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Problem Statement: Report shows nine women in every ten deliver at home, mothers who give
birth at home and mothers who tried to deliver at home have less chance of getting medical or
surgical service so they arc likely to come to hospital and health centers with couple of
complications, some of them die at arrival and some of them survive, but got lifelong disability.
In my study setting the institutional delivery service coverage is around 8% which is almost
similar with the national figure. So this study is concerned to identify what factor affecting
institutional delivery service in Arba Minch Zuria woreda.
Study objective: To identify determinants that affect utilization of institutional delivery services
in Garno Gofa zone, Ethiopia, 20l3.Study Methods: A community based unmatched case control
study design was conducted in Arbaminch Zuria Woreda. Data were collected using a
structure questionnaire from EDHS questionnaire and from previously conducted similar studies.
Result: Mothers' age between 20-34years during the interview were 3 times more likely to
deliver at health institutions than mothers more than 35 and above (AOR=3.1, 95%CI: l.01, 9.5).
Mothers with secondary and above year of schooling were significantly associated with
utilization of health facility delivery service than the illiterates (AOR 2.1, 95%CI= l.03-4.4).
Similarly husband education with secondary and above year of schooling were significantly
associated with utilization of health facility delivery service than the illiterates (AOR 3.2,
95%Cl=1.6-6.3). Surprisingly women who use previous health facility delivery service were
70% less likely to utilize safe delivery service with (AOR 0.28, 95%CI=0.16-0.48) than those
who did not use the service. Conclusion and recommendations: The following conclusions
were made from this study. Mothers and husband's educational level previous hearth facility
delivery, knowledge of the benefit of institutional delivery and unaffordable opinion on health
facility delivery were statistically significant association in both bivariate and multivariate
predictor variable for choice of delivery place. The integrated maternal health care program
should focus on illiterate and higher order pregnant women with their husbands to bring
awareness on the benefits of health facility delivery and the risk of home delivery by expanding
and intensifying health extension program with culturally appropriate educational campaigns.
Further research will be needed to assess why previously health facility delivered mothers not
constantly come to health facility for delivery service. |
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