Assessing the Determining Factors of Place Choice at Delivery Among Women of Child Bearing Age in NunuKumba Woreda, East Wollega Zone, Western Ethiopia

Desalegn Kumera; Wondimu Mitiku; Zalalem Kaba

doi:doi:10.11648/j.ajnhs.20210202.11

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Assessing the Determining Factors of Place Choice at Delivery Among Women of Child Bearing Age in NunuKumba Woreda, East Wollega Zone, Western Ethiopia

Desalegn Kumera, Wondimu Mitiku, Zalalem Kaba

Published in American Journal of Nursing and Health Sciences (Volume 2, Issue 2)

Received: 2 February 2021 Accepted: 24 March 2021 Published: 20 April 2021

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Abstract

Only 50% of women and no more than 40 percent of births in the developing world are attended by a skilled healthcare provider. Worldwide, lack of skilled attendants at birth accounts for two million preventable maternal deaths, stillbirths and newborn deaths each year. Unavailability of the services, inadequate number of skilled personnel, geographical inaccessibility and poor quality of care, financial constraints, and preference for home delivery were barriers to access to skilled care by women especially in developing countries. Appropriate delivery care is crucial for both maternal and prenatal health and increasing skilled attendance at birth is a central goal of the safe motherhood and child survival movements and is an important indicator in monitoring progress towards Millennium Development Goal 5 (five). This study assessed the magnitude and factors affecting place of delivery among women of child bearing age in Nunu Kumba Woreda, Oromia region, Western Ethiopia. Community based cross sectional quantitative household survey was employed. A pre-tested structured questionnaire was used. The response rate for this study was 100%. Those mothers who didn’t attended antenatal care for their last pregnancy were 7.8 times more likely in home birth as compared to antenatal care attendants. Mothers whose husband’s educated were less likely to choose home as delivery place AOR 95%CI (0.232, 0.083-0.644). Age at first marriage, antenatal care attendance, number of visits for antenatal care, planning of pregnancy, choice of husband to place of delivery and his educational status, and mode of transport used to reach health facility were the significant predictors of choice of delivery place. Therefore, women and partner education, inter sectorial collaboration, availing youth friendly services at all health units and equipping health posts are recommended.

Published in	American Journal of Nursing and Health Sciences (Volume 2, Issue 2)
DOI	10.11648/j.ajnhs.20210202.11
Page(s)	18-32
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Nunu Kumba, Place of Delivery, Child Bearing Age Women, East Wollega

References

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[3]	Luc de Bernis, Della R Sherratt, Carla AbouZahr and, Wim Van Lerberghe. Skilled attendants for pregnancy, childbirth and postnatal care. British Medical Bulletin, World Health Organization Geneva Switzerland, 2003; 67: 39-57.
[4]	Alemayehu Shimeka Teferra, Fekadu Mazengia Alemu, Solomon Meseret Woldeyohannes. Institutional delivery service utilization and associated factors among mothers who gave birth in the last 12 months in Sekela District, North West of Ethiopia: A community - based cross sectional study. BMC Pregnancy and Childbirth 2012 12: 74. 2012.
[5]	Central Statistical Agency [Ethiopia] and ICF International. 2012. Ethiopia Demographic and Health Survey 2011. Addis Ababa, Ethiopia and Calverton, Maryland, USA: Central Statistical Agency and ICF International.
[6]	UNFPA. Maternal Mortality Update; Expectation and Delivery: Investing in Midwives and Others with Midwifery Skills 2006.
[7]	Kesterton, A. J. Cleland, J. Sloggett, A. Ronsmans C. Institutional delivery in rural India: the relative importance of accessibility and economic status; BMC Pregnancy Childbirth; 10: 30. June 2010.
[8]	WHO, Washington, /Geneva/. Lack of skilled birth care costs 2 million lives each year: Report shows both mothers and newborns at risk; Countdown to 2015 Decade Report (2000-2010); June 2010.
[9]	Federal Ministry of Health Ethiopia. Health and Health Related Indicators Bulletin. 2010/11.
[10]	Sabine Gabrysch, Oona MR Campbell. Still too far to walk: Literature review of the determinants of delivery service use, BMC Pregnancy and Childbirth 2009, 9: 34; 2009.
[11]	Hayimanot Mezmur. Factors affecting choice of delivery place among women's in Haramaya Woreda, East Hararge (un published); 2011.
[12]	S. H. Idris, U. M. D. Gwarzo and A. U. Shehu. Determinants of Place of Delivery among Women in a Semi-Urban Settlement in Zaria, Northern Nigeria. Annals of African Medicine; Vol. 5, No. 2; 2006: 68-72.
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[16]	Karar Zunaid Ahsan. Factors Affecting the Choice of Safe Delivery Practices for Pregnant Women in Bangladesh. Bangladesh and School of Public Health, University of Sydney, NSW 2006, Australia; 2006.
[17]	Abyot Asres. Assessment of factors associated with safe delivery service utilization among women of childbearing age in Sheka zone, SNNPR, south west Ethiopia: Addis Ababa; 2008.
[18]	Zeine Abosse, Mirkuzie Woldie, Shimeles Ololo. Factors influencing antenatal care service utilization in Hadiya Zone. Ethiop J Health Sci 2010; 20 (2): 75-82.
[19]	M Nair, P Ariana, Webster P. What influences the decision to undergo institutional delivery by skilled birth attendants? A cohort study in rural Andhra Pradesh, India. The International Electronic Journal of Rural and Remote Health Research, Education, Practice and Policy; 2012; 12: 2311.
[20]	Yvonne S Umurungi. Determinants of the utilization of delivery services by pregnant women in Rwanda; Johannesburg: University of the Witwatersrand; 2010.
[21]	Mulumabet Abera, Abebe G/mariam, Belachew T, Predictors of Safe Delivery service utilization in Arsi Zone, South East Ethiopia; Ethiopian Journal of Health Science; 2006; 21: (special issue): 95-106.
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APA Style

