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Safe Delivery Service Utilization Five Years Preceding the Survey in Wayu Town, Western Ethiopia

Received: 5 January 2015    Accepted: 21 January 2015    Published: 30 January 2015
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Abstract

Background: High maternal mortality rate is one of the major public health concerns in developing countries including Ethiopia. Most of the deaths are caused by factors attributed to pregnancy and childbirth. In Ethiopia only about 10% of women delivered in health facility with wide regional variation. Objective: The main aim of this study was to assess safe delivery service utilization among mothers who gave birth during five years preceding the survey in Wayu town, of western Ethiopia. Methods and Materials: A cross sectional descriptive study was carried out among women with children less than five years prior to survey conducted from January, 2014 to May, 2014 in Wayu town. Systematic random sampling technique was used to select 371 participants. A pre tested and structured questionnaire was used to collect data. Result: A total of 371 women were included into the study. About 107(28.8%) of mothers were in the age range of 20 – 24 years, 342 (92.2%) were married, 237 (63.9%) were educated and 134(36.1%) were unable to read and write. The study indicated that 175 (47.2%) of the mothers delivered in health facilities and 196 (52.8%) mothers gave birth at home. Of mothers who gave birth at home, 52 (14%) deliveries conducted by Traditional birth attendants and 142 (38.3%) without any assistance of skilled personnel while only two deliveries occurs on the way to health facility. The common reasons for home delivery were sudden onset of labor 125 (63.8%), presence of TBAs 30 (14.3%), negative attitude of health workers 2(1%), and others 41 (20.2%) which includes; believe in God, fear of high cost services, lack of skilled personnel, poor services, negligence of women. Conclusion and recommendations: Only 47% institutional delivery service utilization was observed in this study. So, community education about pregnancy, child birth and postpartum and training for all Health Extension Workers are needed. In addition to this, further studies that assess factors associated with institutional delivery both quantitatively and qualitatively are needed.

Published in Science Journal of Public Health (Volume 3, Issue 1)
DOI 10.11648/j.sjph.20150301.25
Page(s) 87-92
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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

Mothers, Save Delivery, Utilization, Wayu Town

References
[1] Mekonnen Y, and A. Mekonnen. Utilization of Maternal Health Care Services in Ethiopia. Calverton, MD, USA: ORC Macro. 2002.
[2] World Health Organization (WHO) U, UNFPA, and the World Bank. Trends in Maternal Mortality: 1990-2008: Estimates Developed by WHO, UNICEF, UNFPA and the World Bank. Geneva, Switzerland: WHO. 2008.
[3] WHO. Maternal mortality in 1995; Estimates developed by WHO/UNICEF, Geneva. 2001.
[4] Hogan MC FK, Naghavi M, Ahn SY, Wang M, Makela SM, et al,. Maternal mortality for 181 countries, 1980–2008: a systematic analysis of progress towards Millennium Development Goal 5. Lancet; 375(May (9726)):1609–23. 2010.
[5] Obaid T, A. Fifteen years after the International Conference on Population and Development: What have we achieved and how do we move forward? . International Journal of Gynecology and Obstetrics. 2009; 106 (2):pp.102-5.
[6] Montagu D, G. Yamey, A. Visconti, A. Harding, and J. Yoong. ''Where Do Poor Women in Developing Countries Give Birth? A Multi-Country Analysis of Demographic and Health Survey Data.‖ PLoS ONE 6(2): 3. 2011.
[7] Kesterton AJ, J. Cleland, A. Sloggett, and C. Ronsmans. Institutional Delivery in Rural India: The Relative Importance of Accessibility and Economic Status.‖ BMC Pregnancy & Child Birth 10(30): 1. 2010.
[8] Idris SH, U.M.D. Gwarzo, and A.U. Shehu. ―Determinants of Place of Delivery among Women in a Semi-Urban Settlement in Zaria Northern Nigeria.‖ Annuals of African Medicine. 2006;5(2):68-72.
[9] Nations U. Millennium Development Goals Report, United Nations, New York, NY, USA. 2007.
[10] Kidist B YD. Determinants of maternal health care utilization in Holeta town, central Ethiopia. BMC Health Services Research 2013. 2009:13:256.
[11] Mesfin N, H.M. Damen, and M. Getnet. “Assessment of Safe Delivery Service Utilization among Women of Childbearing Age in North Gondar Zone, North West Ethiopia.”Ethiop J Health Dev. 2004;18(3):146-52.
[12] International CSAEaI. Ethiopia Demographic and Health Survey 2011. Addis Ababa, Ethiopia and Calverton, Maryland, USA: Central Statistical Agency and ICF International; . 2012.
[13] Melkamu F. Assessment factors of affecting utilization of maternal health care services in Asaita and Dupti Towns, Afar Regional State. 2005.
[14] Shankwaya S. Study to explore barriers to utilization of maternal delivery services in Kazungula district in Zambia. 2009.
[15] Jira C BT. Determinants of Antenatal care utilization in Jimma Town. Ethiopian Journal of Health Sciences. 2005;15(1):49-61.
[16] Zeine A ea. Factors influencing antenatal care service utilization in Hadiya zone. Ethiop J Health Sci 2010 20(2):75-82.
[17] Z: Z. Determinants of Antenatal and Delivery care utilization in Town, Somali regional state. JijigaAddis Ababa University; 2009.
[18] Gwamaka S. Utilization and factors affecting delivery in health facility among recent delivered women in nkasi district, Muhimbili University of Health and Allied Sciences,2012
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  • APA Style

