Determinants Of Maternal Health Care Services Utilization The Case Of Gozamn Woreda East Gojam One Ofamhara Region Ethiopia

.lany of I'alllen in dereloping cow11ries are al a great risk ill lerms of high ",alernal lIIorhi,iill 'rnand mOrlalif)' dlle 10 ji:lclors related to pregnallL)l and childbirth in these cOll/1Irie) . .. / en'S.'rnsectional swdy was condllcted ji-om February 15 10 March 15. 2010 ill Gozal11 in lI"ored" IIIrnAmhara Regional S{(ae 10 assess factors a[[ecting ulilizalion o(maternal heallh care wlTice ' .-/rnIOwl o[ 587 women )rho had al lisl one live binhs in Ihe .five years preceding Ihe sUITe,' I ' , rernselecled syslematically. Dala Irere collected using a pre-Iested and structured quesliollll(lires " ,,,IrnFGD )rere used to collecl qual7lilGlive and qualiwlive data. respeclil'ely. The analysis rel'eu.-edrnIhal aboul 59.3% ot'the I'omen had at leasl one prenalal visil during Iheir recelll I'regnw ,,'LrnAboul fO rlyjive percenl of Ihose women allending anlenalal care had Iheirfirsl l'isil during Ih"irrn/irstlrimesler o[ pregnancy. Among ANC users 6-1% of had less than[our anlenawl care ('()/lludsrnin the recem pregnancL 771e 1110S1 imporlanl reasons for nOI allending ANC care Irere he.'lIgrnheallhy and being 100 bU5)'. AJajorily of deli reries took place at home; aboul 71% o(deti·erie.rnlOok place (/1 home. Presence or relGlives nearb.'. Ti-anspOrl{{{ion problem. and lack o(pri)',"Trn)rere Ihe main reasons ciled[or resorting 10 hallie delil·ery. The majority o!'the respondel1ls I ,'I'ernable 10 nallle Ihe danger sign of pregnancy relaled problems. In mullivariwe analysis Ihe ri., i: 01rnnon-allendallce of _~ NC and home delivery I'as higher for Ihose I 'omell whose residence " asrn/'IIral. low educaliol1al stalus, higher parily and being housewi[e 01 old age. In addition .-'.,(Crnservice utili zation s igni ficantly affect utilization of de livery care provided in health inst itUl il1 nsrn(P-value less than 0.05). In cone/usion. Ihe sllld), revealed thw more wOlllen allend 11_'C d"r.'ngrnpregnancy liwnlhose derived al heailh instituliollS. Demographic and socio-c"iluraljclelOrs I eTcrnfound 10 be barriers 10 ulilizOIion 0/ malernal health care services. Educating girls, pro'i Jingrnhealth education on maternal health care services. and improving the sen ' ices of health cxten5:ollrn'Orkers in ru ral areas were recommended to improve utili zation of both sen·ices.rnKey words: .l1alernal heailh care. anlel1atal care. place of delil·ery. Amhara Region

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