MAGNITUDE AND ASSOCIATED FACTORS FOR INSTITUTIONAL DELIVERY SERVICE AMONG WOMEN WHO GAVE BIRTH IN THE LAST 12 MONTHS IN AYSSAITA DISTRICT, NORTH EAST ETHIOPIA: A COMMUNITY BASED CROSS SECTIONAL STUDY-2015
Keywords:
Antenatal care, delivery care, Ayssaita district
Abstract
Background: Proper medical attention and hygienic conditions during delivery can reduce the risk of Complications and infections that can cause the death or serious illness of the mother and/or the newborn baby. Institutional delivery by skilled attendants is very important to reduce maternal and infant mortality; however, there is a paucity of data on the magnitude and associated factors especially in the agro-pastoral communities.
Objective: To assess the magnitude and associated factors for institutional delivery service among women of reproductive age who gave birth in the last 12 months preceding the survey in Ayssaita district.
Methods: A community-based cross-sectional study was conducted from April 27- 09 March 2015. Data were collected from a sample of 580 women in the district using structured questionnaire. Bivariate and multivariate analyses were conducted and Odds ratio with 95% CI was estimated to identify predictors of institutional delivery care utilization. Statistical level of significance was declared at p < 0.05.
Results: The study revealed that 36.1% of deliveries were assisted by a skilled health professional at a health institution. Four hundred ninety-six (86.4%) of women attended at least one antenatal care visit during last pregnancy. Among women who attended ANC, more than half (74.6%) of the women made their first visit during second and third trimester of pregnancy and 49.9% had less than four antenatal visits. Women’s educational level (AOR=2.46, 95%CI=1.39,4.34,AOR=2,88,95%CI=1.43,5.81)and husbands educational status(AOR=0.39,95%CI=0.19,0.79), marital status (AOR=3.97,95%CI=1.07,14.70),and frequency of ANC visit (AOR=3.23, 95%CI=1.02,10.27) were positively associated with institutional delivery care utilization.
Conclusions: The utilization of institutional delivery care services is inadequate in the study area. Improving the status of women by expanding educational opportunities, strengthening health extension workers to create community awareness of the program with the focus on obstetric danger signs of pregnancy and place of delivery are warranted.
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References
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• Addis Alem Fikre and Meaza Demissie. 2012. Prevalence of institutional delivery and associated factors in Dodota Woreda, Oromiya regional state, Ethiopia. Reproductive Health, 2012; 9:p. 33.
• Adisasmita A, Deviany PE, Nandiaty F, Stanton C, Ronsmans C. 2008.Obstetric near miss and deaths in public and private hospitals in Indonesia.BMC Pregnancy and Childbirth.;810. doi:10.1186/1471-2393-8-10.
• Admasu Kebede, Haile-Mariam Abebe, Bailey Piter, 2008. Indicators for availability, utilization, and quality of emergency obstetric care in Ethiopia,.International Journal Gynecology and Obstetrics 2011, 115(1):101–105.9
• Alemaw Wolelie, Mekonnen Aychilhum, Worku Awoke. 2014. Institutional delivery service utilization and associated factors in Banja District, Awie Zone, Amhara Regional State, Ethiopia: Open Journal of Epidemiology2014, 4, 30-35
• Antwerp, 2013.200 Unmet Obstetric Needs Network. www.uonn.org. Accessed 2nd December.
• Asmeret Moges Mehari.2013. Levels and Determinants of Use of Institutional Delivery Care Services among Women of Childbearing Age in Ethiopia: Analysis of EDHS 2000 and 2005 Data.ICF International Calverton, Maryland, USA, February 2013.
• Central Statistical Agency [Ethiopia], ICF International: Ethiopia Demographic and Health Survey 2011. Addis Ababa, Ethiopia, and Calverton, Maryland, USA: Central Statistical Agency and ICF International; 2012.
• Central Statistical Agency [Ethiopia]. 2014. Ethiopia Mini Demographic and Health Survey 2014. Addis Ababa, Ethiopia.
• Daniel Bogale and Desalegn Markos . 2014. Institutional delivery service utilization and associated factors among childbearing age women in Goba Woreda, Ethiopia; Journal of Gynecology and Obstetrics. Vol. 2, No. 4, 2014, pp. 63-70. doi: 10.11648/j.jgo.20140204.14
• Donnay F. 2000.Maternal survival in developing countries: What has been done, what can be achieved in the next decade. International Journal Gynecology and Obstetrics,70:89-97
• Freedman LP, Graham WJ, Brazier E, Smith JM, Ensor T, Fauveau V, Themmen E, Currie S, Agarwal K. 2007. Practical lessons from global safe motherhood initiatives: time for a new focus on implementation. The Lancet, 370 (9595):1,383–91.
