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Prevalence and Associated Factors of Home Delivery in Arbaminch Zuria District, Southern Ethiopia: Community Based Cross Sectional Study

Received: 12 November 2014    Accepted: 28 November 2014    Published: 16 December 2014
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Abstract

Background፡ Maternal morbidity and mortality is a global health challenge and developing countries contribute about 99% of maternal death. In Ethiopia about 30% of all women death is related to pregnancy related causes and current maternal mortality ratio is 676 per 100,000 live births. However, a large proportion of these maternal deaths could be prevented through timely and appropriate interventions including the presence of skilled delivery service utilization at each birth. Therefore the aim of this study was to assess prevalence and associated factors of home delivery at Arbaminch zuria district. Method: A community based cross-sectional study design was applied from July 1st to July 30 2012 to collect data from reproductive age women who gave birth in the last 2 years in Arbaminch zuria district who was sampled by systematic random sampling method. A single population proportion formula was used to estimate the sample size by using statistical software EPI info 3.5.4 by considering the assumption that the prevalence of home delivery 81.8%, 95% confidence interval, 5% of absolute precision, design effect 2 then adding non response rate of 5% a total sample size of 481 mother who gave birth in the last two years. The data was entered into EPI info version 3.5.4 and exported into SPSS then analysis was made by using SPSS version 16. Descriptive statistics to describe the study population in relation to relevant variables and multivariate analysis was used to assess the presence and degree of association between home delivery and independent variables. Result: Of the total respondents 157(36%) of the women was age in between 25-29 years, with mean age of 31.4±6.2 years and majority was married and illiterate 396(90.8%) and 234(53.6%)respectively. 346(79.4%) was gave birth at home with unskilled attendants 328(75.2%).Mothers educational status(p< 0.001), parity of the women(p<0.001),and travel time to health facility(p<0.001) was statistically significant association with home delivery. Conclusion: As revealed by this study home delivery attended by un trained personnel was high (75.2%) and the predominant factors associated with home delivery identified by this study were educational status of the women, parity of the women and travel time to health institution.

Published in Science Journal of Public Health (Volume 3, Issue 1)
DOI 10.11648/j.sjph.20150301.12
Page(s) 6-9
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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), 2024. Published by Science Publishing Group

Keywords

Delivery, Travel Time, Home

References
[1] WHO, Fact sheet N°348Maternal mortality Available on http://www.who.int/mediacentre/factsheets/fs348/en/ accessed on 08/07/14
[2] EthiopiaDemographic andHealth Survey2011. Central Statistical Agency Addis Ababa EthiopiaICF InternationalCalverton, Maryland, USAMarch 2012
[3] Statistics on Maternal Mortality available on http://filipspagnoli.wordpress.com/stats-on-human-rights/statistics-on-health/statistics-on-maternal-mortality/ accessed on 08/08/14
[4] Folashade B. Okeshola, Ismail T. Sadiq :Determinants of Home Delivery among Hausa in Kaduna South Local Government Area of Kaduna State, Nigeria
[5] Addis Alem Fikre and Meaza Demissie:Prevalence of institutional delivery and associated factors in Dodota Woreda (district), Oromia regional state, Ethiopia
[6] Fantu Abebe, Yemane Berhane and Belaineh Girma: Factors associated with home delivery in Bahirdar, Ethiopia: A case control study
[7] Margaret E. Kruka,b, Peter C. Rockersc, Godfrey Mbarukud,Magdalena M. Paczkowskie, Sandro Galeae: Community and health system factors associated with facility delivery in rural Tanzania: A multilevel analysis
[8] Digambar A. Chimankar and Harihar Sahoo:Factors influencing the Utilization of Maternal Health Care Services in Uttarakhand
[9] Central Statistical Agency Addis Ababa, Ethiopia ICF International Calverton, Maryland, USA March 2012Ethiopia Demographic and Health Survey 2011
[10] Reuben Kwasi Esena, Mary-Margaret Sappor: Factors Associated With The Utilization Of Skilled Delivery Services In The Ga East Municipality Of Ghana
[11] A Blom, DS Manandhar, P Shrestha, M Ellis, K Malla and AM Costello:Factors affecting home delivery in the Kathmandu Valley,Nepal
[12] Ramesh Kumar Dahal: Factors Influencing the Choice of Place of Delivery among Women in Eastern Rural Nepal
[13] Lukumar P and Pathmeswaran A: Factors associated with home deliveries in Thampalakamam, Trincomalee. Ceylon Medical Journal June 2006, Vol. 51:No. 2,
[14] Factors associated with low institutional delivery in Kangpokpi block, Senapati district, Manipur, India. library a place to share and discuss what is happening in public health available on http://library.tephinet.org/content/factors-associated-low-institutional-delivery-kangpokpi-block-senapati-district-manipur-in-0 accessed on 08/08/14
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    Gistane Ayele, Maralign Tilahune, Behailu Merdikyos, Worku Animaw, Wondimagegn Taye. (2014). Prevalence and Associated Factors of Home Delivery in Arbaminch Zuria District, Southern Ethiopia: Community Based Cross Sectional Study. Science Journal of Public Health, 3(1), 6-9. https://doi.org/10.11648/j.sjph.20150301.12

