Delays for Utilizing Institutional Delivery and Associated Factors Among Mothers Attending Public Health Facility in Hadiya Zone, Southern Ethiopia

Alemu Lire; Abera Beyamo; Degefa Tadele; Wolde Facha

doi:doi:10.11648/j.sjph.20170506.13

| Peer-Reviewed

Delays for Utilizing Institutional Delivery and Associated Factors Among Mothers Attending Public Health Facility in Hadiya Zone, Southern Ethiopia

Alemu Lire, Abera Beyamo, Degefa Tadele, Wolde Facha

Published in Science Journal of Public Health (Volume 5, Issue 6)

Received: 29 July 2017 Accepted: 21 August 2017 Published: 28 September 2017

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

Labour and delivery are the shortest and most critical period during pregnancy and childbirth. The major factors that contribute to maternal death in developing countries are: delay in deciding to seek care, identifying and reaching medical facility, and receiving adequate and appropriate treatment. The study aimed to determine delays in institutional delivery and associated factors among mothers attending public health facilities, southern Ethiopia. Facility based Cross sectional study was employed on 397 labouring mothers attending Negist Elene Mohamed memorial general hospital. The sample size was determined by using single population proportion formula and the data were collected consecutively until the required sample sizes achieved. Descriptive data analysis was conducted to identify summary values and multiple logistic regressions were performed to identify independent predictors for the delays. All the analysis was done using SPSS for windows version 16.0. A total of 384 labouring mothers were participated in this study. The proportion of mothers who exhibited the first delay was 154(40.1%). Maternal unemployment [AOR, 2.5; 95% CI, 1.118, 5.441]; husband educational status [AOR, 2.3; 95% CI, 1.204, 4.408]; and antenatal care visit [AOR, 0.4; 95% CI, 0.277, 0.713] were the independent predictors of the first delay. Mothers who experienced the second delay were 114(29.7%). For this delay, distance [AOR, 14; CI, 7.895, 26.558]; uneducated mothers [AOR, 3; 95% CI, 1.397, 6.711]; and means of transportation [AOR, 0.6; 95% CI, 0.314, 0.995] were determinants. Mothers who experienced the 3^rd delay were 125(32.6%). The main predictors were multiple referral levels [AOR, 0.2; 95% CI, 0.068, 0.347]; absence of care provider [AOR, 1.7; 95% CI, 1.060, 2.697]; and lengthy admission process [AOR, 2.2; 95% CI, 1.279, 3.776]. The very high percentage of each delay in this study suggests low utilization of emergency obstetric care among labouring mothers.

Published in	Science Journal of Public Health (Volume 5, Issue 6)
DOI	10.11648/j.sjph.20170506.13
Page(s)	419-427
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Delays, Emergency Obstetric Care, Ethiopia

