Demographic and Socio-Economic Factors Affecting Maternal Health Service Utilization among Women in Reproductive Age Group in Addis Ketema Sub-City, Addis Ababa, Ethiopia

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Addis Ababa University


Maternal mortality is unacceptably high, about 295,000 women died during and following pregnancy and child birth in 2017. The vast majority of this death (94%) occurred in lowresource settings and most could have been prevented. The purpose of this study was to examine demographic and socio-economic factors that affect the utilization of maternal health care service of reproductive aged women lived in all weredas of Addis Ketema sub city. The study addresses three objective and try to answer three questions. A mixed based study design method was used to address those objectives and to answer the research questions. The study population comprises of 8145 childbearing age women lived in the sub city at least for six months having less than three years of age children and total of 343 study participants were selected by systematically random sampling method for quantitative study. Three methods of data collection were used those are quantitative questionnaire, professional focus group dissolution and in-depth interview selected from quantitative study participant selected based on a list of selection criteria. The data analyzed by frequency, percentage, binary regression and multiple logistic regression by using SPSS 23 processing software. Findings revealed that 207 (60.3%) of the respondents were between the ages of 20-34 years, 110 (32.1%) had attained secondary level education. Significant proportions 162 (47.4%) were unemployed or house wives, while among the husband’s occupation only 23 (6.7%) were unemployed. Based on the monthly income, more than half (60.9%) had monthly per capita income of less than the middle level or average income. Use of maternal health services revealed 322 (93.9%) of respondents were use at least one skilled antenatal care service, among those had at least one antenatal care service the majority 193 (60%) were registered at second trimester and almost half of the participant 164 (50.9%) made at least four antenatal care visits. According to place of delivery 305 (88.9%) were delivered in modern health institution. The strength of association was checked by adjusted odds ratio and by level of significance (p value). It was concluded that utilization was high though very few registered at first trimester and considerable high proportion of women delivered at home compared with the last EDHS report of Addis Ababa. It was recommended that determinants of MHS utilization are multi-sectorial approach to tackle it.



include maternal health service utilization, antenatal care, skilled delivery attendance, postnatal care.