Determinants of antenatal and delivery care utilization in Tigray region, Ethiopia: a cross-sectional study

International Journal for Equity in Health

Research

Kerstin Edin¹  Isabel Goicolea²  Miguel San Sebastian²  Tesfay Gebrehiwot³  Hailemariam Lemma³  Yalem Tsegay⁴ 

[1] Department of Nursing, Umea University, Umea, Sweden;Department of Public Health and clinical Medicine, Umea University, Umea, Sweden;Department of Public Health, College of Health sciences, Mekelle University, Mekelle, Ethiopia;Deputy head for Tigray Regional Health Bureau, Mekelle, Ethiopia;

关键词: Health Facility;    Maternal Health;    Health Post;    Institutional Delivery;    Maternal Health Service;   

DOI  :  10.1186/1475-9276-12-30

 received in 2012-10-26, accepted in 2013-05-07,  发布年份 2013

来源: Springer

【 摘 要 】

IntroductionDespite the international emphasis in the last few years on the need to address the unmet health needs of pregnant women and children, progress in reducing maternal mortality has been slow. This is particularly worrying in sub-Saharan Africa where over 162,000 women still die each year during pregnancy and childbirth, most of them because of the lack of access to skilled delivery attendance and emergency care. With a maternal mortality ratio of 673 per 100,000 live births and 19,000 maternal deaths annually, Ethiopia is a major contributor to the worldwide death toll of mothers. While some studies have looked at different risk factors for antenatal care (ANC) and delivery service utilisation in the country, information coming from community-based studies related to the Health Extension Programme (HEP) in rural areas is limited. This study aims to determine the prevalence of maternal health care utilisation and explore its determinants among rural women aged 15–49 years in Tigray, Ethiopia.MethodsThe study was a community-based cross-sectional survey using a structured questionnaire. A cluster sampling technique was used to select women who had given birth at least once in the five years prior to the survey period. Univariable and multivariable logistic regression analyses were carried out to elicit the impact of each factor on ANC and institutional delivery service utilisation.ResultsThe response rate was 99% (n=1113). The mean age of the participants was 30.4 years. The proportion of women who received ANC for their recent births was 54%; only 46 (4.1%) of women gave birth at a health facility. Factors associated with ANC utilisation were marital status, education, proximity of health facility to the village, and husband’s occupation, while use of institutional delivery was mainly associated with parity, education, having received ANC advice, a history of difficult/prolonged labour, and husbands’ occupation.ConclusionsA relatively acceptable utilisation of ANC services but extremely low institutional delivery was observed. Classical socio-demographic factors were associated with both ANC and institutional delivery attendance. ANC advice can contribute to increase institutional delivery use. Different aspects of HEP need to be strengthened to improve maternal health in Tigray.

【 授权许可】

Unknown   
© Tsegay et al.; licensee BioMed Central Ltd. 2013. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.