References

[1]	Thaddeus S, Maine D. Too far to walk: maternal mortality in context. Social Science & Medicine. 1994; 38(8): 1091–1100.
[2]	Berhan Y, Berhan A. Yifru B, and Asres B, Reasons for persistently high maternal and perinatal mortalities in Ethiopia: Part I, II, and III – Socio-economic and cultural factors. 2014; Special issue 1.
[3]	See A. Starrs, “Safe Motherhood Initiative: 20 years and conducting,” The Lancet, UN, 2006.
[4]	Millennium Project, Investing in Development: A practical plan to achieve the Millennium Development Goals, UNDP, 2005.
[5]	UNFPA: Emergency obstetric care: Reducing life-threatening delay. http://www.unfpa.org/public/home/mothers/pid/4385, 2012
[6]	Kamara, A. the international federation of gynecology and obstetrics; lessons learned from the PMM network experience. Int J GynecolObstet, 1997. V 59 (Suppl 2) 253-258.
[7]	Skilled Attendance at Birth. Available from: http://www.unfpa.org/public/cache/offonce/home/mothers/pid/4383 [cited 12 March 2014].
[8]	Khan KS, Wojdyla D, Say L, Gülmezoglu AM, Van Look PFA. WHO analysis of causes of maternal death: a systematic review. Lancet 2006; 367: 1066–74.
[9]	Hunt P, De Mesquita JB. Reducing maternal mortality: the contribution of the right to the highest attainable standard of health. London: Human Rights Centre, University of Essex and UNFPA, New York, 2010.
[10]	UNFPA, Trends in Maternal Health, Challenges in achieving the MDG for maternal mortality In-depth Analysis of the EDHS 2000-2011.
[11]	Reuben K. Esena, Mary-Margaret S.: Factors associated with the utilization of skilled delivery services, international journal of scientific & technology research volume 2, issue 8, august 2013 issn 2277-8616.
[12]	FMOH: Mini Ethiopian Demographic and Health Survey, 2014.
[13]	Worku A. and Kenie S.: Maternal delays in utilizing institutional delivery services, Bahir Dar, Ethiopia Vol. 5, No. 6, 1026-1031 (2013).
[14]	Nusrat S., Nazli H, Rizwana S, et al. Socio-demographic Characteristics and the Three Delays of Maternal Mortality: Journal of The College of Physicians and Surgeons Pakistan 2009, Vol. 19 (2): 95-98.
[15]	Kaji, T., Keya, Moshiur, R., Ubaidur, R., et al. Barrier of Distance and Transportation Cost to Access Maternity Services in Rural Bangladesh, 2013.
[16]	Okusanya BO, Okogbo FO, Momoh MM, et al. Maternal mortality and delay: socio-demographic characteristics of maternal deaths with delay in Irrua, Nigeria. Niger J Med 2007; 16: 38-41.
[17]	Mrisho, M, Schellenberg, J. A, Mushi, A. K, Obrist, B., Mshinda, H., Tanner, M., and Schellenberg, D., Factors affecting home delivery in rural Tanzania, 2007.
[18]	Daniel B. and Desalegn M. Institutional Delivery Service Utilization and Associated Factors among Child Bearing Age Women in Gobaworeda, Ethiopia. Journal of Gynecology and Obstetrics. Vol. 2, No. 4, 2014, pp. 63-70.
[19]	Gabrysch S, Cousens S, Cox J, Campbell OM: The influence of distance and level of care on deliveryplace in rural Zambia, 2011.
[20]	Gaym A. A review of maternal mortality at Jimma Hospital, Southwestern Ethiopia. 2000; 14(2): 215-223.
[21]	De Silva R. Transport - The Missing Link? A catalyst for achieving the MDG, Presentation for the International Federation of Rural Transport Development. Retrieved from: http://www.transaid.org/images/
[22]	Knight HE, Self A, Kennedy SH: Why Are Women Dying When They Reach Hospital on Time? A Systematic Review of the ‘‘Third Delay.’’ (2013) PLoS ONE 8(5): e63846. doi: 10.1371/journal.pone.0063846.

Cite This Article

Plain Text BibTeX RIS

APA Style

Alemu Lire, Abera Beyamo, Degefa Tadele, Wolde Facha. (2017). Delays for Utilizing Institutional Delivery and Associated Factors Among Mothers Attending Public Health Facility in Hadiya Zone, Southern Ethiopia. Science Journal of Public Health, 5(6), 419-427. https://doi.org/10.11648/j.sjph.20170506.13

Copy | Download

ACS Style

Alemu Lire; Abera Beyamo; Degefa Tadele; Wolde Facha. Delays for Utilizing Institutional Delivery and Associated Factors Among Mothers Attending Public Health Facility in Hadiya Zone, Southern Ethiopia. Sci. J. Public Health 2017, 5(6), 419-427. doi: 10.11648/j.sjph.20170506.13

Copy | Download

AMA Style

Alemu Lire, Abera Beyamo, Degefa Tadele, Wolde Facha. Delays for Utilizing Institutional Delivery and Associated Factors Among Mothers Attending Public Health Facility in Hadiya Zone, Southern Ethiopia. Sci J Public Health. 2017;5(6):419-427. doi: 10.11648/j.sjph.20170506.13

