Abstract:
Background: Maternal mortality reduction is a global priority,particularly in developing countries like Ethiopia,where the ratio is among the highest in the world.Increasing the presence of skill ed healthcare providers during pregnancy and delivery is essential to lowering the maternal death ratio while improving maternal health. However, delivery service is significantly lower when compared to mother attending antenatal care (ANC) in Shaggar city. Therefore, this study aimed to assess factors affecting institutional delivery utilization among mothers who gave birth in the last One year in Shaggar city,Oromia, Ethiopia.
Objective: To assess Institutional delivery utilization and influencing factors among mothers who gave birth in the last one year in Shaggar city, Oromia, Ethiopia
Methods: A community-based cross-sectional study was conducted among mothers with birth in the last one year from January to March 2025. A multistage sampling method was utilized to select 642 participants.Data was gathered through a structured questionnaire, which was administered by trained data collectors. The data was entered into KoboToolbox and subsequently exported to SPSS version 27 for analysis.Descriptive statistics were employed to provide a summary of the data. Both bivariable and multivariable logistic regression models were utilized for analysis.A p-value of less than 0.2 in the bivariable analysis was deemed necessary for variables to qualify as candidates for the multivariable logistic regression model. To determine a statistically significant association, the adjusted odds ratio along with its 95% confidence interval and a p-value of less than 0.05 were utilized.
Results: A total of 642 mothers participated in the study, with response rate of 100%. Mothers residing in urban areas(AOR=0.23; 95 % CI: 0.09 - 0.58), Per-Urban areas(AOR=0.14; 95 % CI: 0.05- 0.38), Educational (AOR=0.09 (95% CI: 0.02 to 0.36)),Households having monthly income (OR 0.29 , 95% CI=0.11- 0.83), far from health facility (AOR=7.16; 95 % CI: 0.6,20- 8.27), measures taken to assure privacy (AOR (0.14, 95% CI (0.01-1.40)), providers explaining procedure (AOR (0.21, 95% CI (0.04- 1.13)) have an independently associated with institutional delivery services utilization.
Conclusions: In this study, he overall utilization of institutional delivery services at government health facilities for mothers who gave birth in the past year in Shaggar City was low in comparison to the coverage of antenatal care (ANC) follow-up at Health institutions.The Mother education Status,Monthly income, Far from health facility, measures to assure privacy,and providers explained procedures before examination were identified as predictors of the outcome Therefore, the health sector needs to develop intervention strategies aimed at enhancing the utilization of skilled delivery services at the government health facility in Shaggar City.
