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Delays for Utilizing Institutional Delivery and Associated Factors Among Mothers Attending Public Health Facility in Hadiya Zone, Southern Ethiopia

Received: 29 July 2017     Accepted: 21 August 2017     Published: 28 September 2017
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Abstract

Labour and delivery are the shortest and most critical period during pregnancy and childbirth. The major factors that contribute to maternal death in developing countries are: delay in deciding to seek care, identifying and reaching medical facility, and receiving adequate and appropriate treatment. The study aimed to determine delays in institutional delivery and associated factors among mothers attending public health facilities, southern Ethiopia. Facility based Cross sectional study was employed on 397 labouring mothers attending Negist Elene Mohamed memorial general hospital. The sample size was determined by using single population proportion formula and the data were collected consecutively until the required sample sizes achieved. Descriptive data analysis was conducted to identify summary values and multiple logistic regressions were performed to identify independent predictors for the delays. All the analysis was done using SPSS for windows version 16.0. A total of 384 labouring mothers were participated in this study. The proportion of mothers who exhibited the first delay was 154(40.1%). Maternal unemployment [AOR, 2.5; 95% CI, 1.118, 5.441]; husband educational status [AOR, 2.3; 95% CI, 1.204, 4.408]; and antenatal care visit [AOR, 0.4; 95% CI, 0.277, 0.713] were the independent predictors of the first delay. Mothers who experienced the second delay were 114(29.7%). For this delay, distance [AOR, 14; CI, 7.895, 26.558]; uneducated mothers [AOR, 3; 95% CI, 1.397, 6.711]; and means of transportation [AOR, 0.6; 95% CI, 0.314, 0.995] were determinants. Mothers who experienced the 3rd delay were 125(32.6%). The main predictors were multiple referral levels [AOR, 0.2; 95% CI, 0.068, 0.347]; absence of care provider [AOR, 1.7; 95% CI, 1.060, 2.697]; and lengthy admission process [AOR, 2.2; 95% CI, 1.279, 3.776]. The very high percentage of each delay in this study suggests low utilization of emergency obstetric care among labouring mothers.

Published in Science Journal of Public Health (Volume 5, Issue 6)
DOI 10.11648/j.sjph.20170506.13
Page(s) 419-427
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

Delays, Emergency Obstetric Care, Ethiopia

References
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[3] See A. Starrs, “Safe Motherhood Initiative: 20 years and conducting,” The Lancet, UN, 2006.
[4] Millennium Project, Investing in Development: A practical plan to achieve the Millennium Development Goals, UNDP, 2005.
[5] UNFPA: Emergency obstetric care: Reducing life-threatening delay. http://www.unfpa.org/public/home/mothers/pid/4385, 2012
[6] Kamara, A. the international federation of gynecology and obstetrics; lessons learned from the PMM network experience. Int J GynecolObstet, 1997. V 59 (Suppl 2) 253-258.
[7] Skilled Attendance at Birth. Available from: http://www.unfpa.org/public/cache/offonce/home/mothers/pid/4383 [cited 12 March 2014].
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[17] Mrisho, M, Schellenberg, J. A, Mushi, A. K, Obrist, B., Mshinda, H., Tanner, M., and Schellenberg, D., Factors affecting home delivery in rural Tanzania, 2007.
[18] Daniel B. and Desalegn M. Institutional Delivery Service Utilization and Associated Factors among Child Bearing Age Women in Gobaworeda, Ethiopia. Journal of Gynecology and Obstetrics. Vol. 2, No. 4, 2014, pp. 63-70.
[19] Gabrysch S, Cousens S, Cox J, Campbell OM: The influence of distance and level of care on deliveryplace in rural Zambia, 2011.
[20] Gaym A. A review of maternal mortality at Jimma Hospital, Southwestern Ethiopia. 2000; 14(2): 215-223.
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  • APA Style

    Alemu Lire, Abera Beyamo, Degefa Tadele, Wolde Facha. (2017). Delays for Utilizing Institutional Delivery and Associated Factors Among Mothers Attending Public Health Facility in Hadiya Zone, Southern Ethiopia. Science Journal of Public Health, 5(6), 419-427. https://doi.org/10.11648/j.sjph.20170506.13

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    ACS Style

    Alemu Lire; Abera Beyamo; Degefa Tadele; Wolde Facha. Delays for Utilizing Institutional Delivery and Associated Factors Among Mothers Attending Public Health Facility in Hadiya Zone, Southern Ethiopia. Sci. J. Public Health 2017, 5(6), 419-427. doi: 10.11648/j.sjph.20170506.13

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    AMA Style

    Alemu Lire, Abera Beyamo, Degefa Tadele, Wolde Facha. Delays for Utilizing Institutional Delivery and Associated Factors Among Mothers Attending Public Health Facility in Hadiya Zone, Southern Ethiopia. Sci J Public Health. 2017;5(6):419-427. doi: 10.11648/j.sjph.20170506.13

