Assessment of institutional delivery services utilization among women who gave birth in the last two years in Seka Chokersa district, Jimma zone, Southwest Ethiopia

Abstract

Background: In the developed world where less than 1% of maternal deaths occur, it is estimated that 99% deliver in health institution. In developing countries 53% deliver in health institutions In Ethiopia Ten percent of births are delivered at a health facility. Institutional delivery service utilization is essential to improve maternal and child health. However, little is known about institutional delivery service utilization in Seka Chokersa district, Jimma, Ethiopia. Objective: assessment of factors associated institutional delivery utilization and its prevalence. Methods: A community based cross sectional study was done on 152 mothers who gave birth in the last 2 years in Seka Chokersa district. Eleven kebeles were selected. The study population was selected from 11 kebeles using systematic random method and the study participant was interviewed by trained data collector. Analysis was done by using SPSS version 16.0 after exported from EPI Info data. Variable which has significant in Bivarite logistic regression analysis with p-value <0.05 entered in to multivariate analysis of logistic regression and P-values <0.05 were considered as statically significant. Results: Majority mothers 134(75.0%) age were in the range of 20–34 years and utilize delivery service 4.7 times more likely than age range of 15-19. Ninety (59.2%) are illiterate. About 93(61.2%) has monthly income less than 300 ETB. Thirty(19.4 %) of mother delivered at health facility. Planned at health post and health center72 (47.4%), 70 (46.1%) to give birth during their last pregnancy respectively. About 22.2% of mother said that cost, 52.0 % transportation were factor to not utilize delivery service. About 101(66.4) % and 79(52%) said that labor is smooth and short and laboring mother carried by stretcher. About 42.8 % of mothers have no access of health facility within 2 hour walking distance. Bivarite logistic regression analysis of attitude towards institutional delivery showed significant association with institutional delivery service utilization [COR= 0.88, 95% CI (0.78, 0.99), P-value (0.029). Conclusions: Institutional delivery was lower when compared to mothers planned to deliver in health facility and health facility were far. Lack of adequate transportation. Mothers who gave birth only one child has no utilization of institutional delivery. Cost and income were also another factor to not utilize institutional delivery service.