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. 2022 Jan 21;17(1):e0261360.
doi: 10.1371/journal.pone.0261360. eCollection 2022.

Predictors of facility-based delivery utilization in central Ethiopia: A case-control study

Ayalneh Demissie  1 , Alemayehu Worku  2 , Yemane Berhane  3   4
Affiliations

Predictors of facility-based delivery utilization in central Ethiopia: A case-control study

Ayalneh Demissie et al. PLoS One. .

Abstract

Background: Improving access to maternal health services has been a priority for the health sector in low-income countries; the utilization of facility delivery services has remained low. Although Ethiopia provides free maternal health services in all public health facilities utilization of services has not been as expected.

Objective: This study examined predictors of facility delivery service utilization in central Ethiopia.

Methods: We conducted a community-based case-control study within the catchment areas of selected public health facilities in central Ethiopia. Women who delivered their last child in a health facility were considered as cases and women who delivered their last child at home were considered as controls. Data were collected using a structured questionnaire. Multivariable logistic regression analysis was used to identify independent predictors of facility delivery utilization.

Result: Facility delivery was positive and strongly associated with practicing birth preparedness and complication readiness (BPCR) (AOR = 12.3, 95%CI: 3.9, 39.1); partners' involvement about obstetric assistance (AOR = 3.1, 95%CI: 1.0, 9.0); spending 30 or less minutes to decide on the place of delivery and 45 or less minutes to walk to health facilities (AOR = 7.4, 95%CI: 2.4, 23.2 and AOR = 8.1, 95%CI: 2.5, 26.9, respectively). Additionally, having knowledge of obstetric complication, attending ≥ 4 antenatal care (ANC) visits, birth order and the use of free ambulance service also showed significant association with facility delivery.

Conclusion: Despite the availability of free maternal services there are still many barriers to utilization of delivery services. Strengthening efforts to bring delivery services closer to home and enhancing BPCR are necessary to increase institutional delivery service utilization.

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Conflict of interest statement

The authors have declared that no competing interests exist

References

    1. Campbell OMR, Graham WJ (7 October 2006) Strategies for reducing maternal mortality: getting on with what works. The Lancet 348: 1284–1386. doi: 10.1016/S0140-6736(06)69381-1 - DOI - PubMed
    1. Bhutta ZA, Das JK, Bahl R, Lawn JE, Salam RA, et al.. (2014) Can available interventions end preventable deaths in mothers, newborn babies, and stillbirths, and at what cost?. Lancet 14: 60792–60793. - PubMed
    1. Efendi F, Ni’mah AR, Hadisuyatmana S, Kuswanto H, Lindayani L, et al.. (2019) Determinants of Facility-Based Childbirth in Indonesia. The Scientific World Journal 2019: 1–8. doi: 10.1155/2019/9694602 - DOI - PMC - PubMed
    1. Moyer CA, Mustafa A (2013) Drivers and deterrents of facility delivery in sub-Saharan Africa: a systematic review. Reprod Health 10. doi: 10.1186/1742-4755-10-40 - DOI - PMC - PubMed
    1. Bohren MA, Hunter EC, Munthe-Kaas HM, Souza JP, Vogel JP, et al.. (2014) Facilitators and barriers to facility-based delivery in low- and middle-income countries: a qualitative evidence synthesis. Reprod Health 11. doi: 10.1186/1742-4755-11-71 - DOI - PMC - PubMed

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