• Gurmesa Tura, Gedefaw Abeje, and Worku Gebeyehu.2008.Antenatal care service utilization and associated factors in the metekel zone, North West Ethiopia, Ethiopia journal of health science, vol.19 No2
• Hogan MC, Foreman KJ, Naghavi M, Ahn SY, Wang M, Makela SM, Lopez AD, Lozano R, Murray CJL.2010. "Maternal mortality for 181 countries, 1980–2008: a systematic analysis of progress towards Millennium Development Goal 5." The Lancet. 375(9726): 1609-1623
• ICPD (International Conference on Population and Development).1994.program of action adopted at the International Conference on Population and evelopment Cairo5- 13 September.
• Kayongo M, Rubardt M, Butera J, Abdullah M, Mbonyinyibuka D, Madili M. 2006. Making EmOC a reality —CARE's experiences in areas of high maternal mortality in Africa. International Journal of Gynecology and Obstetrics, 92:308–19.
• Lawn JE, Lee AC, Kinney M, Sibley L, Carlo WA, Paul VK, Pattinson R, Darmstadt GL. 2009. Two million intrapartum-related stillbirths and neonatal deaths: Where, why, and what can be done? International Journal of Gynecological and Obstetric, 109: S5–S19.
• Mbonyea A.K, Asimweb J.B, Kabarangirac J, Nandad G, Orinda V. 2007.Emergency obstetric care as the priority intervention to reduce maternal mortality in Uganda. International Journal of Gynecology and Obstetrics, 96, 220–225
• Melkamu Fanta.2006.factors for influencing utilization of maternal healthcare service in Ayssaita district, Ethiopia, science journal of public health, 2006
• Meseret Girma, Yaliso Yaya, Ewenat Gebrehanna, Yemane Berhane and Bernt Lindtjørn.2013.Lifesaving emergency obstetric services are inadequate in south-west Ethiopia: a formidable challenge to reducing maternal mortality in Ethiopia.BMC Health Services Research, 13:459http://www.biomedcentral.com/1472-6963/13/459
• Nyamtema AS, Urassa DP, van Roosmalen J. 2011. Maternal health interventions in resource-limited countries. a systematic review of packages, impacts, and actors for change. BMC Pregnancy Childbirth, 17:11:30.
• Olufemi T, Oladapo OT, Sule-Odu AO, Olatunji AP, Daniel OJ. 2005. “Nearmiss" obstetric events and maternal deaths in Sagamu, Nigeria: a retrospective study. Reproductive Health,2:9
• Oyerinde K, Harding Y, Amara P, Garbrah-Aidoo N, Kanu R, et al. 2012. Barriers to Uptake of Emergency Obstetric and Newborn Care Services inSierra Leone: A Qualitative Study. Journal Community Medicine Health Education 2:149. doi:10.4172/2161-0711.1000149
• Paxton A, Maine D, Freedman D, Fry D, Lobis S.2005. The evidence for emergency obstetric care. International Journal of Gynecology and Obstetrics, 88(2):181-19.
• Reuben K. Esena, Mary-Margaret Sappor.2013. Factors Associated With The Utilization Of Skilled Delivery Services In The Ga East Municipality Of Ghana Part 2: Barriers To Skilled Delivery, an international journal of scientific & technology research volume 2, issue 8, August 2013.
• Samuel Hailu, Fikre Enquesellassie, Yemane Berhane. 2009 Health facilitybased maternal death audit in Tigray, Ethiopia.Ethiopia Journal of Health Development, 23(2):115–119.
• Thaddeus S, Maine D.1994. Too far to walk maternal mortality in context. Social Science and Medicine. 1994; 38(8):1091-110.
• Ugo O, Mohammed J, Muhammad A., Isa S and Nonye A, Charles W.2012. Prenatal care and basic emergency obstetric care services provided at primary healthcare facilities in rural Nigeria; International Journal of Gynecology and Obstetrics 117 (2012) 61–65
• UNFPA: Emergency Obstetric Care. Providing Emergency Obstetric and Newborn Care to All in Need. http://www.unfpa.org/public/mothers/pid/4385.
• UNICEF, WHO, UNFPA AND STATISTIC SIERA LEONE. 2008. Sierra Leone EmONC Needs Assessment Survey.