Copy | Download

@article{10.11648/j.sjph.20170506.13,
  author = {Alemu Lire and Abera Beyamo and Degefa Tadele and Wolde Facha},
  title = {Delays for Utilizing Institutional Delivery and Associated Factors Among Mothers Attending Public Health Facility in Hadiya Zone, Southern Ethiopia},
  journal = {Science Journal of Public Health},
  volume = {5},
  number = {6},
  pages = {419-427},
  doi = {10.11648/j.sjph.20170506.13},
  url = {https://doi.org/10.11648/j.sjph.20170506.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20170506.13},
  abstract = {Labour and delivery are the shortest and most critical period during pregnancy and childbirth. The major factors that contribute to maternal death in developing countries are: delay in deciding to seek care, identifying and reaching medical facility, and receiving adequate and appropriate treatment. The study aimed to determine delays in institutional delivery and associated factors among mothers attending public health facilities, southern Ethiopia. Facility based Cross sectional study was employed on 397 labouring mothers attending Negist Elene Mohamed memorial general hospital. The sample size was determined by using single population proportion formula and the data were collected consecutively until the required sample sizes achieved. Descriptive data analysis was conducted to identify summary values and multiple logistic regressions were performed to identify independent predictors for the delays. All the analysis was done using SPSS for windows version 16.0. A total of 384 labouring mothers were participated in this study. The proportion of mothers who exhibited the first delay was 154(40.1%). Maternal unemployment [AOR, 2.5; 95% CI, 1.118, 5.441]; husband educational status [AOR, 2.3; 95% CI, 1.204, 4.408]; and antenatal care visit [AOR, 0.4; 95% CI, 0.277, 0.713] were the independent predictors of the first delay. Mothers who experienced the second delay were 114(29.7%). For this delay, distance [AOR, 14; CI, 7.895, 26.558]; uneducated mothers [AOR, 3; 95% CI, 1.397, 6.711]; and means of transportation [AOR, 0.6; 95% CI, 0.314, 0.995] were determinants. Mothers who experienced the 3rd delay were 125(32.6%). The main predictors were multiple referral levels [AOR, 0.2; 95% CI, 0.068, 0.347]; absence of care provider [AOR, 1.7; 95% CI, 1.060, 2.697]; and lengthy admission process [AOR, 2.2; 95% CI, 1.279, 3.776]. The very high percentage of each delay in this study suggests low utilization of emergency obstetric care among labouring mothers.},
 year = {2017}
}

Copy | Download

TY  - JOUR
T1  - Delays for Utilizing Institutional Delivery and Associated Factors Among Mothers Attending Public Health Facility in Hadiya Zone, Southern Ethiopia
AU  - Alemu Lire
AU  - Abera Beyamo
AU  - Degefa Tadele
AU  - Wolde Facha
Y1  - 2017/09/28
PY  - 2017
N1  - https://doi.org/10.11648/j.sjph.20170506.13
DO  - 10.11648/j.sjph.20170506.13
T2  - Science Journal of Public Health
JF  - Science Journal of Public Health
JO  - Science Journal of Public Health
SP  - 419
EP  - 427
PB  - Science Publishing Group
SN  - 2328-7950
UR  - https://doi.org/10.11648/j.sjph.20170506.13
AB  - Labour and delivery are the shortest and most critical period during pregnancy and childbirth. The major factors that contribute to maternal death in developing countries are: delay in deciding to seek care, identifying and reaching medical facility, and receiving adequate and appropriate treatment. The study aimed to determine delays in institutional delivery and associated factors among mothers attending public health facilities, southern Ethiopia. Facility based Cross sectional study was employed on 397 labouring mothers attending Negist Elene Mohamed memorial general hospital. The sample size was determined by using single population proportion formula and the data were collected consecutively until the required sample sizes achieved. Descriptive data analysis was conducted to identify summary values and multiple logistic regressions were performed to identify independent predictors for the delays. All the analysis was done using SPSS for windows version 16.0. A total of 384 labouring mothers were participated in this study. The proportion of mothers who exhibited the first delay was 154(40.1%). Maternal unemployment [AOR, 2.5; 95% CI, 1.118, 5.441]; husband educational status [AOR, 2.3; 95% CI, 1.204, 4.408]; and antenatal care visit [AOR, 0.4; 95% CI, 0.277, 0.713] were the independent predictors of the first delay. Mothers who experienced the second delay were 114(29.7%). For this delay, distance [AOR, 14; CI, 7.895, 26.558]; uneducated mothers [AOR, 3; 95% CI, 1.397, 6.711]; and means of transportation [AOR, 0.6; 95% CI, 0.314, 0.995] were determinants. Mothers who experienced the 3rd delay were 125(32.6%). The main predictors were multiple referral levels [AOR, 0.2; 95% CI, 0.068, 0.347]; absence of care provider [AOR, 1.7; 95% CI, 1.060, 2.697]; and lengthy admission process [AOR, 2.2; 95% CI, 1.279, 3.776]. The very high percentage of each delay in this study suggests low utilization of emergency obstetric care among labouring mothers.
VL  - 5
IS  - 6
ER  -

