Mandura District Health Office, Metekel Zone, Benishangul Gumuz, Ethiopia.
Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.
PLoS One. 2020 Dec 16;15(12):e0243466. doi: 10.1371/journal.pone.0243466. eCollection 2020.
The risk of death from complications relating to pregnancy and childbirth for women's lifetime is higher in developing countries. Improving maternal and child health through a well-organized institutional delivery service is central to achieving reduced maternal and child mortality. Despite the efforts that have been made to improve maternal health outcomes in Ethiopia, institutional delivery is still unacceptably low.
This study was conducted to assess institutional delivery service utilization and associated factors in the study area.
A Community-based cross-sectional study was conducted. A multi-stage sampling technique was used to employ a total of 546 women. Data were collected using an interviewer-administered questionnaire and entered into EpiData version 3.1 and then exported to SPSS version 23.0. for analysis. Logistic regression models were used to determine factors associated with the outcome variable. Adjusted Odds ratios with 95% CI were computed to measure the strength of association and statistical significance was declared at p-value <0.05.
The Prevalence of institutional delivery in the study area was 38% (34%-42%). Factors significantly associated with institutional delivery were ANC visit 1.80 (1.12-2.91), knowledge of danger sign during pregnancy 3.60 (2.25-5.76), urban residency 2.09 (1.15-3.81), Parity 0.49 (0.25-0.95) accessibility of health facility 4.60 (2.01-10.89), husbands educational level: primary 2.50 (1.27-4.91), secondary and above 2.36 (1.24-4.48), mothers occupation: governmental employee 2.05 (1.00-4.18), and Private employee 2.42 (1.09-5.35).
The prevalence of institutional delivery in the District was low. Antenatal visits, residency, knowledge of pregnancy danger signs, parity, and accessibility of health facilities, maternal occupation, and husband education were factors significantly associated with institutional delivery.
发展中国家女性终生因妊娠和分娩并发症而死亡的风险更高。通过组织良好的机构分娩服务改善母婴健康是降低母婴死亡率的核心。尽管埃塞俄比亚为改善母婴健康结果做出了努力，但机构分娩率仍然低得令人无法接受。
本研究旨在评估研究地区的机构分娩服务利用情况及相关因素。
本研究采用了基于社区的横断面研究。采用多阶段抽样技术，共招募了 546 名妇女。使用访谈者管理的问卷收集数据，并将其输入 EpiData 版本 3.1，然后导出到 SPSS 版本 23.0 进行分析。使用逻辑回归模型确定与结果变量相关的因素。使用 95%CI 的调整比值比来衡量关联的强度，并在 p 值<0.05 时宣布具有统计学意义。
研究地区的机构分娩率为 38%（34%-42%）。与机构分娩显著相关的因素包括：产前护理就诊 1.80（1.12-2.91）、怀孕期间对危险迹象的认识 3.60（2.25-5.76）、城市居住 2.09（1.15-3.81）、产次 0.49（0.25-0.95）、医疗机构可达性 4.60（2.01-10.89）、丈夫教育程度：小学 2.50（1.27-4.91）、中学及以上 2.36（1.24-4.48）、母亲职业：政府雇员 2.05（1.00-4.18）和私营企业雇员 2.42（1.09-5.35）。
该地区的机构分娩率较低。产前护理就诊、居住、对怀孕危险迹象的认识、产次、医疗机构可达性、母亲职业和丈夫教育程度是与机构分娩显著相关的因素。
