Nstitutional delivery service use and associated factors among mothers in lemo distirict of hadiya zone, southern Ethiopia

Abstract

BACKGROUND: Institutional delivery is a delivery that has taken place in the hospitals or health centers by skilled birth attendants. Although one of the key strategies in reducing maternal death is increasing institutional delivery service through skilled birth attendance; use of this service by pregnant mothers is significantly lower in Ethiopia as well in the study area. OBJECTIVE: The aim of the study was to assess institutional delivery service use and associated factors among mothers who gave birth in the last 12 months prior to the study in lemo district, hadiya zone, southern Ethiopia. METHODS: A community-based cross-sectional study was conducted from March 04 – 29, 2019 among mothers who gave birth in the last 12 months prior to the study. Stratified Cluster sampling was used to get 634 total sample sizes. A pre tested semi- structured questionnaire was used to collect quantitative data and semi-structured, open ended questionnaire for qualitative data collection tool. Data capturing was done using Epi-data version 3.1 Software. Then, for analysis exported to SPSS version 20 Bivaraite analyses was carried out to identify factors that are associated with institutional delivery service use. Multivariate regression analysis was performed for those factors that showed a statistically significant association in the Bivaraite analysis. Information obtained from participants through in-depth interview was analyzed using thematic analysis. Results: Out of the 634 participants, 609 mothers participated in this study resulting in a response rate of 96.1%. About 259(42.5%) mothers used health institution for delivery services. Institutional delivery service use was affected by mother’s level of education. Mothers who were able to read and write (AOR=8.3, 95%CI: 4.3-16.0), Urban residence AOR= 2.9, 95%CI: 1.3-6.4], good Knowledge towards delivery and pregnancy complications AOR=2.1 95%CI: 1.2- 3.0),governmental workers (AOR=2.3, 95%CI: 1.2-4.4), wealth status of highest income mother (AOR= 3.5,95%CI: 2.0-5.9) &anti natal care visit AOR= 3.5,95%CI: 2.0-6.3). Conclusion: Institutional delivery service use by mothers was low. Lack of formal education, lower ANC visit, poor knowledge towards institutional delivery services and lower socioeconomic status of the respondents were factors associated with lower use