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    ACS Style

    Gistane Ayele; Maralign Tilahune; Behailu Merdikyos; Worku Animaw; Wondimagegn Taye. Prevalence and Associated Factors of Home Delivery in Arbaminch Zuria District, Southern Ethiopia: Community Based Cross Sectional Study. Sci. J. Public Health 2014, 3(1), 6-9. doi: 10.11648/j.sjph.20150301.12

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    AMA Style

    Gistane Ayele, Maralign Tilahune, Behailu Merdikyos, Worku Animaw, Wondimagegn Taye. Prevalence and Associated Factors of Home Delivery in Arbaminch Zuria District, Southern Ethiopia: Community Based Cross Sectional Study. Sci J Public Health. 2014;3(1):6-9. doi: 10.11648/j.sjph.20150301.12

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  • @article{10.11648/j.sjph.20150301.12,
      author = {Gistane Ayele and Maralign Tilahune and Behailu Merdikyos and Worku Animaw and Wondimagegn Taye},
      title = {Prevalence and Associated Factors of Home Delivery in Arbaminch Zuria District, Southern Ethiopia: Community Based Cross Sectional Study},
      journal = {Science Journal of Public Health},
      volume = {3},
      number = {1},
      pages = {6-9},
      doi = {10.11648/j.sjph.20150301.12},
      url = {https://doi.org/10.11648/j.sjph.20150301.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20150301.12},
      abstract = {Background፡ Maternal morbidity and mortality is a global health challenge and developing countries contribute about 99% of maternal death. In Ethiopia about 30% of all women death is related to pregnancy related causes and current maternal mortality ratio is 676 per 100,000 live births. However, a large proportion of these maternal deaths could be prevented through timely and appropriate interventions including the presence of skilled delivery service utilization at each birth. Therefore the aim of this study was to assess prevalence and associated factors of home delivery at Arbaminch zuria district. Method: A community based cross-sectional study design was applied from July 1st to July 30 2012 to collect data from reproductive age women who gave birth in the last 2 years in Arbaminch zuria district who was sampled by systematic random sampling method. A single population proportion formula was used to estimate the sample size by using statistical software EPI info 3.5.4 by considering the assumption that the prevalence of home delivery 81.8%, 95% confidence interval, 5% of absolute precision, design effect 2 then adding non response rate of 5% a total sample size of 481 mother who gave birth in the last two years. The data was entered into EPI info version 3.5.4 and exported into SPSS then analysis was made by using SPSS version 16. Descriptive statistics to describe the study population in relation to relevant variables and multivariate analysis was used to assess the presence and degree of association between home delivery and independent variables. Result: Of the total respondents 157(36%) of the women was age in between 25-29 years, with mean age of 31.4±6.2 years and majority was married and illiterate 396(90.8%) and 234(53.6%)respectively. 346(79.4%) was gave birth at home with unskilled attendants 328(75.2%).Mothers educational status(p< 0.001), parity of the women(p<0.001),and travel time to health facility(p<0.001) was statistically significant association with home delivery. Conclusion: As revealed by this study  home delivery attended by un trained personnel was high (75.2%) and the predominant factors associated with home delivery identified by this study were educational status of the women, parity of the women and travel time to health institution.},
     year = {2014}
    }
    