Desalegn Kumera, Wondimu Mitiku, Zalalem Kaba. (2021). Assessing the Determining Factors of Place Choice at Delivery Among Women of Child Bearing Age in NunuKumba Woreda, East Wollega Zone, Western Ethiopia. American Journal of Nursing and Health Sciences, 2(2), 18-32. https://doi.org/10.11648/j.ajnhs.20210202.11

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ACS Style

Desalegn Kumera; Wondimu Mitiku; Zalalem Kaba. Assessing the Determining Factors of Place Choice at Delivery Among Women of Child Bearing Age in NunuKumba Woreda, East Wollega Zone, Western Ethiopia. Am. J. Nurs. Health Sci. 2021, 2(2), 18-32. doi: 10.11648/j.ajnhs.20210202.11

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AMA Style

Desalegn Kumera, Wondimu Mitiku, Zalalem Kaba. Assessing the Determining Factors of Place Choice at Delivery Among Women of Child Bearing Age in NunuKumba Woreda, East Wollega Zone, Western Ethiopia. Am J Nurs Health Sci. 2021;2(2):18-32. doi: 10.11648/j.ajnhs.20210202.11

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@article{10.11648/j.ajnhs.20210202.11,
  author = {Desalegn Kumera and Wondimu Mitiku and Zalalem Kaba},
  title = {Assessing the Determining Factors of Place Choice at Delivery Among Women of Child Bearing Age in NunuKumba Woreda, East Wollega Zone, Western Ethiopia},
  journal = {American Journal of Nursing and Health Sciences},
  volume = {2},
  number = {2},
  pages = {18-32},
  doi = {10.11648/j.ajnhs.20210202.11},
  url = {https://doi.org/10.11648/j.ajnhs.20210202.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajnhs.20210202.11},
  abstract = {Only 50% of women and no more than 40 percent of births in the developing world are attended by a skilled healthcare provider. Worldwide, lack of skilled attendants at birth accounts for two million preventable maternal deaths, stillbirths and newborn deaths each year. Unavailability of the services, inadequate number of skilled personnel, geographical inaccessibility and poor quality of care, financial constraints, and preference for home delivery were barriers to access to skilled care by women especially in developing countries. Appropriate delivery care is crucial for both maternal and prenatal health and increasing skilled attendance at birth is a central goal of the safe motherhood and child survival movements and is an important indicator in monitoring progress towards Millennium Development Goal 5 (five). This study assessed the magnitude and factors affecting place of delivery among women of child bearing age in Nunu Kumba Woreda, Oromia region, Western Ethiopia. Community based cross sectional quantitative household survey was employed. A pre-tested structured questionnaire was used. The response rate for this study was 100%. Those mothers who didn’t attended antenatal care for their last pregnancy were 7.8 times more likely in home birth as compared to antenatal care attendants. Mothers whose husband’s educated were less likely to choose home as delivery place AOR 95%CI (0.232, 0.083-0.644). Age at first marriage, antenatal care attendance, number of visits for antenatal care, planning of pregnancy, choice of husband to place of delivery and his educational status, and mode of transport used to reach health facility were the significant predictors of choice of delivery place. Therefore, women and partner education, inter sectorial collaboration, availing youth friendly services at all health units and equipping health posts are recommended.},
 year = {2021}
}

