Department of Reproductive Health, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Department of Human Nutrition, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
BMC Health Serv Res. 2020 Mar 30;20(1):265. doi: 10.1186/s12913-020-05121-9.
Institutional delivery is a delivery that takes place at any medical facility staffed by skilled delivery assistance. It is estimated that using institutional delivery could reduce 16 to 33% of maternal deaths. Despite the importance of delivering at health institutions, in Ethiopia, mothers prefer to give birth at home. Therefore, the aim of this study was to compare institutional delivery service utilization and associated factors among rural and urban mothers in Mana district, Jimma Zone, Southwest Ethiopia, 2017.
A community based comparative cross sectional study was conducted in Mana district, Southwest Ethiopia from March to June, 2017. A stratified probability sampling technique was used to select a total of 1426 (713 urban, 713 rural) study participants. Data were collected from mothers who gave birth in the past 24 months by using a structured and pretested questionnaire.
The overall prevalence of institutional delivery service utilization was 86.4%. Higher number of antenatal care visits, having good knowledge on the danger signs of labor, increased wealth index, primary and above educational level of the husband, mothers age below 40-year, and less than 30-min travel time to the nearby health institutions had significantly increased the rate of institutional delivery service utilization.
Institutional delivery service utilization is high in the study area. Maternal awareness of danger signs of labor, frequent ANC visit and better education of husband, and household wealth predicted the utilization of the service. Therefore, due attention need to be given to enhancing education, expanding health institutions and creating awareness on advantage of antenatal care follow up and danger signs to make all pregnancies delivered at health institutions.
机构分娩是指在任何有熟练分娩协助人员的医疗设施中进行的分娩。据估计，使用机构分娩可以降低 16%至 33%的孕产妇死亡。尽管在医疗机构分娩很重要，但在埃塞俄比亚，母亲们更愿意在家分娩。因此，本研究旨在比较曼纳区农村和城市母亲的机构分娩服务利用情况及其相关因素，该研究于 2017 年在埃塞俄比亚西南部的吉马地区进行。
这是一项在埃塞俄比亚西南部的曼纳区进行的基于社区的比较性横断面研究。采用分层概率抽样技术，共选取了 1426 名（713 名城市，713 名农村）研究参与者。通过使用结构化和预测试的问卷，从过去 24 个月内在该地区分娩的母亲那里收集数据。
机构分娩服务利用率总体为 86.4%。增加产前护理次数、对分娩危险信号有较好的认识、增加家庭财富指数、丈夫具有小学及以上教育水平、母亲年龄在 40 岁以下、前往附近医疗机构的旅行时间少于 30 分钟，这些因素都显著增加了机构分娩服务的利用率。
在研究区域，机构分娩服务利用率较高。产妇对分娩危险信号的认识、频繁的 ANC 检查以及丈夫更好的教育和家庭财富状况预测了服务的利用。因此，需要关注加强教育、扩大医疗机构，并提高对产前护理随访和危险信号优势的认识，以确保所有孕妇都在医疗机构分娩。
