Please enter verification code
Patterns of Skilled Birth Attendant Service Utilization and Its Determinants: A Cross Sectional Study in Southern Ethiopia
Science Journal of Public Health
Volume 4, Issue 5, September 2016, Pages: 415-421
Received: Mar. 10, 2016; Accepted: Mar. 24, 2016; Published: Sep. 2, 2016
Views 3590      Downloads 167
Shifera Asfaw, Department of Health Education and Behavioural Science, College of Public Health and Medical Sciences, Jimma University, Ethiopia
Tsion Assefa, Department of Health Education and Behavioural Science, College of Public Health and Medical Sciences, Jimma University, Ethiopia
Addisu Tesfaye, Engine, Project Field Coordinator, Jimma University, Ethiopia
Abebe Mamo, Department of Health Education and Behavioural Science, College of Public Health and Medical Sciences, Jimma University, Ethiopia
Article Tools
Follow on us
Pregnancy and child birth complications are a leading cause of death and disability among women of reproductive age in many developing countries. In Ethiopia the level of maternal mortality and morbidity are among the highest in the world. Increasing the proportion of deliveries with skilled attendants is being advocated as the most important step in preventing maternal and neonatal deaths. So, this study aims to assess skilled birth attendant service utilization and its determinant factors among mothers who gave birth within the last 12 months preceding the survey in Yeki district, Southern Ethiopia, 2014. Community based cross sectional study was conducted in Yeki district southern Ethiopia from March 30, to April 28, 2014. Stratified random sampling technique was used to select study participants from study areas and pre tested and structured questionnaire was used to collect the data. Data was analyzed using SPSS version 20 statistical software package used to present the descriptive statistic. Bivariate and multivariate analyses were conducted to identify factors associated to skilled birth attendant service utilization. A total of 304 mothers were involved in this study with 99.6% response rate. Only Eighty (26.32%) of mothers were assisted by skilled health care providers during last child birth. The utilization of Skilled birth attendant service was significantly associated with residency of being living in urban area (AOR=4.67, 95% CI: 1.64, 13.24), exposure status about skilled birth attendant information through radio (AOR=3.7, 95% CI: 1.33, 10.3), ANC visit during last pregnancy (AOR=3.52, 95% CI; 1.18, 10.44), having history of obstetric difficulty (AOR=2.5, 95% CI: 1.98, 12.39) at p<0.05. This study refines information on prevalence and predictors for skilled birth attendant service utilization. Residential area, status about skilled birth attendant information through radio, ANC visit during last pregnancy, and history of obstetric difficulty were factors associated with skilled birth attendant service utilization. The study implies that the government and nongovernmental organization should strengthen ANC visit and work on behavioural change communications to increase the uptake of maternal health service utilization.
Skilled Attendant, Maternal Health Service Utilization, Mothers
To cite this article
Shifera Asfaw, Tsion Assefa, Addisu Tesfaye, Abebe Mamo, Patterns of Skilled Birth Attendant Service Utilization and Its Determinants: A Cross Sectional Study in Southern Ethiopia, Science Journal of Public Health. Vol. 4, No. 5, 2016, pp. 415-421. doi: 10.11648/j.sjph.20160405.18
Copyright © 2016 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.
WHO. Making pregnancy safer: the critical role of the skilled attendant, A joint statement by WHO, ICM and FIGO. Geneva; 2004.
Bureau of Public Affairs Department Of State The Office of Electronic Information. Global Health Initiative: Ethiopia Strategy. 2011.
Baral YR, Lyons K, Skinner J van TE. Determinants of Skilled Birth Attendants for Delivery in Nepal. Kathmandu Univ Med J. 2010; 8 (31): 325–32.
UNFPA, UNICEF, WHO WB. Trends in Maternal Mortality:1990-2010. 2012 p. 44.
World Health Organization. The world health report 2005-Make every mother and child count. Geneva.; 2005.
Ethiopia Central Statistical Agency and ICF International. Ethiopia Demographic and Health Survey 2011. Addis Ababa, Ethiopia and Calverton, Maryland, USA; 2012 p. 452.
Mulumebet Abera, Abebe G/mariam TB. Predictors of Safe Delivery Service Utilization in Arsi Zone, South-East Ethiopia. Ethiopian Journal of Health Sciences. 2011 Aug; 21 (1): 95-106.
WHO, UNICEF, UNFPA and TWB. Maternal Mortality in 2005. 2007.
Asheber GM. D. Report On the National Situational Analysis of Pre-Service Midwifery Training In Ethiopiaym a. 2008.
Teferra AS, Alemu FM, Woldeyohannes SM. 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 Jul;12 (1): 74.
WHO. Department of Making Pregnancy Safer Department of Child and Adolescent Health and Development Department of Gender, Women and Health Department of Reproductive Health and Research, Skilled birth attendants fact sheet. Switzerland; 2008.
Dynes M, Buffington ST, Carpenter M, Handley A, Kelley M, Tadesse L, et al. Strengthening maternal and newborn health in rural Ethiopia: Early results from frontline health worker community maternal and newborn health training. Midwifery. 2012; (0).
Consumer Health Informatics Research Resource - Exposure [Internet]. [cited 2013 Jun 14]. Available from: file:///C:/Users/intel/Desktop/Arrange/exposure/Consumer Health Informatics Research Resource - Exposure.htm
Carol Wanjira, Moses Mwangi, Evans Mathenge GM and ZN. Delivery Practices and Associated Factors among Mothers Seeking Child Welfare Services in Selected Health Facilities in Nyandarua South District, Kenya. BMC Public Health. 2011;
Regassa N. Antenatal and postnatal care service utilization in southern Ethiopia: a population-based study. African Health Sciences. 2011 Sep; 11 (3): 390-7.
Fikre AA, Demissie M. Prevalence of institutional delivery and associated factors in Dodota Woreda (district), Oromia regional state, Ethiopia. Reproductive health. 2012 Dec; 9 (1): 33.
Science Publishing Group
1 Rockefeller Plaza,
10th and 11th Floors,
New York, NY 10020
Tel: (001)347-983-5186