    Kababa Temesgen Danusa, Gemechu Kejela Jilo. (2015). Safe Delivery Service Utilization Five Years Preceding the Survey in Wayu Town, Western Ethiopia. Science Journal of Public Health, 3(1), 87-92. https://doi.org/10.11648/j.sjph.20150301.25

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    ACS Style

    Kababa Temesgen Danusa; Gemechu Kejela Jilo. Safe Delivery Service Utilization Five Years Preceding the Survey in Wayu Town, Western Ethiopia. Sci. J. Public Health 2015, 3(1), 87-92. doi: 10.11648/j.sjph.20150301.25

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    AMA Style

    Kababa Temesgen Danusa, Gemechu Kejela Jilo. Safe Delivery Service Utilization Five Years Preceding the Survey in Wayu Town, Western Ethiopia. Sci J Public Health. 2015;3(1):87-92. doi: 10.11648/j.sjph.20150301.25

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  • @article{10.11648/j.sjph.20150301.25,
      author = {Kababa Temesgen Danusa and Gemechu Kejela Jilo},
      title = {Safe Delivery Service Utilization Five Years Preceding the Survey in Wayu Town, Western Ethiopia},
      journal = {Science Journal of Public Health},
      volume = {3},
      number = {1},
      pages = {87-92},
      doi = {10.11648/j.sjph.20150301.25},
      url = {https://doi.org/10.11648/j.sjph.20150301.25},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20150301.25},
      abstract = {Background: High maternal mortality rate is one of the major public health concerns in developing countries including Ethiopia. Most of the deaths are caused by factors attributed to pregnancy and childbirth. In Ethiopia only about 10% of women delivered in health facility with wide regional variation. Objective: The main aim of this study was to assess safe delivery service utilization among mothers who gave birth during five years preceding the survey in Wayu town, of western Ethiopia. Methods and Materials: A cross sectional descriptive study was carried out among women with children less than five years prior to survey conducted from January, 2014 to May, 2014 in Wayu town. Systematic random sampling technique was used to select 371 participants. A pre tested and structured questionnaire was used to collect data. Result: A total of 371 women were included into the study. About 107(28.8%) of mothers were in the age range of 20 – 24 years, 342 (92.2%) were married, 237 (63.9%) were educated and 134(36.1%) were unable to read and write. The study indicated that 175 (47.2%) of the mothers delivered in health facilities and 196 (52.8%) mothers gave birth at home. Of mothers who gave birth at home, 52 (14%) deliveries conducted by Traditional birth attendants and 142 (38.3%) without any assistance of skilled personnel while only two deliveries occurs on the way to health facility. The common reasons for home delivery were sudden onset of labor 125 (63.8%), presence of TBAs 30 (14.3%), negative attitude of health workers 2(1%), and others 41 (20.2%) which includes; believe in God, fear of high cost services, lack of skilled personnel, poor services, negligence of women. Conclusion and recommendations: Only 47% institutional delivery service utilization was observed in this study. So, community education about pregnancy, child birth and postpartum and training for all Health Extension Workers are needed. In addition to this, further studies that assess factors associated with institutional delivery both quantitatively and qualitatively are needed.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Safe Delivery Service Utilization Five Years Preceding the Survey in Wayu Town, Western Ethiopia
    AU  - Kababa Temesgen Danusa
    AU  - Gemechu Kejela Jilo
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    DO  - 10.11648/j.sjph.20150301.25
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    JF  - Science Journal of Public Health
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    AB  - Background: High maternal mortality rate is one of the major public health concerns in developing countries including Ethiopia. Most of the deaths are caused by factors attributed to pregnancy and childbirth. In Ethiopia only about 10% of women delivered in health facility with wide regional variation. Objective: The main aim of this study was to assess safe delivery service utilization among mothers who gave birth during five years preceding the survey in Wayu town, of western Ethiopia. Methods and Materials: A cross sectional descriptive study was carried out among women with children less than five years prior to survey conducted from January, 2014 to May, 2014 in Wayu town. Systematic random sampling technique was used to select 371 participants. A pre tested and structured questionnaire was used to collect data. Result: A total of 371 women were included into the study. About 107(28.8%) of mothers were in the age range of 20 – 24 years, 342 (92.2%) were married, 237 (63.9%) were educated and 134(36.1%) were unable to read and write. The study indicated that 175 (47.2%) of the mothers delivered in health facilities and 196 (52.8%) mothers gave birth at home. Of mothers who gave birth at home, 52 (14%) deliveries conducted by Traditional birth attendants and 142 (38.3%) without any assistance of skilled personnel while only two deliveries occurs on the way to health facility. The common reasons for home delivery were sudden onset of labor 125 (63.8%), presence of TBAs 30 (14.3%), negative attitude of health workers 2(1%), and others 41 (20.2%) which includes; believe in God, fear of high cost services, lack of skilled personnel, poor services, negligence of women. Conclusion and recommendations: Only 47% institutional delivery service utilization was observed in this study. So, community education about pregnancy, child birth and postpartum and training for all Health Extension Workers are needed. In addition to this, further studies that assess factors associated with institutional delivery both quantitatively and qualitatively are needed.
    VL  - 3
    IS  - 1
    ER  - 

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Author Information
  • College of Health Sciences, Department of Midwifery, Arba Minch University, Arba Minch, Ethiopia

  • College of Health Sciences, Department of Public Health, Arba Minch University, Arba Minch, Ethiopia

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