Determinants of Maternal Health Care Utilization in Holeta Town, West Shewa Zone of Oromia Region, Ethiopia

No Thumbnail Available



Journal Title

Journal ISSN

Volume Title


Addis Ababa University


1n developing countries a large number of women are dying due to factors related to pregnancy and child birth. Implementing and assuring utilization of maternal health care services is potentially one of the most effective health interventions for preventing maternal morbidity and mortality. However, in Ethiopia the utilization of antenatal and delivery care is low.A cross-sectional study were conductedfi"om January 20 to Februmy 20,2012 in Holeta town, West Shewa Zone of Oromia Region to assess the determinants of maternal health care utilization among women of child bearing age and have given birth in the past three years prior to the survey. Structured questionnaire and focus group discussions were used for data collection. Data were collected fi"om randomly selected four Kebeles and a total of 419 respondents were included in the study. The data were entered, cleaned, edited, and analyzed using SPSS window version 17. Descriptive, bivariate and multivariate logistic regression analyses were conducted and odds ratios were calculated using two logistic regression models (ANC and DC) to control cO'1founders. Statistical tests were done at a level of significance of p < 0.05. The study revealed that about 87.1 % of the women had at least one antenatal visit during their last pregnancy. More than half of the ANC attendants made their first visit during their second and third trimester of pregnancy. Among ANC users 34% had less than four ANC contacls. There was a significant association (P<0.05) between ANC attendance and some demographic, socio-economic and health related factors (age at last birth, literacy status of women, average monthly family income, media exposure, attitude towards pregnancy, knowledge on danger signs of pregnancy and presence of husband approval on ANC). The study also revealed that about 61.6% of the women had given birth in the health institutions. Out of all 161 (38.4%) home deliveries only seven (4%) of the births were assisted by health worker but (94%) were assisted by TBAs, close relatives! Friends, Neighbors and TTBA. Parity, literacy status of women, average monthly family income, media exposure, decision where to give birth, perception of distance to HI and ANC attendance were found to be significantly associated (P<0.05) with DC attendance. The utilization of ANC and DC service is inadequate in the town. The utilization of ANC and DC were influenced by demographic, socio-economic and health related factors. Improving the status of women by expanding educational opportunities, strengthening promotion of antenatal and delivelY care by enhancing the community awareness about the importance of ANC with early visit and DC are recommended to bring better ANC and DC services utilization in the town



Maternal Health Care, Utilization in Holeta Town