Delay for institutional delivery service utilization and associated factors among mothers attending jimma university medical center, jimma town, southwest Ethiopia

Abstract

Back ground: Pregnancy and child birth related complications are unpredictable; however it is preventable by timely referrals to obstetric care service. The difference between life and death in obstetrics might be a matter of timely arrival and management. Objective: To asses delay for institutional delivery service utilization and associated factors among mothers attending Jimma university medical center, Jimma town south west Ethiopia. Method: Facility based cross sectional study design was employed. Sample size was determined by single population proportion formula. Data were collected from 405 mothers by face to face interview using a pretested structured questionnaire and entered using epi-data version 3.1, exported to SPSS version 23 for analysis. The data was presented using texts, graphs and tables. A multivariable logistic regression analyses was done to identify independent predictors of delay for institutional delivery service utilization. Result: A total of 405 mothers were participated in this study. The prevalence of delay for institutional delivery service utilization was 289(71.4%). The odds of mothers with illiterate husbands to have delay was more than five folds compared to those who do have literate husband (AOR: 5.56[2.64-11.71]). Similarly, mothers with low financial decision making power, those who purchase medical supply for getting service had shown higher odds delay (AOR: 2.59[1.23-5.44]), (AOR:1.86[1.03-3.34]) respectively. Moreover, poor knowledge of mothers on danger sign and birth preparedness, those who travelled longer distance to access health care, those who face problem in accessing health facility and in receiving were found to have higher but varying odds of delay. Conclusion and recommendation: Majority of study participants were delayed for institutional delivery service utilization. Typical factors such as husbands educational status, decision making power on money expense, knowledge of mothers on danger sign and birth preparedness, distance, purchasing medical supply for getting service, encounter problem for the accessibility of health facility, encounter problem in receiving care at health facility still remained predictors of delay. Therefore it is important reducing delay for institutional delivery service utilization by working on the predictors of maternal delay.