Assessment Of Utilization Of Skilled Birth Attendant At Delivery In Mekelle Town Northern Ethiopia

Background: skilled attendant for every pregnant woman during childbirth is the most criticalrnintervention for improving maternal and child health. Ethiopia with maternal mortality ratio ofrn673 per 100,000 live births, the majority of births are delivered at home and the proportion ofrndeliveries assisted by skilled attendant is very low.rnObjective: to assess utilization of skilled birth attendant at delivery, among mothers who gavernbirth the last one year prior to the survey in Mekelle town.rnMethodology: A cross-sectional household survey was conducted from Sep. 2006 tornOct.2006.Women who had delivered in Mekelle Town, within the last one-year prior to thernsurvey obtained using proportional to population size of 10 “Tabias” through random walkingrnwere interviewed using structured and pre-tested questionnaire.rnResult: A total of 600 women were included in the study. 69% of the women utilize skilledrnbirth attendant during delivery. Among the client who had institutional delivery theirrnsatisfaction to the time the health worker spent with them, cleanliness of instrument orrnequipment, the courtesy and respect offered by the provider, measures taken to assure theirrnprivacy and comfort , and professional competency and skill of the health worker duringrndelivery was (95%). Births to women with primary education are two times more likelyrn(OR=2.19and 95%CI=1.33-3.61), and births to women with secondary and above education arernfour times more likely (OR=3.90 and 95%CI=1.95-7.81) to utilize SDA as compared tornilliterate women. Women who have secondary and above educated husband are three timesrnmore likely to utilize SDA than those illiterate (OR=3.10 and 95%CI=1.29-7.42). Women withrnfirst pregnancy OR=4.11 and 95%CI= 2.20, 7.68), women who have ANC visits OR=2.95 andrn(95%CI= 1.63, 5.37), women who know presence of pregnancy and delivery complicationrnOR=3.40 and 95%CI 1.76.-6.57), women who obtained MCH information 2.27 and 95%CIrnviiirn1.17-4.41), Those who have visit to health facility OR=2.95 and 95%CI=1.06-8.21), those whorncan get transportation OR=2.67 and 95%CI=1.59-4.49), and those their husband’s prefer to usernskilled delivery attendant during delivery OR=4.65 and 95%CI=2.37-9.13), were more likely tornutilize skilled delivery attendant than those who are disadvantaged.rnConclusions: increasing educational opportunities for both women and their husbands andrnparticularly for girls, promotion of ANC follow-up with provision of MCH informationrnparticularly, the need for SDA at every childbirth, health workers particularly health extensionrnworkers should promote community awareness programs, home visit, and community-basedrndelivery systems which focus the disadvantaged women and facilitation of supportivernenvironment, such as supplies, equipment, establishing functioning system of referral andrnappropriate training of midwifes are recommended

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