妊娠と小児の健康に関するジャーナル

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Assessing the Magnitude of Institutional Delivery Service Utilization and Associated Factors among Mothers in Debre Berhan, Ethiopia

Asmamaw Limenih, Negussie Deyesa and Adugnaw Berhane

Introduction: Institutional delivery service utilization is essential to improve maternal and child health. However, little is known about institutional delivery service utilization in Debre Berhan, Ethiopia. This study was aimed at assessing the magnitude of institutional delivery service utilization. Methods: Community based cross sectional study was done on 424. Census was carried out in 5 urban and two rural kebeles (the smallest administrative unit) to identify mothers who gave birth in the past two year. Mothers were selected by systematic random sampling technique. Quantitative data were collected by means of a pre-tested and structured questionnaire. Bivariate and multiple logistic regression analysis were done by using SPSS version 16; P-values ≤ 0.05 were considered as statically significant. Results: The study indicated that 80.2% of the respondents delivered in health facilities with the assistance of skilled birth attendants, the rest home delivery from home delivery 63.7 % of them assisted by traditional birth attendants. Mothers in urban residence were 4.7 times more likely to utilize institutional delivery attendants than those who live in rural Conclusion: Institutional delivery service in Debre Berhan even though shows improvement from similar studies still mothers exercise home delivery especially in the rural settings. It is recommended that motivating mothers through formal education and awareness creation about the benefit of institutional delivery service utilization and the risk of home delivery should be given due attention especially in rural area by the local health workers.