What Factors Determine Delivery Practices of Pregnant Women?
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Date
2005-05
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Addis Abeba Universty
Abstract
Background:- Ensuring a skilled delivery attendant at each child birth is the most
critical intervention in reducing maternal and neonatal mortality and morbidity. In
Ethiopia the proportions of births attended by skilled personnel is very low and even for
women who have access to the services. The proportion of birth occurring in health
facilities is very low.
Objective:- This study aims at identifying the factors that influence intention of
pregnant women for their delivery and the factors that determine actual delivery service
utilizations.
Methods:- A prospective community based follow up study is conducted in Jimma
town. Women in their child trimester were identified by a complete household survey.
Subsequently relevant data were collected in two separated household survey.
Results:- A total of 207 women were included in the study. Maternal age and
educational status are significantly associated with place of delivery. Woman between
35-39 are less likely to deliver in HFs when compared to those between 15-39 ( OR = 0.06
and 95% CI=0.01 to 0.52) and those with formal education are more likely to deliver in
HFs(OR=2.82 and 95%CI1.09 to 7.23). Women who attended ANC follow up ( OR = 2.63
and 95%CI= 1.11 to 6.23) women to whom their husbands and relatives prefer SDA ( OR
= 4.78 and 95% CI=2.25 to 10.21) and those who can decide by themselves about getting
ID services ( OR = 2.75 and 95 % CI = 1.3 to 5.78) are more likely to deliver in HFs.
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Conclusions:- Empowering disadvantaged women. Promoting ANC follow up and
improving the information provision during the follow up. Interventions targeted at
husbands and other relatives to direct their influence in favorable fashion and reaching
out more women to provide relevant information about ID services are recommended
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What Factors Determine Delivery Practices