Factors Determining Choice of Delivery Place Among Women’s of Child Bearing Age in Dega Damot Woreda, West Gojjam Zone, Amhara Regional State, Ethiopia, 2014
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Date
2014-06
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Addis Ababa University
Abstract
Background: A significant number of women in developing countries, predominantly in the
Sub-Saharan countries, do not have the opportunity to be attended by skilled personnel during
childbirth. This is a major factor in maternal and infant mortality including Ethiopia.
However, a little has been explored about factors determining choice of delivery place among
women’s of child bearing age, in Ethiopia there has been slow progress regarding MDG-5 with a
maternal mortality ratio of 673 per 100,000 live births and 19,000 maternal deaths annually.
Objective: The objective of the study is to assess the factors affecting the choice of delivery
place among women of child bearing age group in Dega Damot, West Gojjam Zone, Amhara,
Ethiopia, 2014.
Method: A descriptive community based cross-sectional study design that employed both
quantitative and qualitative data collection methods was conducted from April, 2014 to May,
2014. Multistage sampling technique was used to select 361 participants.
A pre tested and structured questionnaire was used to collect data. The data was entered using
EPI INFO version 3.5.4 and was exported to SPSS version 20.0 for data cleaning and for
bivariate and multivariate data analysis.
Result: The mean age of the respondents was 30.93±6.006 SD. Majority of mothers
107(29.6%) were in the age range of 25–29 years. Of the total respondents 361, 296(82%) were
rural residents. A number of independent variables like; age of the respondents, respondent
educational status, monthly household income, gravidity and means of transportation were found
to be significantly associated with women choice of delivery place. Qualitatively inaccessibility
of health facilities (distance, transportation problem), lack of women’s decision making power to
use modern health service, inaccessibility of media and ANC follow up were identified to
influence maternal choice of delivery place.
Conclusion and recommendations: In conclusion, the study revealed a number of
independent variables like; age of the respondents,
respondent educational status, monthly
household income, gravidity and means of transportation were found to be significantly
associated with women choice of delivery place. Increasing maternal health service coverage and
promotion of maternal health information, education and communication in the community are
recommended.
Key words: Institutional delivery, Home Delivery, Dega Damot District, Ethiopia
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Keywords
Institutional delivery, Home Delivery, Dega Damot District, Ethiopia