Assesment of Factores Affecting Safe Delivery Care Service Utilization In Brna Tsemay Woreda, South Omo Zone, SNNPR, Ethiopia

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Addis Abeba Universty


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.



Assesment of Factores Affecting Safe Delivery