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TY  - JOUR
T1  - Assessing the Determining Factors of Place Choice at Delivery Among Women of Child Bearing Age in NunuKumba Woreda, East Wollega Zone, Western Ethiopia
AU  - Desalegn Kumera
AU  - Wondimu Mitiku
AU  - Zalalem Kaba
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DO  - 10.11648/j.ajnhs.20210202.11
T2  - American Journal of Nursing and Health Sciences
JF  - American Journal of Nursing and Health Sciences
JO  - American Journal of Nursing and Health Sciences
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PB  - Science Publishing Group
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UR  - https://doi.org/10.11648/j.ajnhs.20210202.11
AB  - Only 50% of women and no more than 40 percent of births in the developing world are attended by a skilled healthcare provider. Worldwide, lack of skilled attendants at birth accounts for two million preventable maternal deaths, stillbirths and newborn deaths each year. Unavailability of the services, inadequate number of skilled personnel, geographical inaccessibility and poor quality of care, financial constraints, and preference for home delivery were barriers to access to skilled care by women especially in developing countries. Appropriate delivery care is crucial for both maternal and prenatal health and increasing skilled attendance at birth is a central goal of the safe motherhood and child survival movements and is an important indicator in monitoring progress towards Millennium Development Goal 5 (five). This study assessed the magnitude and factors affecting place of delivery among women of child bearing age in Nunu Kumba Woreda, Oromia region, Western Ethiopia. Community based cross sectional quantitative household survey was employed. A pre-tested structured questionnaire was used. The response rate for this study was 100%. Those mothers who didn’t attended antenatal care for their last pregnancy were 7.8 times more likely in home birth as compared to antenatal care attendants. Mothers whose husband’s educated were less likely to choose home as delivery place AOR 95%CI (0.232, 0.083-0.644). Age at first marriage, antenatal care attendance, number of visits for antenatal care, planning of pregnancy, choice of husband to place of delivery and his educational status, and mode of transport used to reach health facility were the significant predictors of choice of delivery place. Therefore, women and partner education, inter sectorial collaboration, availing youth friendly services at all health units and equipping health posts are recommended.
VL  - 2
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ER  -

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Author Information

Desalegn Kumera

East Wollega Zonal Health Office Disease Prevention and Control Directorate, Nekemte Town, Ethiopia
Wondimu Mitiku

East Wollega Zonal Health Office Planning, Budgeting, Monitoring and Evaluation Directorate, Nekemte Town, Ethiopia
Zalalem Kaba

East Wollega Zonal Health Office, Nekemte Town, Ethiopia

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APA Style

Desalegn Kumera, Wondimu Mitiku, Zalalem Kaba. (2021). Assessing the Determining Factors of Place Choice at Delivery Among Women of Child Bearing Age in NunuKumba Woreda, East Wollega Zone, Western Ethiopia. American Journal of Nursing and Health Sciences, 2(2), 18-32. https://doi.org/10.11648/j.ajnhs.20210202.11

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ACS Style

Desalegn Kumera; Wondimu Mitiku; Zalalem Kaba. Assessing the Determining Factors of Place Choice at Delivery Among Women of Child Bearing Age in NunuKumba Woreda, East Wollega Zone, Western Ethiopia. Am. J. Nurs. Health Sci. 2021, 2(2), 18-32. doi: 10.11648/j.ajnhs.20210202.11

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AMA Style

Desalegn Kumera, Wondimu Mitiku, Zalalem Kaba. Assessing the Determining Factors of Place Choice at Delivery Among Women of Child Bearing Age in NunuKumba Woreda, East Wollega Zone, Western Ethiopia. Am J Nurs Health Sci. 2021;2(2):18-32. doi: 10.11648/j.ajnhs.20210202.11

