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Review
. 2016 Sep 12:8:463-75.
doi: 10.2147/IJWH.S109498. eCollection 2016.

Factors associated with institutional delivery service utilization in Ethiopia

Alemi Kebede  1 , Kalkidan Hassen  2 , Aderajew Nigussie Teklehaymanot  1
Affiliations
Review

Factors associated with institutional delivery service utilization in Ethiopia

Alemi Kebede et al. Int J Womens Health. .

Abstract

Background: Most obstetric complications occur unpredictably during the time of delivery, but they can be prevented with proper medical care in the health facilities. Despite the Ethiopian government's efforts to expand health service facilities and promote health institution-based delivery service in the country, an estimated 85% of births still take place at home.

Objective: The review was conducted with the aim of generating the best evidence on the determinants of institutional delivery service utilization in Ethiopia.

Methods: The reviewed studies were accessed through electronic web-based search strategy from PubMed, HINARI, Mendeley reference manager, Cochrane Library for Systematic Reviews, and Google Scholar. Review Manager V5.3 software was used for meta-analysis. Mantel-Haenszel odds ratios (ORs) and their 95% confidence intervals (CIs) were calculated. Heterogeneity of the study was assessed using I (2) test.

Results: People living in urban areas (OR =13.16, CI =1.24, 3.68), with primary and above educational level of the mother and husband (OR =4.95, CI =2.3, 4. 8, and OR =4.43, CI =1.14, 3.36, respectively), who encountered problems during pregnancy (OR =2.83, CI =4.54, 7.39), and living at a distance <5 km from nearby health facility (OR =2.6, CI =3.33, 6.57) showed significant association with institutional delivery service utilization. Women's autonomy was not significantly associated with institutional delivery service utilization.

Conclusion and recommendation: Distance to health facility and problems during pregnancy were factors positively and significantly associated with institutional delivery service utilization. Promoting couples education beyond primary education regarding the danger signs of pregnancy and benefits of institutional delivery through available communication networks such as health development army and promotion of antenatal care visits and completion of four standard visits by pregnant women were recommended.

Keywords: Ethiopia; associated factors; institutional delivery; predictors; systematic review.

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Figures

Figure 1
Figure 1
Conceptual framework. Note: Data from references.,,, Abbreviations: ANC, antenatal care; TV, television.
Figure 2
Figure 2
Description of study articles, 2014.
Figure 3
Figure 3
Association of maternal age with institutional delivery service utilization in Ethiopia, 2000–2014. Abbreviations: CI, confidence interval; df, degrees of freedom; M–H, Mantel–Haenszel.
Figure 4
Figure 4
Educational status of the mother with institutional delivery service utilization in Ethiopia, 2000–2014. Abbreviations: CI, confidence interval; df, degrees of freedom; M–H, Mantel–Haenszel.
Figure 5
Figure 5
Educational status of the husband with institutional delivery service utilization in Ethiopia, 2000–2014. Abbreviations: CI, confidence interval; df, degrees of freedom; M–H, Mantel–Haenszel.
Figure 6
Figure 6
Association of women’s autonomy with institutional delivery service utilization in Ethiopia, 2000–2014. Abbreviations: CI, confidence interval; df, degrees of freedom; M–H, Mantel–Haenszel.
Figure 7
Figure 7
Association of parity with institutional delivery service utilization in Ethiopia, 2000–2014. Abbreviations: CI, confidence interval; df, degrees of freedom; M–H, Mantel–Haenszel.
Figure 8
Figure 8
Association of age at first pregnancy with institutional delivery service utilization in Ethiopia, 2000–2014. Abbreviations: CI, confidence interval; df, degrees of freedom; M–H, Mantel–Haenszel.
Figure 9
Figure 9
Association of place of residence on institutional delivery service utilization in Ethiopia, 2000–2014. Abbreviations: CI, confidence interval; df, degrees of freedom; M–H, Mantel–Haenszel.
Figure 10
Figure 10
Association of knowledge of danger signs during pregnancy with institutional delivery service utilization in Ethiopia, 2000–2014. Abbreviations: CI, confidence interval; df, degrees of freedom; M–H, Mantel–Haenszel.
Figure 11
Figure 11
Association of antenatal care visit with institutional delivery service utilization in Ethiopia, 2000–2014. Abbreviations: CI, confidence interval; df, degrees of freedom; M–H, Mantel–Haenszel.
Figure 12
Figure 12
Association of frequency of antenatal care visit with institutional delivery service utilization in Ethiopia, 2000–2014. Abbreviations: CI, confidence interval; df, degrees of freedom; M–H, Mantel–Haenszel.
Figure 13
Figure 13
Association of type of pregnancy with institutional delivery service utilization in Ethiopia, 2000–2014. Abbreviations: CI, confidence interval; df, degrees of freedom; M–H, Mantel–Haenszel.
Figure 14
Figure 14
Association of encountering problem with institutional delivery service utilization in Ethiopia, 2000–2014. Abbreviations: CI, confidence interval; df, degrees of freedom; M–H, Mantel–Haenszel.
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References

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