Assessments Of The Magnitude And Determinant Factors Of Institutional Delivery Among Mothers Who Utilized Antenatal Care In The Case Of Sodoworeda Gurage Zone Snnpr

Background: -Maternal death from preventable causes related to pregnancy and child birth isrnunacceptably high. Institutional delivery plays an important role to avert maternal death fromrnsuch causes. Only16% of women delivered at health facility by 2014 in Ethiopia. Therefore,rnthemainaim of this study is toassess the magnitude and determinantsof utilization of institutionalrndelivery among mothers who utilized antenatal carein SodoWoredaGurage Zone, SouthernrnEthiopia.rnMethods: A community based cross-sectional study was conducted in selected kebele ofrnSodoworedaGurage zone. By using systematic sampling technique, a total of 559 eligiblernmothers were included in the study. The data were collected using interviewer administeredrnstructured questionnaire. Data were entered into EPI data 7.0 computer programs and analyzedrnusing SPSS version 21. Crude and adjusted odds ratios were calculated through simple andrnbinominal multiple logistic regressions model.rnResult: Out of the 559 respondents, only 366 (65.5%) gave birth to their last child at healthrnfacility.Maternal educational statusAOR =5.52;95% CI; 1.45, 20.94,time travel on foot from thernnearbyhealth centerAOR = 3.57; 95% CI; 1.57, 8.19],number of ANC visits at last pregnancyAOR =rn4.54; 95% CI; 2.00, 10.31, autonomy to decide their place of delivery lonely or jointly with theirrnhusband AOR = CI; 4.10, 14.08, and accessibility of transportation serviceAOR =2.65;95%rnCI; 1.67, 4.20were found to be significantly associated with the institutional delivery service utilization.rnConclusion:The institutional delivery rate in this study was higher than the national and regionalrnreport by 2014 but less compare to ANC usersto this study area. The major factors that werernsignificantly associated with this low utilization of institutional delivery were maternal level ofrneducation , time taken to reach the nearby by health facility, maternal autonomy on decidingrnplace of delivery, accessibility of transportation and the frequency of ANCrnInformation, education, communication, and empowering mothers is essential, and could helprnthem in decision making regarding their own health, being committed to use the services andrnable to persuade their partner and family members if they encountered opposition.And expansionrnof facility delivery & transport service to address the need of mothers

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