Maternal Healthcare Serves Utilization And Determinant Factors Among Mothers of Under One Year Children In Wonchi Woreda, South Wast Shoa Zone,Oromia Reginal State,centeral Ethiopia

Abstract

Background: Complications of pregnancy and childbirth are the leading causes of disability and death among women in the reproductive age (15-49) in developing countries. Access to good quality care during pregnancy and child birth would prevent 50% to 70% of maternal deaths and reduce neonatal mortality by 10% to 15%. Utilization of these services is very low in rural Ethiopia. Antenatal care, delivery care and postnatal care provides an opportunity to deliver different services which are important in improving maternal survival. Objective: To assess maternal health care service utilization and determinant factors among mothers of under one year children. Methods: A community based cross sectional study that employed quantitative method of data collection was conducted among 309 mothers of under one children in wonchi woreda, from March 25th to April 25th, 2014.The study participant was recruited mothers of under one children from eight kebeles of wonchi woreda using simple random sampling technique. A structured interviewer administered questionnaire was used to elicit all important informations from the study participants. Data were analyzed using SPSS for windows version 16.0. Frequency distributions, cross tabulations, crude and adjusted Odds ratios and confidence intervals were performed. Result: Data on antenatal care, delivery care and postnatal care were collected from 302 mothers making a response rate of 97.7%. Three hundred thirty seven (78.5%), 130(43%) and 142(47.1%) of mothers were reported to have received antenatal care at least once, institutional delivery and postnatal care during their last pregnancy respectively. In multivariate analysis, mothers with age group 20-34 years and those with lower birth orders were more likely to use the antenatal care services than their counterparts;(AOR=3.38,95% CI:1.3, 8.5) and (AOR=3.1,95% CI: 1.7,6.2), respectively. Similarly, parity (AOR= 3.97, 95% CI; (2.74, 5.47), walking distance (AOR=2.26, 95%CI; (1.14, 4.44), and ANC service use (AOR= 3.97, 95% CI; (2.73, 5.75), were significant predictors of institutional delivery service use by mothers. Moreover, place of delivery (AOR= 2.84, 95% CI: 1.14, 8.13) and parity (AOR=1.84, 95% CI: 1.35, 2, 50) were among the factors associated with the utilization of postnatal care. Conclusion: The overall utilization of antenatal, delivery and postnatal care were inadequate and determined by maternal age, parity, husband encouragement, antenatal care use, walking distance and place of delivery. Hence, there is a need to increase the availability and accessibility of the health services to all women and increase the community‟s awareness about the three maternal health services are needed.