Assessment of Magnitude of Utilization the Skilled Birth Attendance Services in Hargeisa, Somaliland, 2016

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Addis Abeba Universty


Background: Pregnancy and child birth complications are the leading causes of death and disability among women of reproductive age in developing countries including Somaliland, where maternal mortality ratio is one of the highest in the world. According to the world health organization, having a skilled birth attendant at every delivery can lead to marked reductions in maternal mortality. In Somaliland, most births take place at home, being not attended by a skilled birth attendant. The utilization of maternal health services is a complex phenomenon and it is influenced by several factors. Objectives: This study assessed the magnitude of Utilization skilled birth attendee services among mothers who gave birth in the last one year in Hargeisa, Somaliland. Methods: Community-based cross-sectional study was conducted from February to May 2014. A multistage sampling technique was used to select 435 mothers. A structured, pre-tested, and interviewadministered questionnaire was used to collect data on the magnitude of Utilization of Skilled birth attendance was employed to collect the data. Data were entered and analyzed by SPSS version 22. Binary logistic regression model was used to identify associated factors. Odds ratio with 95% CI with p value of 44% was computed to assess the strength and significant level of the association Results: A total of 434 mothers were included in the analysis. Only 44% of births were attended by SBAs. In multivariate analysis, Women education ( AOR=4.4, 95% CI 2.017,9.958), ANC visit during the last pregnancy (AOR=2.2 95%CI 0.964,5.476), experience of health problem (AOR=3.2 95% CI 2.097,4.899), and favorable attitude towards danger signs of pregnancy, child birth and delivery (AOR=12.6, 95%CI 5.043,31.900) were most significant determinants of SBA use by mother. Age of respondents and distance to nearest health facility had also a significant effect on skilled birth attendant utilization with (AOR= 5, 95%CI 0.734, 44.977) and (AOR= 4.6, 95%CI 1.23, 17.74) respectively. Conclusion and recommendation: Utilization of skilled delivery attendance services was still low with a high number of deliveries being attended by unqualified persons at home. Age of respondents, distance and knowledge of danger signs of pregnancy are the determinants of use of skilled birth attendance in Hargeisa Somaliland. Promotion of universal ANC follow-up and encouragement of mothers regarding the need for SBAs during childbirth is of paramount importance. Increase the awareness of mothers about the benefits of institutional delivery and SBAs is very fundamental.



Assessment of Magnitude of Utilization