Please enter verification code
Special Issues
Institutional Delivery Services Utilization and Associated Factors at Hetosa District, Ethiopia
American Journal of Life Sciences
Volume 8, Issue 4, August 2020, Pages: 60-68
Received: Jun. 17, 2020; Accepted: Aug. 5, 2020; Published: Aug. 13, 2020
Views 189      Downloads 57
Hailu Temesgen, Health Department, Arsi Zone, Assela, Ethiopia
Alemayehu Worku, Department of Public Health, Adis Ababa University, Addis Ababa, Ethiopia
Hailu Fekadu Demissie, Department of Public Health, Arsi University, Assela, Ethiopia
Mesfin Tafa Segni, Department of Public Health, Arsi University, Assela, Ethiopia
Shimelis Adugna, Department of Medical Laboratory, Arsi University, Assela, Ethiopia
Roza Amdemichael, Department of Midwifery, Arsi University, Assela, Ethiopia
Shimelis Mekit, Department of Pharmacy, Arsi University, Assela, Ethiopia
Article Tools
Follow on us
Background: The proportion of births attended by skilled health personnel in Ethiopia is very low and the maternal mortality ratio currently is 676 per 100,000 live births. This study aimed at assessing level of institutional delivery service utilization and associated factors among mothers who gave birth during the last 12 months prior to the study in Hetosa district, Arsi zone Ethiopia. Methods: Community based cross sectional study design was conducted among 735 mothers who gave birth within last one year at Hetosa District in 2015. The collected data were entered into computer usingEpi-info version 3.5.1 and exported to SPSS version 20 software for analysis. Univariate, Bivariate and multivariate analysis were done. Significance level and association of variables was tested by using 95% confidence interval (C.I) and odd ratio and p-value less than 0.05 was taken as statistically significant. Result: Forty nine percent of the respondentsgave birth at health facilities and 98% delivered at public health facility. Out of those mothers who delivered at home, 36% were assisted by neighbor and the main reason for their home delivery was easy (precipitate) labor and very short duration which force mother to deliver at home 89% followed by transport problem (7.2%). According to multivariate regression analysis mothers who reside in urban, did not live with her husbandand had one live birthwere more likely to give birth at health institution when compared to their counter parts. Conclusion and recommendation: This study revealed that institutional delivery was high as compared to some of the studies conducted on different parts of the country. Policy makers and health care planners need to recognize the factors hampering institutional delivery and work on improving the situation.
Institutional Delivery, Utilization, Hetosa District
To cite this article
Hailu Temesgen, Alemayehu Worku, Hailu Fekadu Demissie, Mesfin Tafa Segni, Shimelis Adugna, Roza Amdemichael, Shimelis Mekit, Institutional Delivery Services Utilization and Associated Factors at Hetosa District, Ethiopia, American Journal of Life Sciences. Vol. 8, No. 4, 2020, pp. 60-68. doi: 10.11648/j.ajls.20200804.13
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
A. Adegoke and N. van den Broek, “Skilled birth attendance-lessons learnt,” BJOG: An International Journal of Obstetrics & Gynaecology, vol. 116, no. 1, pp. 33-40, 2009.
D. Ohuwole, “An overview of the maternal and newborn health situation in the African region, in African health monitory,” A magazine of WHO Regional Office for Africa, vol. 5, pp. 2-4, 2004.
C. S. Agency and O. R. C. Macro, Ethiopia Demographic and Health Survey 2005, Central Statistical Agency, ORC Macro, Addis Ababa, Ethiopia, and Calverton Maryland, USA, 2006.
CSA and ICF International Calverton, Ethiopia Demographic and Health Survey, CSA and ICF, Addis Ababa, Ethiopia, 2016.
Hogan MC, Kyle J, Mohsen N, Stephanie Y, Mengru W, Susanna M, Alan D, Rafael L, Christopher JL. Maternal Mortality for 181 countries, 1980-2008: A systematic analysis of progress towards MDG 5. Lancet. 2010; 375 (9726): 1609-1623.
FMOH, UNICEF, UNFPA, WHO and AMDD. National Baseline Assessment for Emergency Obstetric & Newborn Care in Ethiopia. 2008. p. 18.
US Global Health Policy, the U. S. Government and Global Maternal, Newborn & Child Health. 2010.
United Nations. Millennium Development Goals Report., New York; 2008. pp. 24-25.
Central Statistical Agency [Ethiopia]. 2014. Ethiopia Mini Demographic and Health Survey 2014. Addis Ababa, Ethiopia.
Hetosa woreda Health office Report 2014.
Central Statistical Agency: Ethiopia Demographic and Health Survey, Preliminary Report, 2011. Ethiopia: Central Statistical Agency Addis Ababa; 2011.
Worku Awoke, JemalMuhammed, GedefawAbeje. Institutional Delivery Service Utilization in Woldia, Ethiopia, Science Journal of Public Health. Vol. 1, No. 1, 2013, pp. 18-23.
Daniel BogaleOdo, DesalegnMarkosShifti. Institutional Delivery Service Utilization and Associated Factors among Child Bearing Age Women in Goba Woreda, Ethiopia. Journal of Gynecology and Obstetrics. Vol. 2, No. 4, 2014, pp. 63-70. doi: 10.11648/j.jgo.20140204.14
Amano A, Gebeyehu A, and Birhanu Z: Institutional delivery service utilization in Munesa Woreda, South East Ethiopia: a community based cross-sectional study. BMC Pregnancy and Childbirth, 2012; 12: p. 105.
Teferra A. S, Alemu F. M, and Woldeyohannes S. M: Institutional delivery service utilization and associated factors among mothers who gave birth in the last 12 months in Sekela District, North West of Ethiopia: A community- based cross sectional study. BMC Pregnancy and Childbirth, 2012: 12 (74).
Fikre AA, Demissie M: Prevalence of institutional delivery and associated factors in Dodota Woreda (district), Oromia Regional State, Ethiopia. Reprod Health 2012, 9: 33.
Abebe F, Berhane Y, Girma B. Factors associated with home delivery in Bahirdar, Ethiopia: A case control study. BMC research notes. 2012; 5 (1): 653.
Tsegay Y, Gebrehiwot T, Goicolea I: Determinants of antenatal and delivery care utilization in Tigray region. Ethiopia: a cross-sectional study. Int J Equity Health 2013, 12: 30.
Abera M, Belachew T. Predictors of safe delivery service utilization in Arsi Zone, South-East Ethiopia. Ethiopian journal of health sciences. 2011; 21 (3).
Births in a Health Facility -Inequalities among the Ethiopian Women: Results from Repeated National Surveys.
Shiferaw S, Spigt M, Godefrooij M, Milkman Y, Tekie M. Why do women prefer home births in Ethiopia? BMC Pregnancy and Childbirth. 2013; 13 (1): 5.
Science Publishing Group
1 Rockefeller Plaza,
10th and 11th Floors,
New York, NY 10020
Tel: (001)347-983-5186