Assessment of Magnitude and Factors Affecting Place of Delivery among Women of Child Bearing Age in Nunu Kumba Woreda,East Wollega Zone,Oromia Region,Ethiopia.
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Date
2013-06
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Addis Ababa University
Abstract
Back ground- A lack of skilled attendants at birth accounts for two million preventable maternal deaths, stillbirths and newborn deaths each year. Several factors have been identified as barriers to access to skilled care by women; including unavailability of the services, inadequate number of skilled personnel, geographical inaccessibility and poor quality of care, economic factors, poor service seeking behavior, traditional and cultural preference for home delivery.
Objective-To assess the magnitude and factors affecting place of delivery among women of child bearing age in East Wollega Zone, Nunu Kumba woreda, Oromia region, Ethiopia.
Methods- Community based cross sectional quantitative household survey among 664 samples women of child bearing age was conducted using pre tested structured questionnaire in Nunu Kumba Woreda from March to April 2013.
Multi stage sampling technique was employed to select the samples.Epi Info Version 3.5.3 and SPSS version 20 were used for data entry and analysis respectively. Associations between variables were assessed by Odds Ratio, 95% Confidence Intervals and p-values. Multiple logistic-regression was used to adjust for possible confounding variables.
Results- The study revealed that institutional delivery was 38.7% in the woreda. Maternal age,maternal education, husband education, age at first marriage, ANC attendance, number of ANC visits, planning of pregnancy, husband‘s choice of place of delivery and mode of transport to health facility were associated independently with maternal place of delivery. Those mothers who attended primary education and whose husbands‘ educational status was primary were less likely to give birth at home compared to illiterate (AOR=0.50; 95% CI=0.28, 0.92) and (AOR=0.31; 95% CI=0.16, 0.59) respectively. Those mothers who did not attended ANC for their last pregnancy were 7.8 times more likely to give birth at home (AOR=7.81; 95% CI=2.23, 27.3) and whose age at first marriage were 18 years or more were 2 times more likely to give birth at home (AOR=2.07; 95% CI=1.03, 4.17).
Conclusion- The study revealed that institutional delivery fell far below the national goal in the woreda. Demographic, obstetric, mode of transportation and preference are factors related to low utilization of institutional delivery in the woreda. Therefore, providing information for higher age group mothers and their partner‘s on increased risks of home delivery, providing appropriate
information during ANC check-ups, encouraging ANC attendance, a llowing the relatives to be with laboring mother when they come to health facility are recommended.
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Keywords
Delivery Place,Women