Point Prevalence and Factors Associated with Institutional Delivery among Married Women in Reproductive Age in Abe Dongoro Woreda, Horro Guduru Wollega Zone, Oromia Region, Western Ethiopia

Abstract

Background: Giving birth in health institution which is under the care and supervision of skilled birth attendant is important to promote newborn survival and reduces maternal mortality. Objectives: To assess Point prevalence of institutional delivery service utilization and associated factors among married women’s of reproductive age group in Abe dongoro Woreda, Horro Guduru Wollega zone, Oromia region, Western Ethiopia during November 4, 2014 to December 10, 2014.Methods: A community based cross-sectional study design was employed using quantitative and qualitative techniques from November 4, 2014 to December 10, 2014 among married women who gave birth in the last 12 months in Abe dongoro woreda. A multistage sampling procedure was used to select 506 study participants. A Bivariate, multivariable logistic regression was fit and statistical significance was determined with a 95% confidence interval.Results: The study showed that 57% of mothers give birth at health facilities. Educational status of mother (AOR=3.71[95% CI=1.10-12.54]), having information about benefit of giving birth at  health facility (AOR=5.99 [95% CI=2.29-27.90]), ANC visit for last pregnancy (AOR=15.82 [95% CI=6.08-28.14]), and knowledge of mother on pregnancy complications during the last 12 months (AOR=5.21[95% CI=2.49-10.92]) Showed significant associations with utilization of institutional delivery services.Conclusions and Recommendations: Institutional delivery service utilization in Abe dongoro woreda was almost more than half and mother’s education, having information about benefit of giving birth at health institution, ANC visit, and knowledge of mother on danger sign of pregnancy complications were found to be factors associated with skilled institutional delivery service utilization. Hence, at all level (home, community, heath facility, country and international); Expanding education opportunities for women especially, those living in rural area on benefit of giving birth at health institution and danger sign of pregnancy complications, Strengthening promotion of antenatal care at health facility and Creating strong linkage between antenatal care and skilled delivery.

Keywords: institutional delivery service utilization