Journal des soins de santé des femmes
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Institutional Delivery Service Utilization and Associated Factors among Women of Child Bearing Age at Boset Woreda, Oromia Regional State, Central Ethiopia

Taye Shigute, Solomon Tejineh, Legesse Tadesse*

Background: Evidence has shown access to skilled attendance at birth averting nearly 16-33% maternal deaths. Despite concerted effort to increase access and importance of institutional delivery in preventing maternal death, only 46% and 15% of developing nations and Ethiopian national deliveries, respectively delivered in health facilities that makes assessment of the barriers to health facility delivery important in the study setup.
Objective: To assess institutional delivery magnitude and associated factors among mothers delivered in the past 12 months in Boset Woreda, Ethiopia.
Methods: A community based cross-sectional study was employed. Systematic random sampling was used to select participants. Data collected using Interviewer administered questionnaire and entered Epi Info 7.1 and analyzed using SPSS version 20.0, p-value 0.05 used to declare statistical significance.
Results: A total of 589 women were participated in this study. The mean age of the respondents was 26 years (+5 SD). Educational status of 321 (54.0%) were read and write, while 198 (34.0%) were illiterate. The magnitude of institutional delivery utilization is found 60%. From the study, primary and above educational status (AOR: 2.1; (95%CI: 10.1, 4.70), occupation other than house wife (merchant, employee, etc.) (AOR:1.9; 95%CI: 1.12,4.01), age ≥ 18 years during their first marriage (AOR: 1.5; 95%CI:1.21,2.30), age ≥ 18 years during their first pregnancy (AOR: 1.8; 95%CI:1.13,3.35), primigravida (AOR: 2.5; 95%CI: 1.57,3.99), distance from health facility <1 hour (AOR: 15; 95%CI: 9.34,27.11), and women decision maker for place of delivery (AOR: 3.4; 95%CI: 1.86,6.27) were statistically significant predictors contributing for better institutional delivery utilization.
Conclusion and Recommendation: Institutional delivery service utilization was found to be higher compared to other areas. Finding revealed education, occupation, age at marriage and distance from facility independently affect institutional delivery. Efforts should be made to increase maternal education access to facility to improve institutional delivery utilization.