Maternal mortality and morbidity in Ethiopia is among the highest in the world. Community based studies about factors affecting safe delivery service utilization are scanty only few studies done showed that professional assisted delivery is low in the country; particularly in Tigray region where the study was conducted. Community based cross-sectional survey was conducted in subworeda Egela, Tigray Central Zone, Northern Ethiopia on assessment of safe delivery service utilization and associated factors in mothers of childbearing age from March 05, 2011- July 05, 2011. The data was collected using interviewer administered questionnaire on a sample of 380 mothers residing in the Sub-woreda. The data were entered and analyzed using SPSS 16.0. Possible associations and statistical significance was measured using Odds ratio at 95% CI, and P-value of <0.05. Multivariate regression analysis was carried out to identify predictors of safe delivery services utilization. The study revealed that 25% of the urban and 6.3% of the rural women deliver at health institutions. The socio-demographic variables such as age during interview, residency, marital status, educational status of the women, levels of education attended, monthly income, family size, husband occupation, distance of health institution and obstetric factors found to have statistically significant association with institutional delivery. The monthly income and women higher educational level were independent predictors for safe delivery service utilization. In conclusion, this study revealed that the proportion of institutional delivery was unsatisfactory. The monthly income and mothers’ educational status were determinant factors. Therefore, empowering women, providing health education & establishing centers for emergency obstetric care in accessible areas are used to tackle the problem.
| DOI | 10.11648/j.sjph.20170506.12 |
| Published in | Science Journal of Public Health (Volume 5, Issue 6, November 2017) |
| Page(s) | 411-418 |
| 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), 2024. Published by Science Publishing Group |
Safe Delivery, Maternal and Infant Mortality and Morbidity, Professional Assisted Delivery, Women of Child Bearing Age
| [1] | Moccia P. et al. The State of the World’s Children: Maternal and Newborn Health. UNICEF 2008 report |
| [2] | Iffat A. Maternal health during pregnancy and safe delivery. J Dhaka Med Coll. 2010; 19(1):1 |
| [3] | Heine MA. Making Pregnancy Safer: WHO 2008 annual report |
| [4] | Lerberghe WV et al. Make Every Mother and Child Count, Geneva: WHO report, 2005 |
| [5] | Grimes D A et al. Unsafe abortion: the preventable pandemic. The Lancet Sexual and Reproductive Health Series, October 2006 |
| [6] | Moccia P. Progress for children. A report card on maternal mortality. UNICEF report 2008; (8) |
| [7] | Babinard J. Roberts P. Maternal and Child Mortality Development Goals: What Can the Transport Sector Do? The World Bank: 2006. http://www.worldbank.org/transport/ |
| [8] | Maternal and neonatal program effort index (MNPI). A tool for maternal health advocates. Ethiopia. The Futures Group International 80 Glastonbury Blvd. Glastonbury, CT 06033 USA |
| [9] | Ashford L. Hidden Suffering In: Disabilities from pregnancy and Childbirth in Less Developed countries. Measure Communication, Policy brief. 2006 |
| [10] | Mekonnen Y. Patterns of maternity care service utilization in Southern Ethiopia: Evidence from a community and family survey. Ethiop. J. Health Dev. 2003; 17(1):27-33 |
| [11] | Dagne E. Role of socio-demographic factors on utilization of maternal health care services in Ethiopia. 2010 |
| [12] | Demographic and Health Survey. Addis Ababa, Ethiopia and Calverton, Maryland, USA: Central Statistical Authority of Ethiopia and ORC Macro. 2000 |
| [13] | Amira Y N. Making skilled attendance at child in Tigray region, Ethiopia possible |
| [14] | Central Statistical Agency [Ethiopia] and ORC Macro. Ethiopia Demographic and Health Survey 2005. Addis Ababa, Ethiopia and Calverton, Maryland, USA: Central Statistical Agency and ORC Macro |
| [15] | Bale JR. Stoll BJ. Lucas AO. Improving Birth Outcomes: Meeting the Challenge in the Developing World. National Academies Press (US); 2003. https://www.ncbi.nlm.nih.gov/books/NBK222105/ |
| [16] | Kinney MV. et al. Sub-Saharan Africa’s Mothers, Newborns, and Children: Where and Why Do They Die? PLoS Med;2010:7(6): doi:10.1371/ journal.pmed.1000294 |
| [17] | Mekonnen, Y, Mekonnen A. Utilization of Maternal Health Care Services in Ethiopia. 2002; Calverton, Maryland, USA: ORC Macro |
| [18] | Mereb Basin Livelihood Zone. Livelihood Profile Tigray Region, Ethiopia. February 2007 |
| [19] | Federal Democratic Republic of Ethiopia Ministry of Health. Health and health related indicator. 2006/2007 |
| [20] | Tura G, G/Mariam A. Safe Delivery Service Utilization in Metekel Zone, North West Ethiopia. Ethiopian J Health Sci. March 2008; 17(4): 213-221 |
| [21] | Ethiopian Society of Population Studies. Maternal Health Care Seeking Behavior in Ethiopia: In-depth Analysis of the Ethiopian Demographic and Health Survey 2005, Addis Ababa Oct, 2008 pp (14-15) |
| [22] | Nigussie M, Mitike G. Assessment of safe delivery service utilization among women of childbearing age in north Gondar Zone, North West Ethiopia. Ethiop J Health Dev. 200; 18(3):145-152 |
| [23] | Addai I. Demographic and socio-cultural factors influencing use of maternal health services in Ghana. Afr J Reprod Health. 1998; Apr 2(1):73-80. 58 |
| [24] | Sari K. Socio-Economic and Demographic Determinants of Maternal Health Care Utilization in Indonesia. Faculty of Social Sciences, the Flinders University of South Australia, 2009 |
| [25] | Abbas AA, Walker GJ. Determinants of the utilization of maternal and child health services in Jordan. Int J Epidemiol. 1986 Sep; 15(3):404-7 |
