Understanding the factors associated with utilization of institutional delivery service in Ethiopia: A study based on the 2011 EDHS data.

Abstract

Background

High maternal mortality is a continued challenge for the achievement of the fifth millennium development goal in Sub-Saharan African countries including Ethiopia. Reducing maternal morbidity and mortality is a global priority which is particularly relevant to developing countries like Ethiopia. One of the key strategies for reducing maternal morbidity and mortality is increasing institutional delivery service utilization of mothers under the care of skilled birth attendants. The aim of this study was to determine the level of institutional delivery service utilization and associated factors.

Objectives: To determine the magnitude and associated factors related to utilization of institutional delivery in Ethiopia.

Methods: A community based cross sectional secondary data analysis were conducted by taking all eligible mothers who gave at least one birth in the study period were selected from all clusters of Ethiopian Demographic survey of 2011. Variables were selected, transformed and fitted to bivariate and multivariate Logistic regression model to assess factors associated with institutional delivery using SPSS version 16. P-values ≤ 0.05 were considered as statically significant.

Result: A total of 7758 mothers who gave last birth, only 16% of them were delivered in the health institution; out of 12% were urban and 4% were residing in rural areas. Being rural resident, lower education, long distance to health institutions, male headed household, poor access to media, lower antenatal care follow-up, poor perinatal seeking and family planning knowledge were found to be major factors for less utilization of institutional delivery

Conclusion and recommendation: In this study, institutional delivery was quit lower. Hence, stakeholders need to strive on; information, education communication; universal accessibility of health facilities and improving maternal health care services.