Institutional delivery and associated factors among women who gave birth in Benishangul Gumuz region, South West Ethiopia.
Benishangul Gumuz
Ethiopia
Mandura
institutional delivery
predictors
Journal
Frontiers in public health
ISSN: 2296-2565
Titre abrégé: Front Public Health
Pays: Switzerland
ID NLM: 101616579
Informations de publication
Date de publication:
2022
2022
Historique:
received:
09
06
2022
accepted:
23
11
2022
entrez:
26
12
2022
pubmed:
27
12
2022
medline:
28
12
2022
Statut:
epublish
Résumé
Maternal mortality from pregnancy and childbirth remains a major public health problem. Increasing access to institutional delivery is one of the key strategies to reduce childbirth-related maternal mortality. Despite all the efforts, institutional deliveries in Ethiopia remain low. Understanding factors associated with institutional delivery is important to devise strategies to improve facility based child birth. Hence, this study assessed the prevalence of institutional delivery and associated factors to bridge the gap. A community-based cross-sectional study was employed from March-April 2020. Multi-stage sampling was employed to select 500 mothers who gave birth within the last 12 months in Mandura district, Benishangul Gumuz Region, Ethiopia. Data were collected using pre tested structured questionnaire through face-to-face interview. Logistic regression models were fitted to assess the predictors of institutional delivery. Adjusted Odds ratios with 95% CI was used to show associations and statistical significance was set at a This study indicated that the prevalence of institutional delivery was 28.8% CI (25-33.3%). Having a positive attitude (AOR = 9.6,95%CI:2.5-35.9), attending antenatal care (ANC) at least once (AOR = 16.1,95%CI:9.6-22), attending ANC more than three times (AOR = 17.2, 95% CI:13.5-43.8), having good knowledge (AOR = 11.1, 95%CI: 2.7-45.4), and facing complications during pregnancy (AOR = 4.04, 95%CI: 1.0-16.0) were significantly associated with institutional delivery. The prevalence of institutional delivery in this study was low. Positive attitude toward institutional delivery, attending ANC, having good knowledge about institutional delivery, and facing complications during pregnancy were identified predictors of institutional delivery. Strategies with a focus on increasing ANC uptake, improving mothers' knowledge, and promoting institutional delivery at the community level are critical.
Sections du résumé
Background
Maternal mortality from pregnancy and childbirth remains a major public health problem. Increasing access to institutional delivery is one of the key strategies to reduce childbirth-related maternal mortality. Despite all the efforts, institutional deliveries in Ethiopia remain low. Understanding factors associated with institutional delivery is important to devise strategies to improve facility based child birth. Hence, this study assessed the prevalence of institutional delivery and associated factors to bridge the gap.
Methods
A community-based cross-sectional study was employed from March-April 2020. Multi-stage sampling was employed to select 500 mothers who gave birth within the last 12 months in Mandura district, Benishangul Gumuz Region, Ethiopia. Data were collected using pre tested structured questionnaire through face-to-face interview. Logistic regression models were fitted to assess the predictors of institutional delivery. Adjusted Odds ratios with 95% CI was used to show associations and statistical significance was set at a
Results
This study indicated that the prevalence of institutional delivery was 28.8% CI (25-33.3%). Having a positive attitude (AOR = 9.6,95%CI:2.5-35.9), attending antenatal care (ANC) at least once (AOR = 16.1,95%CI:9.6-22), attending ANC more than three times (AOR = 17.2, 95% CI:13.5-43.8), having good knowledge (AOR = 11.1, 95%CI: 2.7-45.4), and facing complications during pregnancy (AOR = 4.04, 95%CI: 1.0-16.0) were significantly associated with institutional delivery.
Conclusion
The prevalence of institutional delivery in this study was low. Positive attitude toward institutional delivery, attending ANC, having good knowledge about institutional delivery, and facing complications during pregnancy were identified predictors of institutional delivery. Strategies with a focus on increasing ANC uptake, improving mothers' knowledge, and promoting institutional delivery at the community level are critical.
Identifiants
pubmed: 36568776
doi: 10.3389/fpubh.2022.965524
pmc: PMC9780484
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
965524Informations de copyright
Copyright © 2022 Arega, Mulatu, Alemayehu, Mussa and Dheresa.
Déclaration de conflit d'intérêts
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Références
Afr Health Sci. 2016 Mar;16(1):10-7
pubmed: 27358608
BMC Pregnancy Childbirth. 2017 May 15;17(1):144
pubmed: 28506226
Lancet. 2006 Sep 30;368(9542):1189-200
pubmed: 17011946
BMC Health Serv Res. 2020 Mar 31;20(1):266
pubmed: 32234043
BMC Pregnancy Childbirth. 2015 Nov 17;15:299
pubmed: 26577298
PLoS One. 2018 Dec 26;13(12):e0209672
pubmed: 30586467
BMC Res Notes. 2019 Jul 12;12(1):395
pubmed: 31300014
Lancet. 2005 Mar 12-18;365(9463):977-88
pubmed: 15767001
PLoS One. 2017 Feb 13;12(2):e0171573
pubmed: 28192478
BMC Pregnancy Childbirth. 2020 Jun 15;20(1):364
pubmed: 32539698
Biomed Res Int. 2015;2015:436938
pubmed: 26504806
PLoS One. 2020 Dec 16;15(12):e0243466
pubmed: 33326426
Ethiop J Health Sci. 2018 Jul;28(4):403-412
pubmed: 30607053
BMC Health Serv Res. 2017 Feb 1;17(1):101
pubmed: 28143513
BMC Pregnancy Childbirth. 2014 May 07;14:161
pubmed: 24886529