Utilization of Institutional Delivery Care Services and Influencing Factors among Women of Child Bearing Age in Assosa District, Benishangul Gumuz Regional State, West Ethiopia
Nearly all (99%) of maternal death occur in the developing countries. The major reason for this huge magnitude of the problem is failure to use delivery care services in these countries. Little is known about the utilization and factors influencing the use of delivery care services. The aim of study is to assess utilization of delivery care services and influencing factors among women in Assosa District. A community based cross sectional study was conducted from May 17 – 31, 2012 on randomly selected samples of 536 women who had at least one delivery in the five years prior to the study. Structured questionnaire, FGD and in-depth interview guide were used to collect data. Data were analysed by using SPSS version 16.0. Binary logistic regression was used to determine the association between dependent and independent variables. The result of the study reveals that out of the 525 study subjects 130(24.8%) attended their last delivery in health facility. Factors influencing institutional delivery services were being rural resident [AOR= 0.06, 95%CI: 0.01, 0.33], age at first pregnant >= 20 years [AOR= 2.15, 95% CI: 1.09, 4.22], ANC follow up [AOR= 7.02, 95%CI: 2.14, 18.98], having information on facility delivery[AOR= 2.49, 95% CI: 1.11, 5.58], occurrence of problems during pregnancy [AOR= 1.95, 95% CI: 1.01, 4.23], being knowledgeable on maternal health services [AOR=5.84, 95% CI: 1.03, 36.42], having favourable attitude towards delivery service[AOR= 9.25, 95% CI: 2.42, 35.33]and consulting others to made decision on place of delivery [AOR=3.9, 95% CI: 1.9,7.99]. Therefore, the study concluded that there is very low utilization of institutional delivery. It is still low as compared to national HSDP IV target. Socio-demographic, obstetric factors, knowledge, attitude and decision making power were identified as factors affecting institutional delivery care service utilization. Providing IEC and house-hold level discussion on the important of institutional delivery ser
