Assesment of Factores Affecting Safe Delivery Care Service Utilization In Brna Tsemay Woreda, South Omo Zone, SNNPR, Ethiopia
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Date
2010-07
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Addis Abeba Universty
Abstract
Background: Every minute, at least one woman dies from pregnancy-related causes: 99% of
these are in developing countries. The majority of these deaths occur in sub-Saharan Africa, and
is avoidable by using standard interventions and health care which all pregnant women and their
newborns need.
Objective: The main objective of this study is to assess factors affecting safe delivery care
service utilization in Bena Tsemay Wereda.
Methods: A cross sectional community based study which was supplemented by qualitative
method was conducted in Bena Tsemay Wereda from August, 2009 to June, 2010. A multistage
sampling technique was used to select 426 women who had childbearing experience in the past
five years prior to the study. To collect the quantitative data, well structured, pre-tested
questionnaire was administered by data collectors. To supplement the quantitative information
FGD and key informant interviews were conducted. Bivariate analysis of chi-square statistics
and binary logistic regression is used to show the association of different variables with the
dependent variable. Moreover, a multivariate analysis was implemented to identify factors that
affect the utilization of safe delivery care utilization.
Result: From the total of 426 mothers, 386 (90.6%) delivered their last child at home and only
40 (9.4%) at health institution. Among the home delivery the distribution of birth attendants was
25.4% TBA, 36.5% relatives and 22.8% their neighbours. Most of the respondents’ reasons for
home delivery; 114 (29.2%), were reported that the HI was too far and there was no
transportation and the other 93 (24.1%) due to their wish to deliver by nearby relatives. On the
other hand, 52.5% of the respondents who deliver at HI were informed to deliver at HI. In
multivariate analysis knowledge on DS, attitude towards institutional delivery, FP utilization,
educational status of the mother, radio availability, walking distance of the HF, problem faced
related to pregnancy or child birth and sex of health professional were found to be factors
affecting safe delivery care utilization.
Conclusion and Recommendation: The utilization of safe delivery care service was very low in
the woreda. Most of the important factors influencing the utilization of safe delivery care
services were socio economic, health service related factors and factors related to the mothers
like attitude and knowledge on DS. So improving education for both groups especially girls,
beyond the primary school, needs to be strongly encouraged. Health care providers should
provide information on risks of pregnancy, benefits of giving birth at health facilities, danger
signs during pregnancy and labor to mothers, family members and the community consistent to
the focused ANC service provision.
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Assesment of Factores Affecting Safe Delivery