Institutional delivery and associated factors in rural communities of Central Gondar Zone, Northwest Ethiopia.

<h4>Introduction</h4>Institutional delivery has been considered as one of the important strategies to improve maternal and child health and significantly reduces birth-related complications. However, it is still low in developing countries though there are some improvements. Hence, the a...

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Autores principales:	Adane Nigusie, Telake Azale, Mezgebu Yitayal, Lemma Derseh
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/55e4477810574562995eb004d97261a9
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spelling	oai:doaj.org-article:55e4477810574562995eb004d97261a92021-12-02T20:04:56ZInstitutional delivery and associated factors in rural communities of Central Gondar Zone, Northwest Ethiopia.1932-620310.1371/journal.pone.0255079https://doaj.org/article/55e4477810574562995eb004d97261a92021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0255079https://doaj.org/toc/1932-6203<h4>Introduction</h4>Institutional delivery has been considered as one of the important strategies to improve maternal and child health and significantly reduces birth-related complications. However, it is still low in developing countries though there are some improvements. Hence, the aim of this study was to assess the prevalence of institutional delivery and associated factors in the study area.<h4>Methods</h4>A community-based cross-sectional study was conducted. A multistage systematic sampling technique was used to select 1,394 study participants. We collected data from 18-48 years old women by using a structured questionnaire. Binary logistic regression was performed to identify factors at 95% confidence level.<h4>Results</h4>The mean age of respondents was 30 (±0.15). The wealth status of 33.48% respondents was poor and 33.33% rich. The prevalence of institutional delivery was 58.17% (95% CI: 55.57%, 60.77%). Multivariable logistic regression showed that demographic factors: women age (≥35years) (AOR = 1.43; 95% CI 1.04, 1.96), having a family size of less than five (AOR = 4.61; 95% CI 3.34, 6.34), having family discussion (AOR = 4.05; 95% CI 2.74, 5.97), distance from the nearby clinic (≤30min) (AOR = 2.92; 95% CI 1.53, 5.58) and decision power about place of delivery (AOR = 2.50; 95% CI 1.56, 4.01); socio-economic factors: husband's educational status of primary school (AOR = 1.64; 95% CI 1.19, 2.24), middle level household wealth index (AOR = 1.78; 95% CI 1.25, 2.54) and rich level household wealth index (AOR = 2.01; 95% CI 1.42, 2.86); and programmatic factors: antenatal care visit during their recent pregnancy (AOR = 1.86;95% CI 1.16, 2.97) were affects institutional delivery positively. Whereas bad behavior of health workers (AOR = 0.27; 95% CI 0.19, 0.39) negatively affects institutional delivery.<h4>Conclusion</h4>Institutional delivery was low in the study area. This study implies that strengthening family discussion and up taking antenatal care services in regular ways are a few of the suggested recommendations.Adane NigusieTelake AzaleMezgebu YitayalLemma DersehPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0255079 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Adane Nigusie Telake Azale Mezgebu Yitayal Lemma Derseh Institutional delivery and associated factors in rural communities of Central Gondar Zone, Northwest Ethiopia.
description	<h4>Introduction</h4>Institutional delivery has been considered as one of the important strategies to improve maternal and child health and significantly reduces birth-related complications. However, it is still low in developing countries though there are some improvements. Hence, the aim of this study was to assess the prevalence of institutional delivery and associated factors in the study area.<h4>Methods</h4>A community-based cross-sectional study was conducted. A multistage systematic sampling technique was used to select 1,394 study participants. We collected data from 18-48 years old women by using a structured questionnaire. Binary logistic regression was performed to identify factors at 95% confidence level.<h4>Results</h4>The mean age of respondents was 30 (±0.15). The wealth status of 33.48% respondents was poor and 33.33% rich. The prevalence of institutional delivery was 58.17% (95% CI: 55.57%, 60.77%). Multivariable logistic regression showed that demographic factors: women age (≥35years) (AOR = 1.43; 95% CI 1.04, 1.96), having a family size of less than five (AOR = 4.61; 95% CI 3.34, 6.34), having family discussion (AOR = 4.05; 95% CI 2.74, 5.97), distance from the nearby clinic (≤30min) (AOR = 2.92; 95% CI 1.53, 5.58) and decision power about place of delivery (AOR = 2.50; 95% CI 1.56, 4.01); socio-economic factors: husband's educational status of primary school (AOR = 1.64; 95% CI 1.19, 2.24), middle level household wealth index (AOR = 1.78; 95% CI 1.25, 2.54) and rich level household wealth index (AOR = 2.01; 95% CI 1.42, 2.86); and programmatic factors: antenatal care visit during their recent pregnancy (AOR = 1.86;95% CI 1.16, 2.97) were affects institutional delivery positively. Whereas bad behavior of health workers (AOR = 0.27; 95% CI 0.19, 0.39) negatively affects institutional delivery.<h4>Conclusion</h4>Institutional delivery was low in the study area. This study implies that strengthening family discussion and up taking antenatal care services in regular ways are a few of the suggested recommendations.
format	article
author	Adane Nigusie Telake Azale Mezgebu Yitayal Lemma Derseh
author_facet	Adane Nigusie Telake Azale Mezgebu Yitayal Lemma Derseh
author_sort	Adane Nigusie
title	Institutional delivery and associated factors in rural communities of Central Gondar Zone, Northwest Ethiopia.
title_short	Institutional delivery and associated factors in rural communities of Central Gondar Zone, Northwest Ethiopia.
title_full	Institutional delivery and associated factors in rural communities of Central Gondar Zone, Northwest Ethiopia.
title_fullStr	Institutional delivery and associated factors in rural communities of Central Gondar Zone, Northwest Ethiopia.
title_full_unstemmed	Institutional delivery and associated factors in rural communities of Central Gondar Zone, Northwest Ethiopia.
title_sort	institutional delivery and associated factors in rural communities of central gondar zone, northwest ethiopia.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/55e4477810574562995eb004d97261a9
work_keys_str_mv	AT adanenigusie institutionaldeliveryandassociatedfactorsinruralcommunitiesofcentralgondarzonenorthwestethiopia AT telakeazale institutionaldeliveryandassociatedfactorsinruralcommunitiesofcentralgondarzonenorthwestethiopia AT mezgebuyitayal institutionaldeliveryandassociatedfactorsinruralcommunitiesofcentralgondarzonenorthwestethiopia AT lemmaderseh institutionaldeliveryandassociatedfactorsinruralcommunitiesofcentralgondarzonenorthwestethiopia
_version_	1718375541471444992

Institutional delivery and associated factors in rural communities of Central Gondar Zone, Northwest Ethiopia.

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