Home delivery practice and its predictors in South Ethiopia.

<h4>Background</h4>Institutional delivery is one of the key interventions to reduce maternal death. It ensures safe birth, reduces both actual and potential complications, and decreases maternal and newborn death. However, a significant proportion of deliveries in developing countries li...

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Autores principales:	Dejene Hailu, Henok Tadele, Birkneh Tilahun Tadesse, Akalewold Alemayehu, Teshome Abuka, Fitsum Woldegebriel, Abel Gedefaw, Selamawit Mengesha, Yusuf Haji
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/2fbd303a330f408a9af731a3982e5620
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spelling	oai:doaj.org-article:2fbd303a330f408a9af731a3982e56202021-12-02T20:18:32ZHome delivery practice and its predictors in South Ethiopia.1932-620310.1371/journal.pone.0254696https://doaj.org/article/2fbd303a330f408a9af731a3982e56202021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0254696https://doaj.org/toc/1932-6203<h4>Background</h4>Institutional delivery is one of the key interventions to reduce maternal death. It ensures safe birth, reduces both actual and potential complications, and decreases maternal and newborn death. However, a significant proportion of deliveries in developing countries like Ethiopia are home deliveries and are not attended by skilled birth attendants. We investigated the prevalence and determinants of home delivery in three districts in Sidama administration, Southern Ethiopia.<h4>Methods</h4>Between 15-29 October 2018, a cross sectional survey of 507 women who gave birth within the past 12 months was conducted using multi-stage sampling. Sociodemographic and childbirth related data were collected using structured, interviewer administered tools. Univariate and backward stepwise multivariate logistic regression models were run to assess independent predictors of home delivery.<h4>Results</h4>The response rate was 97.6% (495). In the past year, 22.8% (113), 95% confidence interval (CI) (19%, 27%) gave birth at home. Rural residence, adjusted odds ratio (aOR) = 13.68 (95%CI:4.29-43.68); no maternal education, aOR = 20.73(95%CI:6.56-65.54) or completed only elementary school, aOR = 7.62(95% CI: 2.58-22.51); unknown expected date of delivery, aOR = 1.81(95% CI: 1.03-3.18); being employed women (those working for wage and self-employed), aOR = 2.79 (95%CI:1.41-5.52) and not planning place of delivery, aOR = 26.27, (95%CI: 2.59-266.89) were independently associated with place of delivery.<h4>Conclusion</h4>The prevalence of institutional delivery in the study area has improved from the 2016 Ethiopian Demography Health Survey report of 26%. Uneducated, rural and employed women were more likely to deliver at home. Strategies should be designed to expand access to and utilization of institutional delivery services among the risky groups.Dejene HailuHenok TadeleBirkneh Tilahun TadesseAkalewold AlemayehuTeshome AbukaFitsum WoldegebrielAbel GedefawSelamawit MengeshaYusuf HajiPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 8, p e0254696 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Dejene Hailu Henok Tadele Birkneh Tilahun Tadesse Akalewold Alemayehu Teshome Abuka Fitsum Woldegebriel Abel Gedefaw Selamawit Mengesha Yusuf Haji Home delivery practice and its predictors in South Ethiopia.
description	<h4>Background</h4>Institutional delivery is one of the key interventions to reduce maternal death. It ensures safe birth, reduces both actual and potential complications, and decreases maternal and newborn death. However, a significant proportion of deliveries in developing countries like Ethiopia are home deliveries and are not attended by skilled birth attendants. We investigated the prevalence and determinants of home delivery in three districts in Sidama administration, Southern Ethiopia.<h4>Methods</h4>Between 15-29 October 2018, a cross sectional survey of 507 women who gave birth within the past 12 months was conducted using multi-stage sampling. Sociodemographic and childbirth related data were collected using structured, interviewer administered tools. Univariate and backward stepwise multivariate logistic regression models were run to assess independent predictors of home delivery.<h4>Results</h4>The response rate was 97.6% (495). In the past year, 22.8% (113), 95% confidence interval (CI) (19%, 27%) gave birth at home. Rural residence, adjusted odds ratio (aOR) = 13.68 (95%CI:4.29-43.68); no maternal education, aOR = 20.73(95%CI:6.56-65.54) or completed only elementary school, aOR = 7.62(95% CI: 2.58-22.51); unknown expected date of delivery, aOR = 1.81(95% CI: 1.03-3.18); being employed women (those working for wage and self-employed), aOR = 2.79 (95%CI:1.41-5.52) and not planning place of delivery, aOR = 26.27, (95%CI: 2.59-266.89) were independently associated with place of delivery.<h4>Conclusion</h4>The prevalence of institutional delivery in the study area has improved from the 2016 Ethiopian Demography Health Survey report of 26%. Uneducated, rural and employed women were more likely to deliver at home. Strategies should be designed to expand access to and utilization of institutional delivery services among the risky groups.
format	article
author	Dejene Hailu Henok Tadele Birkneh Tilahun Tadesse Akalewold Alemayehu Teshome Abuka Fitsum Woldegebriel Abel Gedefaw Selamawit Mengesha Yusuf Haji
author_facet	Dejene Hailu Henok Tadele Birkneh Tilahun Tadesse Akalewold Alemayehu Teshome Abuka Fitsum Woldegebriel Abel Gedefaw Selamawit Mengesha Yusuf Haji
author_sort	Dejene Hailu
title	Home delivery practice and its predictors in South Ethiopia.
title_short	Home delivery practice and its predictors in South Ethiopia.
title_full	Home delivery practice and its predictors in South Ethiopia.
title_fullStr	Home delivery practice and its predictors in South Ethiopia.
title_full_unstemmed	Home delivery practice and its predictors in South Ethiopia.
title_sort	home delivery practice and its predictors in south ethiopia.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/2fbd303a330f408a9af731a3982e5620
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Home delivery practice and its predictors in South Ethiopia.

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