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Determinants of Safe Delivery Service Utilization Among Women of Childbearing Age in Egela Sub-Woreda, Tigray, Northern Ethiopia

Received: 19 September 2016     Accepted: 7 October 2016     Published: 23 September 2017
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Abstract

Maternal mortality and morbidity in Ethiopia is among the highest in the world. Community based studies about factors affecting safe delivery service utilization are scanty only few studies done showed that professional assisted delivery is low in the country; particularly in Tigray region where the study was conducted. Community based cross-sectional survey was conducted in subworeda Egela, Tigray Central Zone, Northern Ethiopia on assessment of safe delivery service utilization and associated factors in mothers of childbearing age from March 05, 2011- July 05, 2011. The data was collected using interviewer administered questionnaire on a sample of 380 mothers residing in the Sub-woreda. The data were entered and analyzed using SPSS 16.0. Possible associations and statistical significance was measured using Odds ratio at 95% CI, and P-value of <0.05. Multivariate regression analysis was carried out to identify predictors of safe delivery services utilization. The study revealed that 25% of the urban and 6.3% of the rural women deliver at health institutions. The socio-demographic variables such as age during interview, residency, marital status, educational status of the women, levels of education attended, monthly income, family size, husband occupation, distance of health institution and obstetric factors found to have statistically significant association with institutional delivery. The monthly income and women higher educational level were independent predictors for safe delivery service utilization. In conclusion, this study revealed that the proportion of institutional delivery was unsatisfactory. The monthly income and mothers’ educational status were determinant factors. Therefore, empowering women, providing health education & establishing centers for emergency obstetric care in accessible areas are used to tackle the problem.

Published in Science Journal of Public Health (Volume 5, Issue 6)
DOI 10.11648/j.sjph.20170506.12
Page(s) 411-418
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Safe Delivery, Maternal and Infant Mortality and Morbidity, Professional Assisted Delivery, Women of Child Bearing Age

References
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[4] Lerberghe WV et al. Make Every Mother and Child Count, Geneva: WHO report, 2005
[5] Grimes D A et al. Unsafe abortion: the preventable pandemic. The Lancet Sexual and Reproductive Health Series, October 2006
[6] Moccia P. Progress for children. A report card on maternal mortality. UNICEF report 2008; (8)
[7] Babinard J. Roberts P. Maternal and Child Mortality Development Goals: What Can the Transport Sector Do? The World Bank: 2006. http://www.worldbank.org/transport/
[8] Maternal and neonatal program effort index (MNPI). A tool for maternal health advocates. Ethiopia. The Futures Group International 80 Glastonbury Blvd. Glastonbury, CT 06033 USA
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[12] Demographic and Health Survey. Addis Ababa, Ethiopia and Calverton, Maryland, USA: Central Statistical Authority of Ethiopia and ORC Macro. 2000
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[24] Sari K. Socio-Economic and Demographic Determinants of Maternal Health Care Utilization in Indonesia. Faculty of Social Sciences, the Flinders University of South Australia, 2009
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  • APA Style

    Andemariyam Yohannes Moges, Tamene Naba Yaya. (2017). Determinants of Safe Delivery Service Utilization Among Women of Childbearing Age in Egela Sub-Woreda, Tigray, Northern Ethiopia. Science Journal of Public Health, 5(6), 411-418. https://doi.org/10.11648/j.sjph.20170506.12

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    ACS Style

    Andemariyam Yohannes Moges; Tamene Naba Yaya. Determinants of Safe Delivery Service Utilization Among Women of Childbearing Age in Egela Sub-Woreda, Tigray, Northern Ethiopia. Sci. J. Public Health 2017, 5(6), 411-418. doi: 10.11648/j.sjph.20170506.12

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    AMA Style

    Andemariyam Yohannes Moges, Tamene Naba Yaya. Determinants of Safe Delivery Service Utilization Among Women of Childbearing Age in Egela Sub-Woreda, Tigray, Northern Ethiopia. Sci J Public Health. 2017;5(6):411-418. doi: 10.11648/j.sjph.20170506.12