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  • TY  - JOUR
    T1  - Prevalence and Associated Factors of Home Delivery in Arbaminch Zuria District, Southern Ethiopia: Community Based Cross Sectional Study
    AU  - Gistane Ayele
    AU  - Maralign Tilahune
    AU  - Behailu Merdikyos
    AU  - Worku Animaw
    AU  - Wondimagegn Taye
    Y1  - 2014/12/16
    PY  - 2014
    N1  - https://doi.org/10.11648/j.sjph.20150301.12
    DO  - 10.11648/j.sjph.20150301.12
    T2  - Science Journal of Public Health
    JF  - Science Journal of Public Health
    JO  - Science Journal of Public Health
    SP  - 6
    EP  - 9
    PB  - Science Publishing Group
    SN  - 2328-7950
    UR  - https://doi.org/10.11648/j.sjph.20150301.12
    AB  - Background፡ Maternal morbidity and mortality is a global health challenge and developing countries contribute about 99% of maternal death. In Ethiopia about 30% of all women death is related to pregnancy related causes and current maternal mortality ratio is 676 per 100,000 live births. However, a large proportion of these maternal deaths could be prevented through timely and appropriate interventions including the presence of skilled delivery service utilization at each birth. Therefore the aim of this study was to assess prevalence and associated factors of home delivery at Arbaminch zuria district. Method: A community based cross-sectional study design was applied from July 1st to July 30 2012 to collect data from reproductive age women who gave birth in the last 2 years in Arbaminch zuria district who was sampled by systematic random sampling method. A single population proportion formula was used to estimate the sample size by using statistical software EPI info 3.5.4 by considering the assumption that the prevalence of home delivery 81.8%, 95% confidence interval, 5% of absolute precision, design effect 2 then adding non response rate of 5% a total sample size of 481 mother who gave birth in the last two years. The data was entered into EPI info version 3.5.4 and exported into SPSS then analysis was made by using SPSS version 16. Descriptive statistics to describe the study population in relation to relevant variables and multivariate analysis was used to assess the presence and degree of association between home delivery and independent variables. Result: Of the total respondents 157(36%) of the women was age in between 25-29 years, with mean age of 31.4±6.2 years and majority was married and illiterate 396(90.8%) and 234(53.6%)respectively. 346(79.4%) was gave birth at home with unskilled attendants 328(75.2%).Mothers educational status(p< 0.001), parity of the women(p<0.001),and travel time to health facility(p<0.001) was statistically significant association with home delivery. Conclusion: As revealed by this study  home delivery attended by un trained personnel was high (75.2%) and the predominant factors associated with home delivery identified by this study were educational status of the women, parity of the women and travel time to health institution.
    VL  - 3
    IS  - 1
    ER  - 

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Author Information
  • College of Medicine and health Sciences, Arbaminch University, Arbaminch, Ethiopia

  • College of Medicine and health Sciences, Arbaminch University, Arbaminch, Ethiopia

  • College of Medicine and health Sciences, Arbaminch University, Arbaminch, Ethiopia

  • College of Medicine and health Sciences, Bahir Dar University, Bahir Dar, Ethiopia

  • PCV 10 project Woreda coordinator, Arbaminch, Ethiopia

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