Utilization pattern of institutional delivery among mothers in North-western Ethiopia and the factors associated; A community - based study

Abstract Background Maternal mortality is a global health problem. Most maternal deaths occur due to complications that arise in intra-partum and postpartum periods, mainly due to post-partum haemorrhage immediately after delivery. Objective This study aimed to assess determinants of institutional delivery service utilization among mothers who gave birth within 1 year before this study, in North-western Ethiopia. Methods A community-based cross-sectional study was conducted among mothers who gave birth in the last 12 months prior to the study, from January 1-30/2016. A multistage sampling technique was used to select the study subjects. Logistic regression was used to identify factors associated with the outcome variable. Results The study revealed that 61.5% of mothers delivered in health facilities. Institutional delivery service utilization was significantly affected by; Residence (AOR = 3.66, 95% CI: 1.27, 10.56), Travelling time (AOR = 2.77, 95% CI: 1.34, 5.75), Parity which is being para one (AOR = 6.79, 95% Cl: 2.97, 15.54) and being from para two to four (AOR = 2.42, 95% Cl: 1.31, 4.47) and Antenatal care visit (AOR = 6.37, 95% Cl: 3.12, 10.52). Conclusion Despite there is an improvement in institutional delivery service utilization, still it needs strong effort to sustain and meet the required level of skilled birth attendant which is 100%. Ambulance service accessibility and booking any pregnant mother for antenatal care services are recommended by the authors to have more than the above revealed institutional delivery service utilization.