Tsegaye Alemu Gute, Mintesinot Melka
Background
In Ethiopia, maternal mortality is one of the highest in the world. Reduction of maternal mortality is the priority area of many different countries. Institutional delivery service utilization is a critical approach in the prevention of maternal deaths. However, proportion of women utilizing institutional delivery services is very low. There are no updated evidences available for institutional service utilizations in the pastoralist areas of Hammer District, Southwestern Ethiopia.
Objective
To assess institutional delivery service utilization and factors hindering for institutional delivery utilization among mothers who gave birth in the last two years in the pastoralist Hammer District, South Omo Zone, Ethiopia.
Methods
A community-based cross-sectional study with internal comparison was conducted. All women residing in the area at least for five months and who had delivered in the last two years were included in the study.
Result
Only 30.2% of the mothers gave birth to their last baby in the health facilities. Residential set up [AOR = 2.485, 95% CI (1.325-4.659)], maternal education [AOR = 0.237, 95% CI (0.09-0.622)], age at first pregnancy [AOR = 1.83, 95% CI (0.77-4.348)], antenatal care follow-up [AOR= 0.062, 95% CI (0.019-0.201)] and total number of live births [AOR = 22.3, 95% CI (2.75-181.59)] had significant associations with institutional delivery service utilization (p<0.5).
Conclusion and recommendation
Institutional delivery is unacceptably low in the study area. To make impact, there is a need of integrations of interventions to tackle factors hindering institutional delivery in these pastoralist area and health managers need to maximize promotion and advocacy to increase institutional delivery.
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