Please enter verification code
Institutional Delivery Service Utilization and Associated Factors Among Women in West Central Ethiopia
Science Journal of Public Health
Volume 7, Issue 2, March 2019, Pages: 38-43
Received: Feb. 1, 2019; Accepted: Mar. 18, 2019; Published: Apr. 12, 2019
Views 853      Downloads 165
Meseret Ifa, Department of Public Health, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia
Elias Teferi, Department of Public Health, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia
Article Tools
Follow on us
Pregnancy and child birth related complications are main causes of death and disability among women of childbearing age in developing countries. The Sub-Saharan Africa accounts for more than half of the global maternal deaths and most of these deaths occur during labor and following child birth from preventable causes that can be averted by professional intervention. Hence, the aim of this study was to assess the level of institutional delivery service utilization and associated factors among women who gave birth in West Central Ethiopia. A community based cross-sectional study was conducted from January 10 to February 10, 2014. Quantitative data were collected using a structured questionnaire and analyzed using SPSS V.20.0. Descriptive statistics were used to present the data and logistic regression was applied to check the association between the dependent and independent variables. A total of 410 women were included in the study of whom70.7% had given birth their last baby at health facilities. Women with secondary and above educational status (AOR [95%CI] = 4.525 [95% CI: 1.831-11.180]), those who had an access to Radio and TV (AOR [95%CI] = 3.214 [1.361-7.591]), women from families with average monthly income greater than 1,000.00 Ethiopian Birr (AOR [95%CI] = 3.300 [1.555-6.999]), and women who had antenatal care follow up during their last pregnancy (AOR [95%CI] = 2.409 [1.088-5.335]) were more likely to utilize institutional delivery service. In conclusion, a significant number of women did not give birth their last baby at health facilities. Maternal educational status, access to mass media, family income status and antenatal care visit were important predictors of institutional delivery service utilization. Increasing Health Extension Workers’ involvement in improving community awareness, and women empowerment through education and economic development are important measures to improve institutional delivery service utilization.
Institutional Delivery, Ambo Town, Delivery Service
To cite this article
Meseret Ifa, Elias Teferi, Institutional Delivery Service Utilization and Associated Factors Among Women in West Central Ethiopia, Science Journal of Public Health. Vol. 7, No. 2, 2019, pp. 38-43. doi: 10.11648/j.sjph.20190702.12
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
World Health Organization, UNICEF. Trends in maternal mortality: 1990 to 2013: estimates by WHO, UNICEF, UNFPA, The World Bank and the United Nations Population Division: executive summary. World Health Organization; 2014.
ICF C. Central Statistical Agency [Ethiopia] and ICF International. Ethiopia Demographic and Health Survey. 2011.
Khan KS, Wojdyla D, Say L, Gülmezoglu AM, Van Look PF. WHO analysis of causes of maternal death: a systematic review. The lancet. 2006 Apr 1; 367 (9516):1066-74.
Hogan MC, Foreman KJ, Naghavi M, Ahn SY, Wang M, Makela SM, Lopez AD, Lozano R, Murray CJ. Maternal mortality for 181 countries, 1980–2008: a systematic analysis of progress towards Millennium Development Goal 5. The lancet. 2010 May 8; 375(9726):1609-1623.
United Nations. The Millennium Development Goals Report. New York. 2013.
Campbell OM, Graham WJ, Lancet Maternal Survival Series steering group. Strategies for reducing maternal mortality: getting on with what works. The lancet. 2006; 368(9543):1284-99.
Goldie SJ, Sweet S, Carvalho N, Natchu UC, Hu D. Alternative strategies to reduce maternal mortality in India: a cost-effectiveness analysis. PLoS medicine. 2010; 7(4): e1000264.
Hatt L, Stanton C, Ronsmans C, Makowiecka K, Adisasmita A. Did professional attendance at home births improve early neonatal survival in Indonesia?. Health policy and planning. 2009; 24(4):270-278.
Gudura TT, Debiso AT, Gudura TT. Factors associated with Institutional delivery in Boricha district of Sidama zone, southern Ethiopia. International Journal of Public Health Science (IJPHS). 2014; 3(4):224-230.
Bayu H, Adefris M, Amano A, Abuhay M. Pregnant women’s preference and factors associated with institutional delivery service utilization in Debra Markos Town, North West Ethiopia: a community based follow up study: BMC Pregnancy and Childbirth (2015) 15:15. DOI 10.1186/s12884-015-0437-z.
Exavery A, KantéAM, Njozi M, Tani K, Doctor HV, Hingora A, Phillips JF. Access to institutional delivery care and reasons for home delivery in three districts of Tanzania. International journal for equity in health. 2014; 13(1), 48.
Abeje G, Azage M, Setegn T. Factors associated with Institutional delivery service utilization among mothers in Bahir Dar City administration, Amhara region: a community based cross sectional study. Reproductive Health. 2014; 11(1):22.
Agha and Carton: Determinants of institutional delivery in rural Jhang, Pakistan. International Journal for Equity in Health. 2011. 10:31.
Daniel BogaleOdo, DesalegnMarkosShifti. Institutional Delivery Service Utilization and Associated Factors among Child Bearing Age Women in GobaWoreda, Ethiopia. Journal of Gynecology and Obstetrics. Vol. 2, No. 4, 2014, pp. 63-70. doi: 10.11648/j.jgo.20140204.14.
Teferra et al.: Institutional delivery service utilization and associated factors among mothers who gave birth in the last 12 months in Sekela District, North West of Ethiopia: A community - based cross sectional study. BMC Pregnancy and Childbirth. 2012; 12:74.
Birmeta K, Dibaba Y, Woldeyohannes D. Determinants of maternal health care utilization in Holeta town, central Ethiopia. BMC health services research. 2013; 13(1):256.
Mengesha ZB, Biks GA, Ayele TA, Tessema GA, Koye DN. Determinants of skilled attendance for delivery in Northwest Ethiopia: a community based nested case control study. BMC Public Health. 2013; 13(1):130.
Trujillo JC, Carrillo B, Iglesias WJ. Relationship between professional antenatal care and facility delivery: an assessment of Colombia. Health policy and planning. 2013; 29 (4):443-449.
Babalola SO. Factors associated with use of maternal health services in Haiti: a multilevel analysis. Revista Panamericana de Salud Pública. 2014; 36:1-09.
Sharma SR, Poudyal AK, Devkota BM, Singh S. Factors associated with place of delivery in rural Nepal. BMC Public Health. 2014; 14(1):306.
Science Publishing Group
1 Rockefeller Plaza,
10th and 11th Floors,
New York, NY 10020
Tel: (001)347-983-5186