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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Date
2009-06
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Addis Ababa University
Abstract
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.
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Keywords
Socio-economic, Demographic Determinants