Journal of Health Care Communications Open Access

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Institutional Delivery Service Use and Associated Factors among Mothers in Lemo District of Hadiya Zone, Southern Nation Nationality People Region: A Cross-Sectional Study

Yilma Markos Larebo,Nigussie Abebe Ermolo and Solomon Gebre Bawore

Introduction: Institutional delivery takes place in hospitals or health centres by skilled birth attendants. Key strategies in reducing maternal and child death. The service which lowers in developing country including Ethiopia as well as in the study area. The aim of this study to determine institutional delivery service use and associated factors among mothers who gave birth in the last 12 months.

Methods: A community-based cross-sectional study was conducted from MarchApril 2019 among mothers who gave birth in the last 12 months. Multistage stratified cluster sampling was used to get 634 total sample sizes. A pre-tested semi-structured questionnaire was used to collect quantitative. Data capturing was done using Epi-data version 3.1 Software. Then, for analysis exported to the statical package for Social Science Version 26 (SPSS). Bivariate and multivariate regression analysis was performed for those factors that showed a statistically significant association. At a p-value of 0.05, statistical significance was announced.

Results: Out of the 634 participants; about 42.5% (95%CI, 21.8, 30.5) of mothers used health institutions for delivery services. Institutional delivery service use was affected by the mother's level of education. Mothers who were able to read and write (AOR=8.3, 95%CI: 4.3-16.0), urban residence (AOR=2.9, 95%CI: 1.3- 6.4), good knowledge towards delivery and pregnancy complications (AOR=2.1 95%CI: 1.2-3.0), governmental workers (AOR=2.3, 95%CI: 1.2-4.4), wealth status of highest income mother (AOR=3.5, 95%CI: 2.0-5.9) and Antenatal Care Visit (ANC) (AOR=3.5, 95%CI: 2.0-6.3) were found to be substantially linked to institutional delivery service use.

Conclusion: Institutional delivery service use by mothers was low. Lack of formal education, lower antenatal care visits, poor knowledge towards institutional delivery services and lower socioeconomic status of the respondents were factors associated with lower use.