to health facility. The common reasons for home delivery were sudden onsetof 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) werestatistically 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. Alarge proportion (53%) of mothers gave birth at home without a skilled attendant. AssociatedFactors such as maternal education, parity, socio economic status, and frequency of antenatalcare visit were statistically significant predictors with delivery in health facility. Recommendation: Community education about pregnancy, child birth and postpartum, trainingall Health Extension Workers so that they could have some midwifery skills, and Information,education, communication, and empowering mothers are recommended. A qualitative studyapproach need to be conducted in both urban and Rural of the wereda and should involve healthcare providers to have deeper understand of factors affecting delivery in health facilityVersion No 1, version Date 11/06/2014