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Factors Determining Health Institutional Delivery Among Pregnant Women Living in Agarfa Town of Bale Zone, Oromia, South East Ethiopia

Received: 17 March 2015     Accepted: 29 March 2015     Published: 18 April 2015
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Abstract

Background: About 800 women die from pregnancy- or childbirth-related complications around the world every day. In 2013, 289 000 women died during and following pregnancy and childbirth. Almost all of these deaths occurred in low-resource settings. According to the latest estimate maternal mortality ratio in Ethiopia was 420/100,000 live births in 2013 which is still high. Severe bleeding, infection, high blood pressure during pregnancy and complication from delivery, accounts for nearly 75% of these deaths. Even though ANC follows up, Institutional delivery and skilled birth attendance is one of the key and proven interventions to reduce maternal death most deliveries, in Ethiopia, skilled birth attendance and birth in a health facility is very low. So this study aimed to assess Factors determining Health institutional delivery among pregnant women living in Agarfa woreda of Bale Zone, Southeast Ethiopia. Methods: Community based cross sectional study was conducted in Agarfa Town from January -March, 2012 on one hundred fifty six pregnant women in the town. Systematic sampling was used to get the respondents after sampling frame including lists of households having pregnant women was prepared. Data were analyzed using SPSS version 15.0. Binary and multivariable logistic regression analyses were carried out to identify factors associated with institutional delivery service. Statistical significance was considered at p < 0.05. Results: The response rate was 98.7% (n=156). The proportion of pregnant women who had given birth at health institution were 49(31.4%), of 118 who had followed ANC for recent pregnancy, only 27(22.9%) were gave birth at health institution. Factors associated with health institution delivery were the number of pregnancies (three and above) and difficulty labour. However, difficulty labour/prolonged was remained a significant predictor of institutional delivery. Conclusions: Despite the high level of ANC attendance among the pregnant women in the study area, the study has revealed that mothers were not considerably utilizing institutional delivery and skilled birth attendants and majority of them still choose Home delivery. Pregnant women wait till they experience difficult labour to seek health institutional delivery.

Published in American Journal of Health Research (Volume 3, Issue 3)
DOI 10.11648/j.ajhr.20150303.13
Page(s) 130-134
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Maternal Health, Child Health, Delivery, Birth Attendants, Pregnant Women, Home Delivery, Health Institution Delivery

References
[1] United Nations Development Programme. Trends in Maternal Mortality: 1990 to 2013. Available from http://unfpa.org/webdav/site/global/shared/documents/ publications/2014/9789241507226_eng.pdf.
[2] WHO. Fact sheets Maternal Mortality: 2005
[3] Say L et al. Global Causes of Maternal Death: A WHO Systematic Analysis. Lancet. 2014.
[4] WHO. What is the effectiveness of antenatal care? (Supplement). Copenhagen, WHO Regional Office for Europe, Health Evidence Network report,2005
[5] UNICEF. Ethiopia Statistics; 2013. Available from http://www.unicef.org/infobycountry/ethiopia_statistics.html#119
[6] WHO, UNICEF, UNFPA and World Bank. Trends in Maternal Mortality: 1990 to 2010. Geneva 27, Switzerland: World Health Organization; 2012.
[7] World Bank. Ethiopia | Data. World Bank; 2012
[8] Central Statistical Agency [Ethiopia] and ICF International. 2012. Ethiopia Demographic and Health Survey 2011. Addis Ababa, Ethiopia and Calverton, Maryland, USA: Central Statistical Agency and ICF International
[9] United Nations Development Programme. Trends in Maternal Mortality: 1990 to 2013. Available from http://unfpa.org/webdav/site/global/shared/documents/ publications/2014/9789241507226_eng.pdf.
[10] Hazemba AN, Siziya S. Choice of place for childbirth: prevalence and correlates of utilization of health facilities in Chongwe district. Zambia. Med J Zambia 2008; 35:53-57.
[11] Cotter K, Hawken M, Temmerman M: Low use of skilled attendants’ delivery services in rural Kenya. J Health Popul Nutri 2006; 24:467-71.
[12] Idris S.H, Gwarzo U.M.D, Shehu A.U: Determinants of place of delivery among women in a semi-urban settlement in Zaria, Northern Nigeria. Ann Afr Med 2006;5:68-72.
[13] Darmstadt GL, Lee AC, Cousens S, et al. 60 Million non-facility births: who can deliver in community settings to reduce intrapartum-related deaths? International Journal of Gynecology and Obstetrics 2009; 107(S1): S89–112.
[14] WHO. Maternal Mortality. Fact sheet, 2012.
[15] Ethiopia Ministry of Health. Health Sector Development Programme-IV. 2011. Available from http://bit.ly/RmGWvL
[16] Katung PY: Socio-economic factors responsible for poor utilization of primary health care services in a rural community in Nigeria. Nig J Med 2001; 10:20-59.
[17] Satoko Y, Sophal O, Susumu W: Determinants of skilled birth attendance in rural Cambodia. Trop Med Int Health 2006; 2:238-251.
[18] Tsegay et al.: Determinants of antenatal and delivery care utilization in Tigray region, Ethiopia: a cross-sectional study. International Journal for Equity in Health 2013; 12:30.
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  • APA Style

    Tomas Benti Tefera, Kemal Ahmed Kuti. (2015). Factors Determining Health Institutional Delivery Among Pregnant Women Living in Agarfa Town of Bale Zone, Oromia, South East Ethiopia. American Journal of Health Research, 3(3), 130-134. https://doi.org/10.11648/j.ajhr.20150303.13