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@article{10.11648/j.ajnhs.20210202.11,
  author = {Desalegn Kumera and Wondimu Mitiku and Zalalem Kaba},
  title = {Assessing the Determining Factors of Place Choice at Delivery Among Women of Child Bearing Age in NunuKumba Woreda, East Wollega Zone, Western Ethiopia},
  journal = {American Journal of Nursing and Health Sciences},
  volume = {2},
  number = {2},
  pages = {18-32},
  doi = {10.11648/j.ajnhs.20210202.11},
  url = {https://doi.org/10.11648/j.ajnhs.20210202.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajnhs.20210202.11},
  abstract = {Only 50% of women and no more than 40 percent of births in the developing world are attended by a skilled healthcare provider. Worldwide, lack of skilled attendants at birth accounts for two million preventable maternal deaths, stillbirths and newborn deaths each year. Unavailability of the services, inadequate number of skilled personnel, geographical inaccessibility and poor quality of care, financial constraints, and preference for home delivery were barriers to access to skilled care by women especially in developing countries. Appropriate delivery care is crucial for both maternal and prenatal health and increasing skilled attendance at birth is a central goal of the safe motherhood and child survival movements and is an important indicator in monitoring progress towards Millennium Development Goal 5 (five). This study assessed the magnitude and factors affecting place of delivery among women of child bearing age in Nunu Kumba Woreda, Oromia region, Western Ethiopia. Community based cross sectional quantitative household survey was employed. A pre-tested structured questionnaire was used. The response rate for this study was 100%. Those mothers who didn’t attended antenatal care for their last pregnancy were 7.8 times more likely in home birth as compared to antenatal care attendants. Mothers whose husband’s educated were less likely to choose home as delivery place AOR 95%CI (0.232, 0.083-0.644). Age at first marriage, antenatal care attendance, number of visits for antenatal care, planning of pregnancy, choice of husband to place of delivery and his educational status, and mode of transport used to reach health facility were the significant predictors of choice of delivery place. Therefore, women and partner education, inter sectorial collaboration, availing youth friendly services at all health units and equipping health posts are recommended.},
 year = {2021}
}

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TY  - JOUR
T1  - Assessing the Determining Factors of Place Choice at Delivery Among Women of Child Bearing Age in NunuKumba Woreda, East Wollega Zone, Western Ethiopia
AU  - Desalegn Kumera
AU  - Wondimu Mitiku
AU  - Zalalem Kaba
Y1  - 2021/04/20
PY  - 2021
N1  - https://doi.org/10.11648/j.ajnhs.20210202.11
DO  - 10.11648/j.ajnhs.20210202.11
T2  - American Journal of Nursing and Health Sciences
JF  - American Journal of Nursing and Health Sciences
JO  - American Journal of Nursing and Health Sciences
SP  - 18
EP  - 32
PB  - Science Publishing Group
SN  - 2994-7227
UR  - https://doi.org/10.11648/j.ajnhs.20210202.11
AB  - Only 50% of women and no more than 40 percent of births in the developing world are attended by a skilled healthcare provider. Worldwide, lack of skilled attendants at birth accounts for two million preventable maternal deaths, stillbirths and newborn deaths each year. Unavailability of the services, inadequate number of skilled personnel, geographical inaccessibility and poor quality of care, financial constraints, and preference for home delivery were barriers to access to skilled care by women especially in developing countries. Appropriate delivery care is crucial for both maternal and prenatal health and increasing skilled attendance at birth is a central goal of the safe motherhood and child survival movements and is an important indicator in monitoring progress towards Millennium Development Goal 5 (five). This study assessed the magnitude and factors affecting place of delivery among women of child bearing age in Nunu Kumba Woreda, Oromia region, Western Ethiopia. Community based cross sectional quantitative household survey was employed. A pre-tested structured questionnaire was used. The response rate for this study was 100%. Those mothers who didn’t attended antenatal care for their last pregnancy were 7.8 times more likely in home birth as compared to antenatal care attendants. Mothers whose husband’s educated were less likely to choose home as delivery place AOR 95%CI (0.232, 0.083-0.644). Age at first marriage, antenatal care attendance, number of visits for antenatal care, planning of pregnancy, choice of husband to place of delivery and his educational status, and mode of transport used to reach health facility were the significant predictors of choice of delivery place. Therefore, women and partner education, inter sectorial collaboration, availing youth friendly services at all health units and equipping health posts are recommended.
VL  - 2
IS  - 2
ER  -

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