Assessment Of Utilization And Factors Of Skilled Birth Attendance Among Women Of Childbearing Age In Ankasha Guagusa Woreda Awi Zone Amhara Regional State Northwest Ethiopia 2014

Introduction; The Ethiopian Demographic and Health Survey in 2011 reportedrnmaternal mortality ratio of 676 maternal deaths per 100,000 live births which madernour country among the 10 highest contributors’ of maternal death. Many Thesisrnresults showed that properly equipped and supported skilled birth attendance reducernmany of these complications. However, only 11.5 % of Ethiopian mothers werernsupported by skilled birth attendant during their labour and delivery.rnObjective: - To assess prevalence and factors to utilize skilled birth attendantsrnamong mothers who gave birth during the last one year in Ankasha Guagusa district.rnMethods: - A mixed study design employing a cross sectional household survey withrnin-depth interview and focus group discussion were employed. A total of 373 womenrnage 15 to 49 years who gave birth in the past one year were asked. The sample sizernfor the qualitative method was determined by saturation of ideas. Descriptivernsummary measures and associations between the various factors with skilled birthrnattendance were done employing Binary and Multivariate Logistic Regression.rnThematic analysis was also used for the qualitative study.rnResult-rnThe study showed that the prevalence of skilled birth attendance utilization amongrnwomen who gave birth for the last one year in the study area were 70(18.8%). Mainrndeterminant factors associated to low utilization of skilled birth attendance in thernstudy district were; women residence, educational status, ANC visit, type of healthrnfacility near to them, problem during labour and respondent’s attitude towardsrnpregnancy and labour service. The odds of skilled birth attendance utilization amongrnurbanites were AOR=5.5:195%CI (2.23, 13.57), educational status 2nd and abovernAOR=6.27 :( 1.31, 30.05), numbers of ANC visit 4th and above AOR=12.96:95%CIrn(3.20, 52.51) and women who encountered complications during their labourrnAOR=61.97:95%CI (19.83, 193.65) times higher than those counterparts. On therncontrary mothers reside near to health post and unfavourable attitude of mothersrntowards maternal health care services were 83% and 65% less likely assisted byrnskilled birth professionals during their delivery than those the opposite partsrnrespectively. Moreover, cultural practices, beliefs and barriers were otherrnconcomitant factors for low utilization of skilled birth attendance.rnConclusionrnSkilled birth attendance utilization in the study area was very low due to differentrnbarriers. Hence, to bridge this gap especially women’s educational and awarenessrntowards maternal health care services and cultural influences; sustainablernawareness should be created by designing appropriate strategies including provisionrnof targeted information, education and communication and integration among healthrncare providers and other stakeholder at the community and health facilities.rnKey-words - Home delivery, skilled birth assistant, skilled birth attendance.

Get Full Work

Report copyright infringement or plagiarism