Determinants of Maternal Health Care Services Utilization: The Case of Gozamn Woreda, East Gojam One ofAmhara Region, Ethiopia
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Date
2010-06
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Addis Ababa University
Abstract
.\lany of \I'alllen in dereloping cow11ries are al a great risk ill lerms of high ",alernal lIIorhi,iill '
and mOrlalif)' dlle 10 ji:lclors related to pregnallL)l and childbirth in these cOll/1Irie) . .. / en'S.'
sectional swdy was condllcted ji-om February 15 10 March 15. 2010 ill Gozal11 in lI"ored" III
Amhara Regional S{(ae 10 assess factors a[[ecting ulilizalion o(maternal heallh care wlTice ' .-/
IOwl o[ 587 women )rho had al lisl one live binhs in Ihe .five years preceding Ihe sUITe,' \I ' , re
selecled syslematically. Dala Irere collected using a pre-Iested and structured quesliollll(lires " ,,,I
FGD )rere used to collecl qual7lilGlive and qualiwlive data. respeclil'ely. The analysis rel'eu.-ed
Ihal aboul 59.3% ot'the \I'omen had at leasl one prenalal visil during Iheir recelll I'regnw ,,'L
Aboul fO rlyjive percenl of Ihose women allending anlenalal care had Iheirfirsl l'isil during Ih"ir
/irstlrimesler o[ pregnancy. Among ANC users 6-1% of had less than[our anlenawl care ('()/lluds
in the recem pregnancL 771e 1110S1 imporlanl reasons for nOI allending ANC care Irere he.'lIg
heallhy and being 100 bU5)'. AJajorily of deli reries took place at home; aboul 71% o(deti\·erie.\
lOok place (/1 home. Presence or relGlives nearb.'. Ti-anspOrl{{{ion problem. and lack o(pri)',"T
)rere Ihe main reasons ciled[or resorting 10 hallie delil·ery. The majority o!'the respondel1ls \I ,'I'e
able 10 nallle Ihe danger sign of pregnancy relaled problems. In mullivariwe analysis Ihe ri., i: 01
non-allendallce of _~ NC and home delivery \I'as higher for Ihose \I 'omell whose residence " as
/'IIral. low educaliol1al stalus, higher parily and being housewi[e 01 old age. In addition .-'.,(C
service utili zation s igni ficantly affect utilization of de livery care provided in health inst itUl il1 ns
(P-value less than 0.05). In cone/usion. Ihe sllld), revealed thw more wOlllen allend 11_\'C d"r.'ng
pregnancy liwnlhose derived al heailh instituliollS. Demographic and socio-c"iluraljclelOrs \I eTc
found 10 be barriers 10 ulilizOIion 0/ malernal health care services. Educating girls, pro\'i Jing
health education on maternal health care services. and improving the sen ' ices of health cxten5:oll
\\'Orkers in ru ral areas were recommended to improve utili zation of both sen·ices.
Key words: .l1alernal heailh care. anlel1atal care. place of delil·ery. Amhara Region
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Keywords
l1alernal heailh care., anlelatal care., place of delil·ery, Amhara Region