| [26] | T. T. Awoyemi1, O. A. Obayelu1 and H. I. Opaluwa. Effect of Distance on Utilization of Health Care Services in Rural Kogi State, Nigeria. J Hum Ecol, 2011; 35(1): 1-9 |
| [27] | Sauerborn R, Nougtara A, Diesfeld HJ. Low utilization of community health workers: results from a household interview survey in Burkina Faso. Soc Sci Med. 1989; 29(10):1163-74 |
APA Style
Andemariyam Yohannes Moges, Tamene Naba Yaya. (2017). Determinants of Safe Delivery Service Utilization Among Women of Childbearing Age in Egela Sub-Woreda, Tigray, Northern Ethiopia. Science Journal of Public Health, 5(6), 411-418. https://doi.org/10.11648/j.sjph.20170506.12
ACS Style
Andemariyam Yohannes Moges; Tamene Naba Yaya. Determinants of Safe Delivery Service Utilization Among Women of Childbearing Age in Egela Sub-Woreda, Tigray, Northern Ethiopia. Sci. J. Public Health 2017, 5(6), 411-418. doi: 10.11648/j.sjph.20170506.12
AMA Style
Andemariyam Yohannes Moges, Tamene Naba Yaya. Determinants of Safe Delivery Service Utilization Among Women of Childbearing Age in Egela Sub-Woreda, Tigray, Northern Ethiopia. Sci J Public Health. 2017;5(6):411-418. doi: 10.11648/j.sjph.20170506.12
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.sjph.20170506.12,
author = {Andemariyam Yohannes Moges and Tamene Naba Yaya},
title = {Determinants of Safe Delivery Service Utilization Among Women of Childbearing Age in Egela Sub-Woreda, Tigray, Northern Ethiopia},
journal = {Science Journal of Public Health},
volume = {5},
number = {6},
pages = {411-418},
doi = {10.11648/j.sjph.20170506.12},
url = {https://doi.org/10.11648/j.sjph.20170506.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20170506.12},
abstract = {Maternal mortality and morbidity in Ethiopia is among the highest in the world. Community based studies about factors affecting safe delivery service utilization are scanty only few studies done showed that professional assisted delivery is low in the country; particularly in Tigray region where the study was conducted. Community based cross-sectional survey was conducted in subworeda Egela, Tigray Central Zone, Northern Ethiopia on assessment of safe delivery service utilization and associated factors in mothers of childbearing age from March 05, 2011- July 05, 2011. The data was collected using interviewer administered questionnaire on a sample of 380 mothers residing in the Sub-woreda. The data were entered and analyzed using SPSS 16.0. Possible associations and statistical significance was measured using Odds ratio at 95% CI, and P-value of <0.05. Multivariate regression analysis was carried out to identify predictors of safe delivery services utilization. The study revealed that 25% of the urban and 6.3% of the rural women deliver at health institutions. The socio-demographic variables such as age during interview, residency, marital status, educational status of the women, levels of education attended, monthly income, family size, husband occupation, distance of health institution and obstetric factors found to have statistically significant association with institutional delivery. The monthly income and women higher educational level were independent predictors for safe delivery service utilization. In conclusion, this study revealed that the proportion of institutional delivery was unsatisfactory. The monthly income and mothers’ educational status were determinant factors. Therefore, empowering women, providing health education & establishing centers for emergency obstetric care in accessible areas are used to tackle the problem.},
year = {2017}
}
TY - JOUR T1 - Determinants of Safe Delivery Service Utilization Among Women of Childbearing Age in Egela Sub-Woreda, Tigray, Northern Ethiopia AU - Andemariyam Yohannes Moges AU - Tamene Naba Yaya Y1 - 2017/09/23 PY - 2017 N1 - https://doi.org/10.11648/j.sjph.20170506.12 DO - 10.11648/j.sjph.20170506.12 T2 - Science Journal of Public Health JF - Science Journal of Public Health JO - Science Journal of Public Health SP - 411 EP - 418 PB - Science Publishing Group SN - 2328-7950 UR - https://doi.org/10.11648/j.sjph.20170506.12 AB - Maternal mortality and morbidity in Ethiopia is among the highest in the world. Community based studies about factors affecting safe delivery service utilization are scanty only few studies done showed that professional assisted delivery is low in the country; particularly in Tigray region where the study was conducted. Community based cross-sectional survey was conducted in subworeda Egela, Tigray Central Zone, Northern Ethiopia on assessment of safe delivery service utilization and associated factors in mothers of childbearing age from March 05, 2011- July 05, 2011. The data was collected using interviewer administered questionnaire on a sample of 380 mothers residing in the Sub-woreda. The data were entered and analyzed using SPSS 16.0. Possible associations and statistical significance was measured using Odds ratio at 95% CI, and P-value of <0.05. Multivariate regression analysis was carried out to identify predictors of safe delivery services utilization. The study revealed that 25% of the urban and 6.3% of the rural women deliver at health institutions. The socio-demographic variables such as age during interview, residency, marital status, educational status of the women, levels of education attended, monthly income, family size, husband occupation, distance of health institution and obstetric factors found to have statistically significant association with institutional delivery. The monthly income and women higher educational level were independent predictors for safe delivery service utilization. In conclusion, this study revealed that the proportion of institutional delivery was unsatisfactory. The monthly income and mothers’ educational status were determinant factors. Therefore, empowering women, providing health education & establishing centers for emergency obstetric care in accessible areas are used to tackle the problem. VL - 5 IS - 6 ER -
Information
Email: