Assessment of factors Affecting Utilization of Institutional Delivery Among Women of Childbearing age in Harari Region, East Ethiopia

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Addis Abeba Universty


Introduction: Institutional delivery, a childbirth conducted by skill attendant in health facility built, equipped and managed to provide safe delivery service as one of its function, is responsible to provide greater assurance to find skilled attendant, essential equipment and drugs to manage labour and referral transportation as the need arises. Objective: This study assessed factors that affect utilization of institutional delivery among child bearing age women in Harari Region. Methodology: Community based unmatched case control study complemented with qualitative design was employed to assess factors that affect utilization of institutional delivery. Totally, 462 mothers 154 cases and 308 controls who had delivery within the last 24 months were enrolled and interviewed with pre tested questionnaire using Face-to-face interview & in-depth interview of key informants as data collection methods. EPI INFO Version 3.5.1 and SPSS version 15 statistical software were used to enter and analyze the data, respectively. Descriptive statistics, Univariate, Bivariate and Multivariate analysis of logistic regression as well as X2 test were used to determine factors that affect institutional delivery utilization. P-Value less than 5%, OR with 95% CI were used to show statistically significant association. Results: This study singled out a number of factors that affect institutional delivery utilization, mothers with secondary and more educations were 5.8 times more likely to use facility delivery compared with those had no formal education. Similarly mothers from house holds with 500ETB and more monthly income were 2.4 times more likely to use facility delivery. Obstetric factors such as ANC use, previous delivery complications, previous facility delivery utilization, Knowledge of risk associated with home delivery and benefit of institutional delivery were found to be independent predictors of institutional delivery utilization. Conclusion and Recommendations: factors that affect facility delivery utilization found to be different and interrelated at individual, family and community level. Based on these facts Promotion of women/girl education, promotion of income generating activities, health information, communication based on obstetric risk and benefit of safe delivery, organizing and promoting mother and community support group to improve awareness on planned and safe delivery are recommended.



Assessment of factors affecting utilization