DETERMINATES OF CHOICE OF PLACE OF DELIVERY AMONG MOTHERS WHO FOLLOW ANTINATAL CARE SERVICE IN KALU WOREDA, SOUTH WOLLO ZONE, AMHARA RIGIONAL STATE, OCTOBER - 2015
Introduction: Ethiopia has high maternal mortality with poor maternal health services utilization. EDHS-2011 report shows that 42% of women who gave birth were following ANC (Ante Natal Care) in health institution and only 12% of births are delivered in health facility. Many women did not deliver in hygienic place and contributing to high maternal mortality and acute and long term complications.
Objective: To identify determinant factors for choice of place of delivery among ANC follower mothers in the last one year period.
Methods: Community based unmatched case control study design triangulated with qualitative component. Sample size of 573 (191 cases and 382 controls) determined using Epi Info 7. Study subjects were selected using systematic sampling method by determines K1 and K2 for cases and controls respectively. Purposive sampling to select key informants for qualitative part. Data collected with structured questionnaire. Result: Being not formally educated (OR=2.578, 95%CI; (1.583-4.196), not satisfied the care received during ANC follow up (OR=5.36, 95%CI ;( 2.618-10.594) and having only one ANC visit (OR=3.28, 95%CI ;(1.546-6.696) were positively associated with choosing of home as place of delivery. In contrast, being rural residence (OR= 0.450, 95%CI; (.256-.789) and family decision on place of delivery (OR=0.294, 95%CI; (0.186-0.457) were negatively associated with choosing home as place of delivery. The most common reasons
for not choosing institutions/facility as place of delivery were previous safe home delivery (41.4%), absence of health problem (19.9%) and an unfamiliar/not costumed by the society (17.3%).
Conclusion: Comprehensive/holistic services at ANC clinic and community factors like education were determinant factors for choice of place of delivery. So, health offices should consider such factors to enhance institutional delivery by training health personnel, advising and counseling of mothers regarding the dangers of home delivery at the communit, level
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