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
Abstract
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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References
2. Tsegaye Y. Determinants of Antenatal Care, institutional delivery and skilled Birth attendant utilization in Samre Saharti District, Tigray, Ethiopia. 2010; Available from http://www.jus.umu.se/digitalAssets/50/50462_yalem-tsegay---revised.pdf
3. United Nations. Millennium Development Goals Report. New York: United Nations; 2008.
4. United Nations (2005) .The Millennium Development Goals Report. New York: united nation; 2005; Available from: www.un.org/millenniumgoals/pdf/mdg2007.pdf
5. Babalola S, Fatusi A. Determinants of use of maternal health services in Nigeria looking beyond individual and household factor. BioMed Central. September 2009; 9(43): 6-8.
6. Palamuleni M. Determinants of noninstitutional deliveries in Malawi. Malawi Medical Journal. December 2011; 23(4):106.
7. Central Statistical Agency. Ethiopia Demographic and Health Survey 2011. Addis Ababa, Ethiopia; March 2012.
8. UNFPA. Challenges in achieving MDG for maternal mortality, in-depth analysis of EDHS 2000-2011. Addis Ababa, Ethiopia; 2012 December.
9. Fikre AA, Demissie M. Prevalence of institutional delivery and associated factors in Dodota Woreda (district), Oromia regional state, Ethiopia. PubMed-eproductive Health. 2012; 9:33 doi:10.1186/1742-4755-9-33
10. Abdella A, Abebaw G, Zelalem B. Institutional delivery service utilization in Munisa Woreda, South East Ethiopia. BMC pregnancy and childbirth. December
2012; 12:105 doi:10.1186/1471-2393-12-105
11. Desalegn E, Mekonnen A, Abeje G. Place of delivery after ANC, east fogera district, Amhara region, North West Ethiopian. Journal of Gynecology and Obstetrics. March 2014; 2(1); 4-6.
12. World Health Organization (WHO). Factsheets Maternal Mortality. WHO; Updated November 2015. Available from; http://www.who.int/mediacentre/factshe
ets/fs348/en/
13. Tawiah E maternal health care in five sub-saharan African countries: predictors of institutional delivery. Ghana: university of Ghana
14. Umurungi Y. determinants of the utilisation of delivery services by pregnant women in RWANDA. 2010;
15. Lwelamira J, Safari J.Choice of Place for Childbirth: Prevalence and Determinants of Health Facility Delivery among Women in Bahi District, Central Tanzania. Asian Journal of Medical Sciences.May 2012; 4(3): 105-112
16. Feyissa TR, Genemo GA. Determinants of Institutional Delivery among Childbearing Age Women in Western Ethiopia. May 2014; PLoS ONE 9(5): e97194.
doi:10.1371/journal.pone.0097194.
17. Tsegay Y, Gebrehiwot T, Goicolea I, Edin K, Lemma H, Sebastian MS. Determinants of antenatal and delivery care utilization in Tigray region, Ethiopia. Int J Equity Health. . May 2013; 14(12):30.
18. Shimeka A, Mazengia M, Solomon Meseret S Woldeyohannes . Institutional delivery service utilization and associated factors among mothers who gave birth in the last 12 months in Sekela District, North West of Ethiopia. . BioMed Centra. July 2012; 12:74:Article URL http://www.biomedcentral.com/1471-2393/12/74
19. Feyissa T, Genema G. Determinants of Institutional Delivery among Childbearing Age Women in Western Ethiopia. PLOS ONE. May 2014 ;9(5):2-4
20. Celik Y, Hotchkiss DR. The socioeconomic determinants of maternal health care utilization in Turkey. Soc Sci Med. 2000: 50; 1797-1806.
21. Bloom SS, Wypij D, Gupta M. Dimensions of women's autonomy and the influence on maternal health care utilization in a north Indian city. Demography. Pubmed 2001: 38; 67-78.
22. Envuladu E.A, Agbo H. A, Lassa S, Kigbu J.H, and Zoakah A. Factors determining the choice of a place of delivery among pregnant women in Russia village of Jos North, Nigeria: achieving the MDGs 4 and 5. International Journal of Medicine and Biomedical Research. January –April 2013; 2 (1 ): 24-25
23. Bishnu C, Sharad O, Narayan S. Barriers to using skilled birth attendants’ services in mid- and far-western Nepal. BMC International Health and Human Rights.
December 2013, 13:49
24. Magadi MA, Agwanda AO, Obare FO. A comparative analysis of the use of maternal health services between teenagers and older mothers in subSaharan Africa evidence from Demographic and Health Surveys (DHS). Soc Sci Med. 2007: 64; 1311-1325.
25. Amponsah E. Expectant Mothers and the Demand for Institutional Delivery: Do Household Income and Access to Health Information Matter?-Some Insight from Ghana European Journal of Social Sciences.2009: 8(3); 479.
26. Ekele BA, Tunau KA. Place of delivery among women who had antenatal care in a teaching hospital. Acta Obstet Gynecol Scand 2007; 86; 627-630.
27. Glei DA, Goldman N. Understanding ethnic variation in pregnancy-related care in rural Guatemala. Ethn Health. 2000: 5; 5-22.
28. Falkingham J: Inequality and changes in women's use of maternal health service. Stud Fam Plann. March 2003; 34(1):32-43.
29. Folashade B, Ismail T.Determinants of Home Delivery among Hausa in Kaduna South Local Government Area of Kaduna State, Nigeria. American International Journal of Contemporary Research. May 2013; 3(5): 8.