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    ACS Style

    Tomas Benti Tefera; Kemal Ahmed Kuti. Factors Determining Health Institutional Delivery Among Pregnant Women Living in Agarfa Town of Bale Zone, Oromia, South East Ethiopia. Am. J. Health Res. 2015, 3(3), 130-134. doi: 10.11648/j.ajhr.20150303.13

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    AMA Style

    Tomas Benti Tefera, Kemal Ahmed Kuti. Factors Determining Health Institutional Delivery Among Pregnant Women Living in Agarfa Town of Bale Zone, Oromia, South East Ethiopia. Am J Health Res. 2015;3(3):130-134. doi: 10.11648/j.ajhr.20150303.13

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  • @article{10.11648/j.ajhr.20150303.13,
      author = {Tomas Benti Tefera and Kemal Ahmed Kuti},
      title = {Factors Determining Health Institutional Delivery Among Pregnant Women Living in Agarfa Town of Bale Zone, Oromia, South East Ethiopia},
      journal = {American Journal of Health Research},
      volume = {3},
      number = {3},
      pages = {130-134},
      doi = {10.11648/j.ajhr.20150303.13},
      url = {https://doi.org/10.11648/j.ajhr.20150303.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20150303.13},
      abstract = {Background: About 800 women die from pregnancy- or childbirth-related complications around the world every day. In 2013, 289 000 women died during and following pregnancy and childbirth. Almost all of these deaths occurred in low-resource settings. According to the latest estimate maternal mortality ratio in Ethiopia was 420/100,000 live births in 2013 which is still high. Severe bleeding, infection, high blood pressure during pregnancy and complication from delivery, accounts for nearly 75% of these deaths. Even though ANC follows up, Institutional delivery and skilled birth attendance is one of the key and proven interventions to reduce maternal death most deliveries, in Ethiopia, skilled birth attendance and birth in a health facility is very low. So this study aimed to assess Factors determining Health institutional delivery among pregnant women living in Agarfa woreda of Bale Zone, Southeast Ethiopia. Methods: Community based cross sectional study was conducted in Agarfa Town from January -March, 2012 on one hundred fifty six pregnant women in the town. Systematic sampling was used to get the respondents after sampling frame including lists of households having pregnant women was prepared. Data were analyzed using SPSS version 15.0. Binary and multivariable logistic regression analyses were carried out to identify factors associated with institutional delivery service. Statistical significance was considered at p < 0.05. Results: The response rate was 98.7% (n=156). The proportion of pregnant women who had given birth at health institution were 49(31.4%), of 118 who had followed ANC for recent pregnancy, only 27(22.9%) were gave birth at health institution. Factors associated with health institution delivery were the number of pregnancies (three and above) and difficulty labour. However, difficulty labour/prolonged was remained a significant predictor of institutional delivery. Conclusions: Despite the high level of ANC attendance among the pregnant women in the study area, the study has revealed that mothers were not considerably utilizing institutional delivery and skilled birth attendants and majority of them still choose Home delivery. Pregnant women wait till they experience difficult labour to seek health institutional delivery.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Factors Determining Health Institutional Delivery Among Pregnant Women Living in Agarfa Town of Bale Zone, Oromia, South East Ethiopia
    AU  - Tomas Benti Tefera
    AU  - Kemal Ahmed Kuti
    Y1  - 2015/04/18
    PY  - 2015
    N1  - https://doi.org/10.11648/j.ajhr.20150303.13
    DO  - 10.11648/j.ajhr.20150303.13
    T2  - American Journal of Health Research
    JF  - American Journal of Health Research
    JO  - American Journal of Health Research
    SP  - 130
    EP  - 134
    PB  - Science Publishing Group
    SN  - 2330-8796
    UR  - https://doi.org/10.11648/j.ajhr.20150303.13
    AB  - Background: About 800 women die from pregnancy- or childbirth-related complications around the world every day. In 2013, 289 000 women died during and following pregnancy and childbirth. Almost all of these deaths occurred in low-resource settings. According to the latest estimate maternal mortality ratio in Ethiopia was 420/100,000 live births in 2013 which is still high. Severe bleeding, infection, high blood pressure during pregnancy and complication from delivery, accounts for nearly 75% of these deaths. Even though ANC follows up, Institutional delivery and skilled birth attendance is one of the key and proven interventions to reduce maternal death most deliveries, in Ethiopia, skilled birth attendance and birth in a health facility is very low. So this study aimed to assess Factors determining Health institutional delivery among pregnant women living in Agarfa woreda of Bale Zone, Southeast Ethiopia. Methods: Community based cross sectional study was conducted in Agarfa Town from January -March, 2012 on one hundred fifty six pregnant women in the town. Systematic sampling was used to get the respondents after sampling frame including lists of households having pregnant women was prepared. Data were analyzed using SPSS version 15.0. Binary and multivariable logistic regression analyses were carried out to identify factors associated with institutional delivery service. Statistical significance was considered at p < 0.05. Results: The response rate was 98.7% (n=156). The proportion of pregnant women who had given birth at health institution were 49(31.4%), of 118 who had followed ANC for recent pregnancy, only 27(22.9%) were gave birth at health institution. Factors associated with health institution delivery were the number of pregnancies (three and above) and difficulty labour. However, difficulty labour/prolonged was remained a significant predictor of institutional delivery. Conclusions: Despite the high level of ANC attendance among the pregnant women in the study area, the study has revealed that mothers were not considerably utilizing institutional delivery and skilled birth attendants and majority of them still choose Home delivery. Pregnant women wait till they experience difficult labour to seek health institutional delivery.
    VL  - 3
    IS  - 3
    ER  - 

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Author Information
  • Department of Nursing, Madawalabu University, College of Medicine and Health Sciences, Southeast Ethiopia

  • Department of Public Health, Madawalabu University, College of Medicine and Health Sciences, Southeast Ethiopia

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