Socio-Economic and Demographic Determinants of Antenatal and Delivery Care Utilization in Rural Kebeles of Kalu Wereda, Debub Wollo Zone, Amhara Region

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Addis Ababa University


Each year a large number of women are dying due to factors associated with pregnancy and childbirth in developing countries. Antenatal and delivelY care are the most important interventions for reducing maternal and child mortality. A community based cross-sectional survey was conducted in Februwy 2009 with the main objective of assessing socio-economic alld demographic factors that determine antenatal and delivelY care utilization in rural kebeles of Kalu wereda, Debub Wollo Zone, Amhara Region. Simple random sampling technique was used to select representative kebeles and enumeration areas. A total of 312 women who were pregnant at the time of the surveyor had live births within the 3 years preceding the survey date were the respondents for the survey. Quantitative and qualitative methods of data collection were employed to gather the required infonnation ji-om the respondents. The result of the study revealed that 37.2% of the women received ANC either during the current pregnancy or at the time of their previous pregnancies and the majority of them (65.5%) made 2-3 ANC visits. About 40% of 1V0men visited health facilities for ANC check up ill the third trimester of their pregnancy. Concerning the latest births, (85.2%) of the babies were delivered at hOllle and about 37% and 25% of the deliveries were attended by untrained traditional birth attendants and relatives, respectively. The bivariate test shows that age, average monthly income, total children ever born, average time taken to reach the nearest health facility and education have statistically significant association with utilization of ANC with (X1=1 01 .7, P=O.OOO), (X2=23.7, P=O.OOO),( x'=53.4, P=O.OOO), (X2=21.1, P=O.OOO).( X'=50.9, P=O.OOO)). In addition, age, average monthly income, total number of children ever born, average time taken to reach the nearest health facility and education also shows statistically significant association with utilization of health facility delivelY with (x'=8.1, P=0.017), (x'=9.9, P=0.007), (x'=12.5, P=0.002), (x'=l/, P=O.OOI) and (X2=12.2, P=O.OOO), respectively. Moreover, the multivariate analysis revealed that age, average monthly income, awareness about benefit of ANC have significant relationship with utilization of ANC. Likewise, total number of children ever born, marital status and access to radio are found to have significant effect on utilization of health facility delivelY. Being in a state of good health was the main reason for not using ANC, while, it is usual practice is reported as the main reason for home delivelY. Promoting the use of ANC, postnatal care and facility-based and safe home based deliveries by providing information and education on maternal service utilization, encouraging women education and improving the status of women in the community are recolllmended.



Socio-economic, Demographic Determinants