Copy | Download

Author Information

Alemu Lire

Hadiya Zone Health Department, Hosana, Ethiopia
Abera Beyamo

Public Health Department, College of Health Sciences, Wolaita Sodo University, Wolaita Sodo, Ethiopia
Degefa Tadele

Hadiya Zone Health Department, Hosana, Ethiopia
Wolde Facha

Public Health Department, College of Health Sciences, Wolaita Sodo University, Wolaita Sodo, Ethiopia

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Alemu Lire, Abera Beyamo, Degefa Tadele, Wolde Facha. (2017). Delays for Utilizing Institutional Delivery and Associated Factors Among Mothers Attending Public Health Facility in Hadiya Zone, Southern Ethiopia. Science Journal of Public Health, 5(6), 419-427. https://doi.org/10.11648/j.sjph.20170506.13

Copy | Download

ACS Style

Alemu Lire; Abera Beyamo; Degefa Tadele; Wolde Facha. Delays for Utilizing Institutional Delivery and Associated Factors Among Mothers Attending Public Health Facility in Hadiya Zone, Southern Ethiopia. Sci. J. Public Health 2017, 5(6), 419-427. doi: 10.11648/j.sjph.20170506.13

Copy | Download

AMA Style

Alemu Lire, Abera Beyamo, Degefa Tadele, Wolde Facha. Delays for Utilizing Institutional Delivery and Associated Factors Among Mothers Attending Public Health Facility in Hadiya Zone, Southern Ethiopia. Sci J Public Health. 2017;5(6):419-427. doi: 10.11648/j.sjph.20170506.13

