Place of delivery after antenatal care utilization and assocated factors in sheka zone masha worda, south west Ethiopia, community based cross sectional study

Abstract

Background: In developing countries, pregnancy and childbirth are the leading causes of disability and death among women of reproductive age. Most of these causes are preventable by provision of skilled care for all women before, during, and after childbirth. Even if antenatal care (ANC) is a core strategy to increase SBAs, there is a great difference between ANC utilization and safe delivery service. And also there is limited studies regarding place of delivery after ANC utilization in study area as well as in Ethiopia. Objective: The objective of this study is to assess place of delivery after antenatal care utilization and its associated factors in Masha worda Sheka Zone, SNNPR, in year 2015/2016 Methods: A community-based cross-sectional study was undertaken among 454 randomly selected women who had at least one ANC follow up and give birth one year prior the study in Masha Worda. The data were collected from Mar.25/2016 to Apr.5/ 2016. The data were checked, edited and, coded for completeness and consistency, and entered to Epi Info version 3.5.1 computer packages. Then data were exported to SPSS version 20.0 for analysis. Binary logistic regression was done to identify factors associated with place of delivery after ANC utilization. Multivariable logistic regression model were computed to identify factors associated with place of delivery after ANC utilization. Result; A total of 454 women who had at least one ANC follow up & give birth one year prior to the survey were interviewed. Over 64 % of the deliveries take place at home and mostly without the assistance of medically trained personnel. Multivariate analysis showed that mother’s educational status secondary and above (AOR= 0.146, 95% CI; 0.035, 0.602), BP&CR counseling (AOR=0.082, 95% CI; 0.031, 0.218), Privacy during ANC (AOR=0.187, 95% CI; 0.069, 0.509) were predictors of home delivery after antenatal care (ANC) utilization. Conclusion; Home delivery after ANC utilization was high. Maternal education, privacy during ANC visit, BP&CR counseling was important predictors. Promotion of maternal education, giving privacy and respect the mothers during ANC visit and BP&CR counseling are recommended to decrease home delivery.