@article{10.11648/j.ajhr.20150303.13,
  author = {Tomas Benti Tefera and Kemal Ahmed Kuti},
  title = {Factors Determining Health Institutional Delivery Among Pregnant Women Living in Agarfa Town of Bale Zone, Oromia, South East Ethiopia},
  journal = {American Journal of Health Research},
  volume = {3},
  number = {3},
  pages = {130-134},
  doi = {10.11648/j.ajhr.20150303.13},
  url = {https://doi.org/10.11648/j.ajhr.20150303.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20150303.13},
  abstract = {Background: About 800 women die from pregnancy- or childbirth-related complications around the world every day. In 2013, 289 000 women died during and following pregnancy and childbirth. Almost all of these deaths occurred in low-resource settings. According to the latest estimate maternal mortality ratio in Ethiopia was 420/100,000 live births in 2013 which is still high. Severe bleeding, infection, high blood pressure during pregnancy and complication from delivery, accounts for nearly 75% of these deaths. Even though ANC follows up, Institutional delivery and skilled birth attendance is one of the key and proven interventions to reduce maternal death most deliveries, in Ethiopia, skilled birth attendance and birth in a health facility is very low. So this study aimed to assess Factors determining Health institutional delivery among pregnant women living in Agarfa woreda of Bale Zone, Southeast Ethiopia. Methods: Community based cross sectional study was conducted in Agarfa Town from January -March, 2012 on one hundred fifty six pregnant women in the town. Systematic sampling was used to get the respondents after sampling frame including lists of households having pregnant women was prepared. Data were analyzed using SPSS version 15.0. Binary and multivariable logistic regression analyses were carried out to identify factors associated with institutional delivery service. Statistical significance was considered at p < 0.05. Results: The response rate was 98.7% (n=156). The proportion of pregnant women who had given birth at health institution were 49(31.4%), of 118 who had followed ANC for recent pregnancy, only 27(22.9%) were gave birth at health institution. Factors associated with health institution delivery were the number of pregnancies (three and above) and difficulty labour. However, difficulty labour/prolonged was remained a significant predictor of institutional delivery. Conclusions: Despite the high level of ANC attendance among the pregnant women in the study area, the study has revealed that mothers were not considerably utilizing institutional delivery and skilled birth attendants and majority of them still choose Home delivery. Pregnant women wait till they experience difficult labour to seek health institutional delivery.},
 year = {2015}
}

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TY  - JOUR
T1  - Factors Determining Health Institutional Delivery Among Pregnant Women Living in Agarfa Town of Bale Zone, Oromia, South East Ethiopia
AU  - Tomas Benti Tefera
AU  - Kemal Ahmed Kuti
Y1  - 2015/04/18
PY  - 2015
N1  - https://doi.org/10.11648/j.ajhr.20150303.13
DO  - 10.11648/j.ajhr.20150303.13
T2  - American Journal of Health Research
JF  - American Journal of Health Research
JO  - American Journal of Health Research
SP  - 130
EP  - 134
PB  - Science Publishing Group
SN  - 2330-8796
UR  - https://doi.org/10.11648/j.ajhr.20150303.13
AB  - Background: About 800 women die from pregnancy- or childbirth-related complications around the world every day. In 2013, 289 000 women died during and following pregnancy and childbirth. Almost all of these deaths occurred in low-resource settings. According to the latest estimate maternal mortality ratio in Ethiopia was 420/100,000 live births in 2013 which is still high. Severe bleeding, infection, high blood pressure during pregnancy and complication from delivery, accounts for nearly 75% of these deaths. Even though ANC follows up, Institutional delivery and skilled birth attendance is one of the key and proven interventions to reduce maternal death most deliveries, in Ethiopia, skilled birth attendance and birth in a health facility is very low. So this study aimed to assess Factors determining Health institutional delivery among pregnant women living in Agarfa woreda of Bale Zone, Southeast Ethiopia. Methods: Community based cross sectional study was conducted in Agarfa Town from January -March, 2012 on one hundred fifty six pregnant women in the town. Systematic sampling was used to get the respondents after sampling frame including lists of households having pregnant women was prepared. Data were analyzed using SPSS version 15.0. Binary and multivariable logistic regression analyses were carried out to identify factors associated with institutional delivery service. Statistical significance was considered at p < 0.05. Results: The response rate was 98.7% (n=156). The proportion of pregnant women who had given birth at health institution were 49(31.4%), of 118 who had followed ANC for recent pregnancy, only 27(22.9%) were gave birth at health institution. Factors associated with health institution delivery were the number of pregnancies (three and above) and difficulty labour. However, difficulty labour/prolonged was remained a significant predictor of institutional delivery. Conclusions: Despite the high level of ANC attendance among the pregnant women in the study area, the study has revealed that mothers were not considerably utilizing institutional delivery and skilled birth attendants and majority of them still choose Home delivery. Pregnant women wait till they experience difficult labour to seek health institutional delivery.
VL  - 3
IS  - 3
ER  - 

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