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  • @article{10.11648/j.sjph.20170506.13,
      author = {Alemu Lire and Abera Beyamo and Degefa Tadele and Wolde Facha},
      title = {Delays for Utilizing Institutional Delivery and Associated Factors Among Mothers Attending Public Health Facility in Hadiya Zone, Southern Ethiopia},
      journal = {Science Journal of Public Health},
      volume = {5},
      number = {6},
      pages = {419-427},
      doi = {10.11648/j.sjph.20170506.13},
      url = {https://doi.org/10.11648/j.sjph.20170506.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20170506.13},
      abstract = {Labour and delivery are the shortest and most critical period during pregnancy and childbirth. The major factors that contribute to maternal death in developing countries are: delay in deciding to seek care, identifying and reaching medical facility, and receiving adequate and appropriate treatment. The study aimed to determine delays in institutional delivery and associated factors among mothers attending public health facilities, southern Ethiopia. Facility based Cross sectional study was employed on 397 labouring mothers attending Negist Elene Mohamed memorial general hospital. The sample size was determined by using single population proportion formula and the data were collected consecutively until the required sample sizes achieved. Descriptive data analysis was conducted to identify summary values and multiple logistic regressions were performed to identify independent predictors for the delays. All the analysis was done using SPSS for windows version 16.0. A total of 384 labouring mothers were participated in this study. The proportion of mothers who exhibited the first delay was 154(40.1%). Maternal unemployment [AOR, 2.5; 95% CI, 1.118, 5.441]; husband educational status [AOR, 2.3; 95% CI, 1.204, 4.408]; and antenatal care visit [AOR, 0.4; 95% CI, 0.277, 0.713] were the independent predictors of the first delay. Mothers who experienced the second delay were 114(29.7%). For this delay, distance [AOR, 14; CI, 7.895, 26.558]; uneducated mothers [AOR, 3; 95% CI, 1.397, 6.711]; and means of transportation [AOR, 0.6; 95% CI, 0.314, 0.995] were determinants. Mothers who experienced the 3rd delay were 125(32.6%). The main predictors were multiple referral levels [AOR, 0.2; 95% CI, 0.068, 0.347]; absence of care provider [AOR, 1.7; 95% CI, 1.060, 2.697]; and lengthy admission process [AOR, 2.2; 95% CI, 1.279, 3.776]. The very high percentage of each delay in this study suggests low utilization of emergency obstetric care among labouring mothers.},
     year = {2017}
    }
    

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  • TY  - JOUR
    T1  - Delays for Utilizing Institutional Delivery and Associated Factors Among Mothers Attending Public Health Facility in Hadiya Zone, Southern Ethiopia
    AU  - Alemu Lire
    AU  - Abera Beyamo
    AU  - Degefa Tadele
    AU  - Wolde Facha
    Y1  - 2017/09/28
    PY  - 2017
    N1  - https://doi.org/10.11648/j.sjph.20170506.13
    DO  - 10.11648/j.sjph.20170506.13
    T2  - Science Journal of Public Health
    JF  - Science Journal of Public Health
    JO  - Science Journal of Public Health
    SP  - 419
    EP  - 427
    PB  - Science Publishing Group
    SN  - 2328-7950
    UR  - https://doi.org/10.11648/j.sjph.20170506.13
    AB  - Labour and delivery are the shortest and most critical period during pregnancy and childbirth. The major factors that contribute to maternal death in developing countries are: delay in deciding to seek care, identifying and reaching medical facility, and receiving adequate and appropriate treatment. The study aimed to determine delays in institutional delivery and associated factors among mothers attending public health facilities, southern Ethiopia. Facility based Cross sectional study was employed on 397 labouring mothers attending Negist Elene Mohamed memorial general hospital. The sample size was determined by using single population proportion formula and the data were collected consecutively until the required sample sizes achieved. Descriptive data analysis was conducted to identify summary values and multiple logistic regressions were performed to identify independent predictors for the delays. All the analysis was done using SPSS for windows version 16.0. A total of 384 labouring mothers were participated in this study. The proportion of mothers who exhibited the first delay was 154(40.1%). Maternal unemployment [AOR, 2.5; 95% CI, 1.118, 5.441]; husband educational status [AOR, 2.3; 95% CI, 1.204, 4.408]; and antenatal care visit [AOR, 0.4; 95% CI, 0.277, 0.713] were the independent predictors of the first delay. Mothers who experienced the second delay were 114(29.7%). For this delay, distance [AOR, 14; CI, 7.895, 26.558]; uneducated mothers [AOR, 3; 95% CI, 1.397, 6.711]; and means of transportation [AOR, 0.6; 95% CI, 0.314, 0.995] were determinants. Mothers who experienced the 3rd delay were 125(32.6%). The main predictors were multiple referral levels [AOR, 0.2; 95% CI, 0.068, 0.347]; absence of care provider [AOR, 1.7; 95% CI, 1.060, 2.697]; and lengthy admission process [AOR, 2.2; 95% CI, 1.279, 3.776]. The very high percentage of each delay in this study suggests low utilization of emergency obstetric care among labouring mothers.
    VL  - 5
    IS  - 6
    ER  - 

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Author Information
  • Hadiya Zone Health Department, Hosana, Ethiopia

  • Public Health Department, College of Health Sciences, Wolaita Sodo University, Wolaita Sodo, Ethiopia

  • Hadiya Zone Health Department, Hosana, Ethiopia

  • Public Health Department, College of Health Sciences, Wolaita Sodo University, Wolaita Sodo, Ethiopia

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