Factors Associated with Delivery Care Among Women of Reproductive Age in Oromia Ethiopia
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Date
2018-06
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Addis Ababa University
Abstract
In Oromia region, the magnitude of births occurs in health facility remain low and skilled birth attendants attend few births since high numbers of births take place outside health facility. By taking into account these facts, this study assess factors associated with institutional delivery care service utilization in Oromia region, using data from the third and fourth round Ethiopia demographic health survey 2011 and 2016. Using cross sectional research design and the binary logistic regression model, the study indicated that women living in rural area, women who did not attend antenatal care visit; women their husband did not educate or primary education; women from poorest and poor wealth quantile, households; husband occupation ,women did not use contraception, women those deliver in short birth space, high birth order, religion, age of mother at child birth young age group were less likely deliver in health facility compared to their counterpart. In addition, the study found that ethnic back ground women belongs to Amhara ethnic group, large family size were significant predictors of institutional delivery. Further the study indicates significant change between the two survey years. Based on these findings, it can be recommended that there should be plan and intervention to enhance health education on recommended standard antenatal care visit, benefit of delivering in health facility that enables more women to utilize skilled facility care services including delivery care. To tackle these problems attention should be given to rural and outreach areas since the region majority population live country side. It should also target on counseling of women on family planning program, and awareness creation on the risk that may happen during pregnancy period. Finally, women attitudinal change, and improvement of socioeconomic status is vital to enabling more to get service from health facility during pregnancy and delivery.
Key words: Delivery care, Facility delivery, antenatal care, Birth Attendants