Copy | Download

@article{10.11648/j.sjph.20170506.13,
  author = {Alemu Lire and Abera Beyamo and Degefa Tadele and Wolde Facha},
  title = {Delays for Utilizing Institutional Delivery and Associated Factors Among Mothers Attending Public Health Facility in Hadiya Zone, Southern Ethiopia},
  journal = {Science Journal of Public Health},
  volume = {5},
  number = {6},
  pages = {419-427},
  doi = {10.11648/j.sjph.20170506.13},
  url = {https://doi.org/10.11648/j.sjph.20170506.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20170506.13},
  abstract = {Labour and delivery are the shortest and most critical period during pregnancy and childbirth. The major factors that contribute to maternal death in developing countries are: delay in deciding to seek care, identifying and reaching medical facility, and receiving adequate and appropriate treatment. The study aimed to determine delays in institutional delivery and associated factors among mothers attending public health facilities, southern Ethiopia. Facility based Cross sectional study was employed on 397 labouring mothers attending Negist Elene Mohamed memorial general hospital. The sample size was determined by using single population proportion formula and the data were collected consecutively until the required sample sizes achieved. Descriptive data analysis was conducted to identify summary values and multiple logistic regressions were performed to identify independent predictors for the delays. All the analysis was done using SPSS for windows version 16.0. A total of 384 labouring mothers were participated in this study. The proportion of mothers who exhibited the first delay was 154(40.1%). Maternal unemployment [AOR, 2.5; 95% CI, 1.118, 5.441]; husband educational status [AOR, 2.3; 95% CI, 1.204, 4.408]; and antenatal care visit [AOR, 0.4; 95% CI, 0.277, 0.713] were the independent predictors of the first delay. Mothers who experienced the second delay were 114(29.7%). For this delay, distance [AOR, 14; CI, 7.895, 26.558]; uneducated mothers [AOR, 3; 95% CI, 1.397, 6.711]; and means of transportation [AOR, 0.6; 95% CI, 0.314, 0.995] were determinants. Mothers who experienced the 3rd delay were 125(32.6%). The main predictors were multiple referral levels [AOR, 0.2; 95% CI, 0.068, 0.347]; absence of care provider [AOR, 1.7; 95% CI, 1.060, 2.697]; and lengthy admission process [AOR, 2.2; 95% CI, 1.279, 3.776]. The very high percentage of each delay in this study suggests low utilization of emergency obstetric care among labouring mothers.},
 year = {2017}
}

Copy | Download

TY  - JOUR
T1  - Delays for Utilizing Institutional Delivery and Associated Factors Among Mothers Attending Public Health Facility in Hadiya Zone, Southern Ethiopia
AU  - Alemu Lire
AU  - Abera Beyamo
AU  - Degefa Tadele
AU  - Wolde Facha
Y1  - 2017/09/28
PY  - 2017
N1  - https://doi.org/10.11648/j.sjph.20170506.13
DO  - 10.11648/j.sjph.20170506.13
T2  - Science Journal of Public Health
JF  - Science Journal of Public Health
JO  - Science Journal of Public Health
SP  - 419
EP  - 427
PB  - Science Publishing Group
SN  - 2328-7950
UR  - https://doi.org/10.11648/j.sjph.20170506.13
AB  - Labour and delivery are the shortest and most critical period during pregnancy and childbirth. The major factors that contribute to maternal death in developing countries are: delay in deciding to seek care, identifying and reaching medical facility, and receiving adequate and appropriate treatment. The study aimed to determine delays in institutional delivery and associated factors among mothers attending public health facilities, southern Ethiopia. Facility based Cross sectional study was employed on 397 labouring mothers attending Negist Elene Mohamed memorial general hospital. The sample size was determined by using single population proportion formula and the data were collected consecutively until the required sample sizes achieved. Descriptive data analysis was conducted to identify summary values and multiple logistic regressions were performed to identify independent predictors for the delays. All the analysis was done using SPSS for windows version 16.0. A total of 384 labouring mothers were participated in this study. The proportion of mothers who exhibited the first delay was 154(40.1%). Maternal unemployment [AOR, 2.5; 95% CI, 1.118, 5.441]; husband educational status [AOR, 2.3; 95% CI, 1.204, 4.408]; and antenatal care visit [AOR, 0.4; 95% CI, 0.277, 0.713] were the independent predictors of the first delay. Mothers who experienced the second delay were 114(29.7%). For this delay, distance [AOR, 14; CI, 7.895, 26.558]; uneducated mothers [AOR, 3; 95% CI, 1.397, 6.711]; and means of transportation [AOR, 0.6; 95% CI, 0.314, 0.995] were determinants. Mothers who experienced the 3rd delay were 125(32.6%). The main predictors were multiple referral levels [AOR, 0.2; 95% CI, 0.068, 0.347]; absence of care provider [AOR, 1.7; 95% CI, 1.060, 2.697]; and lengthy admission process [AOR, 2.2; 95% CI, 1.279, 3.776]. The very high percentage of each delay in this study suggests low utilization of emergency obstetric care among labouring mothers.
VL  - 5
IS  - 6
ER  -

Copy | Download