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  • @article{10.11648/j.sjph.20170506.12,
      author = {Andemariyam Yohannes Moges and Tamene Naba Yaya},
      title = {Determinants of Safe Delivery Service Utilization Among Women of Childbearing Age in Egela Sub-Woreda, Tigray, Northern Ethiopia},
      journal = {Science Journal of Public Health},
      volume = {5},
      number = {6},
      pages = {411-418},
      doi = {10.11648/j.sjph.20170506.12},
      url = {https://doi.org/10.11648/j.sjph.20170506.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20170506.12},
      abstract = {Maternal mortality and morbidity in Ethiopia is among the highest in the world. Community based studies about factors affecting safe delivery service utilization are scanty only few studies done showed that professional assisted delivery is low in the country; particularly in Tigray region where the study was conducted. Community based cross-sectional survey was conducted in subworeda Egela, Tigray Central Zone, Northern Ethiopia on assessment of safe delivery service utilization and associated factors in mothers of childbearing age from March 05, 2011- July 05, 2011. The data was collected using interviewer administered questionnaire on a sample of 380 mothers residing in the Sub-woreda. The data were entered and analyzed using SPSS 16.0. Possible associations and statistical significance was measured using Odds ratio at 95% CI, and P-value of <0.05. Multivariate regression analysis was carried out to identify predictors of safe delivery services utilization. The study revealed that 25% of the urban and 6.3% of the rural women deliver at health institutions. The socio-demographic variables such as age during interview, residency, marital status, educational status of the women, levels of education attended, monthly income, family size, husband occupation, distance of health institution and obstetric factors found to have statistically significant association with institutional delivery. The monthly income and women higher educational level were independent predictors for safe delivery service utilization. In conclusion, this study revealed that the proportion of institutional delivery was unsatisfactory. The monthly income and mothers’ educational status were determinant factors. Therefore, empowering women, providing health education & establishing centers for emergency obstetric care in accessible areas are used to tackle the problem.},
     year = {2017}
    }
    

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  • TY  - JOUR
    T1  - Determinants of Safe Delivery Service Utilization Among Women of Childbearing Age in Egela Sub-Woreda, Tigray, Northern Ethiopia
    AU  - Andemariyam Yohannes Moges
    AU  - Tamene Naba Yaya
    Y1  - 2017/09/23
    PY  - 2017
    N1  - https://doi.org/10.11648/j.sjph.20170506.12
    DO  - 10.11648/j.sjph.20170506.12
    T2  - Science Journal of Public Health
    JF  - Science Journal of Public Health
    JO  - Science Journal of Public Health
    SP  - 411
    EP  - 418
    PB  - Science Publishing Group
    SN  - 2328-7950
    UR  - https://doi.org/10.11648/j.sjph.20170506.12
    AB  - Maternal mortality and morbidity in Ethiopia is among the highest in the world. Community based studies about factors affecting safe delivery service utilization are scanty only few studies done showed that professional assisted delivery is low in the country; particularly in Tigray region where the study was conducted. Community based cross-sectional survey was conducted in subworeda Egela, Tigray Central Zone, Northern Ethiopia on assessment of safe delivery service utilization and associated factors in mothers of childbearing age from March 05, 2011- July 05, 2011. The data was collected using interviewer administered questionnaire on a sample of 380 mothers residing in the Sub-woreda. The data were entered and analyzed using SPSS 16.0. Possible associations and statistical significance was measured using Odds ratio at 95% CI, and P-value of <0.05. Multivariate regression analysis was carried out to identify predictors of safe delivery services utilization. The study revealed that 25% of the urban and 6.3% of the rural women deliver at health institutions. The socio-demographic variables such as age during interview, residency, marital status, educational status of the women, levels of education attended, monthly income, family size, husband occupation, distance of health institution and obstetric factors found to have statistically significant association with institutional delivery. The monthly income and women higher educational level were independent predictors for safe delivery service utilization. In conclusion, this study revealed that the proportion of institutional delivery was unsatisfactory. The monthly income and mothers’ educational status were determinant factors. Therefore, empowering women, providing health education & establishing centers for emergency obstetric care in accessible areas are used to tackle the problem.
    VL  - 5
    IS  - 6
    ER  - 

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Author Information
  • Department of Biomedical Sciences, College of Health Sciences, Samara University, Samara, Ethiopia

  • School of Medicine, Physiology Unit, Wolaita Sodo University, Sodo, Ethiopia

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