Barriers to Institutional Delivery Among Pregnant Women Attending Antenatal Care in Robe Hospital and Baha Biftu Health Center, Bale Zone,Oromia Region, South East Ethiopia
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Date
2014-06
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Addis Ababa University
Abstract
Background: Institutional delivery, a childbirth conducted by skilled attendant in health facility
built, equipped and managed to provide safe delivery services. Concern for good pregnancy and
delivery outcome make women the largest segment of population seeking care.
However many efforts have been undertaking to improve utilization of delivery services in
primary health services unit of Ethiopia, still utilization is low due to huge diversity of
determinants.
Objective:-The aim of this study was to assess Barriers to Institutional Delivery among pregnant
mothers attaining Antenatal Care in Robe Hospital and Baha biftu Health Center, Bale zone,
Oromia region.
Method: A quantitative cross-sectional institution based study using structured interview
questionnaires was conducted on 195 pregnant women attending Robe Hospital and Baha biftu
health centers from April 7 to May 1. Systematic random sampling technique was used to get
subjects for interview.
Results: - The magnitude of health facility delivery was 41(42.3%) and home delivery was about
56 (57.7%). The main reason mentioned for home delivery of their last pregnancy was not to be
attended by male midwife, which were 36(57.1%). Multiple logistic regressions were identified:
numbers of gravid, arrangement for place of birth and health education during each ANC visit as
significantly associated with place of delivery of last pregnancy.
Conclusion: This study found that High magnitudes of home delivery among ANC attendants
and number of gravid, arrangement on place of birth, health education during ANC visit and plan
for place of delivery were significantly associated with health institutional delivery.
Recommendation: The Bale zone and Robe town health office should still work on increasing
health institution delivery through female midwife
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Keywords
Robe Hospital, Baha Biftu Health Center