• United Nations Children’s Fund: Progress for Children. 2008. A report card on maternal mortality, New York: United Nations Children’s Fund (UNICEF).
• United Nations. 2013. The Millennium Development Goals Report. Retrieved from:http://mdgs.un.org/unsd/mdg/Resources/Static/Data/2013%20Stat%20Anne
x.pdf.
• United Nations.2010.The Millennium Development Goals. New York: United Nations Report. Unmet Obstetric Needs Network Tackling unmet needs for major obstetric interventions. Case studies in Benin, Burkina Faso, Haiti, Mali, Morocco, Niger, Pakistan, and Tanzania.
• USAID.2013. Health-Related Research and Development Progress Report an Update of the 2011–2015 Health Research Strategy.
• WHO (World Health Organization). 2009. Monitoring Emergency Obstetric Care: A Handbook. Geneva: WHO.
• WHO(World Health Organization). 2008. The proportion of Births Attended by a Skilled Health Worker, 2008 Updates. Geneva: WHO
• WHO(World Health Organization). 2010. World health statistics. WHO.
• WHO(World Health Organization).1994. Mother-baby package: implementing safe motherhood in countries. Geneva:Maternal Health and Safe Motherhood
Programme, Division of Family Health, WHO; 1994:88.7
• WHO(World Health Organization).2004. Fifty-Seventh World Health Assembly: Provisional agenda item 12.10 A57/13. In.Geneva: WHO.
• WHO, ICM, and FIGO.2004.Making Pregnancy Safer: The Critical Role of the Skilled Attendant.A Joint Statement by WHO, ICM, and FIGO. Geneva. World Health Organization.
• WHO, UNICEF, UNFPA and The World Bank estimates.2012.Trends in maternal mortality: 1990 to 2010. Geneva, Switzerland: World Health Organization.
• WHO, UNICEF, UNFPA, AMDD. 2009. Monitoring Emergency Obstetric Care, a handbook. WHO publications, Geneva, Switzerland: World Health Organization.
• WHO.2002 Reducing Risks, Promoting Healthy Life: the world health report.
• WHO/FRH/MSM/1996.7. Perinatal mortality: a listing of available information,
• Wilunda C, Putoto G, Manenti F, Castiglioni M, Azzimonti G, Wagari Edessa et al. 2013. Measuring equity in utilization of emergency obstetric care at Wolisso Hospital in Oromiya, Ethiopia: a cross-sectional study. International Journal for Equity in Health, 2013, 12:27.
• Worku Awoke, Jemal Muhammed, Gedefaw Abeje.2013.Institutional Delivery Service Utilization in Woldia, Ethiopia; Science Journal of Public Health. Vol. 1, No. 1, pp. 18-23. Doi: 10.11648/j.sjph.20130101.13
• Worku Gebeyehu Abebaw, Yalew Worku Alemayehu, and Afework Fantahun Mesganaw. 2013. Factors affecting utilization of skilled maternal care in Northwest Ethiopia: a multilevel analysis; BMC International Health and Human Rights 2013, 13:20
• YalemTsegay, Tesfay Gebrehiwot, Isabel Goicolea, Kerstin Edin, Hailemariam Lemma, and Miguel San Sebastian.2013. Determinants of antenatal and delivery care utilization in Tigray region, Ethiopia: a crosssectional study; International Journal for Equity in Health, 12:30 http://www.equityhealthj.com/content/12/1/30
• Yared Mekonnen and Asnakech Mekonnen. 2013.Factors Influencing the Use of Maternal Healthcare Services in Ethiopia Journal of Health Population Nutrition; 21(4):374-382 © 2003 ICDDR, B: Centre for Health and Population Research
• Yvonne.2010.analysis of Rwandan demographic health survey, an international journal of science and technology research,2010.
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FreweinYilma, Lemessa Olgira, Bezatu Mengiste, Prof P.Surender Reddy, Abel Gebre. MAGNITUDE AND ASSOCIATED FACTORS FOR INSTITUTIONAL DELIVERY SERVICE AMONG WOMEN WHO GAVE BIRTH IN THE LAST 12 MONTHS IN AYSSAITA DISTRICT, NORTH EAST ETHIOPIA: A COMMUNITY BASED CROSS SECTIONAL STUDY-2015. Med. res. chronicles [Internet]. 2018Jun.30 [cited 2024Nov.29];5(3):202-23. Available from: https://medrech.com/index.php/medrech/article/view/306
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