Volume 2, Issue 1, January 2014, Page: 1-6
Place of Delivery after Antenatal Care: the Case of Fogera District, Amhara Region, North West, Ethiopia; 2013
Endalkachew Desalegn, Bahir Dar University, College of Medicine and Health Sciences
Alemtsehay Mekonnen, Bahir Dar University, College of Medicine and Health Sciences
Gedefaw Abeje, Bahir Dar University, College of Medicine and Health Sciences
Received: Jan. 27, 2014;       Published: Mar. 20, 2014
DOI: 10.11648/j.jgo.20140201.11      View  3562      Downloads  242
Back ground: Increasing the proportion of institutional deliveries with a skilled attendant is a key intervention for reducing maternal morbidity and mortality. However remarkable difference is observed between the proportion of antenatal care clients and facility delivery utilisation. In Ethiopia, little is known about the factors that affect women’s place of delivery after utilization of antenatal care service. Objective: To identified women’s place of delivery and associated factors after antenatal care (ANC) service in Fogera district, North West Ethiopia. Method: Community based cross sectional study was conducted from January to March, 2013 on randomly selected sample of 399 women who had antenatal care visit and delivered one year before the survey. Pre-tested and structured interviewer administered questioner was used to collect the data. The data were analysed using SPSS version 16 and multiple logistic regression was used. Results: A total of 399 women who had at least one antenatal care (ANC) follow up and delivered one year prior to the survey was interviewed. Only 126(31.6%) of mothers gave birth in the health facilities. Multivariate analysis showed that residence AOR= 4.6, 95%CI; (1.3, 15.9), privacy during antenatal care (ANC) AOR =4.6, 95%CI :( 2.2,9.2), respect during ANC AOR =2.9, 95%CI:( 1.5,5.9) and quality of antenatal care counseling were important predictors of place of delivery after antenatal care (ANC). Conclusion: Institutional delivery after ANC utilization was low. Maternal education, absence of privacy and low quality of antenatal care counseling during ANC visit were important predictors. Women friendly care and quality of counseling during ANC visit have a great role on facility delivery.
Antenatal Care, Delivery, Labour, Fogera
To cite this article
Endalkachew Desalegn, Alemtsehay Mekonnen, Gedefaw Abeje, Place of Delivery after Antenatal Care: the Case of Fogera District, Amhara Region, North West, Ethiopia; 2013, Journal of Gynecology and Obstetrics. Vol. 2, No. 1, 2014, pp. 1-6. doi: 10.11648/j.jgo.20140201.11
Starrs A: Delivering for Women. Lancet 2007, 370(9595):1285-1287
United Nations Children’s Fund: State of the world’s children, 2008: Child survival. New York. United Nations Children’s Fund (UNICEF) 2007.
Satoko Yanagisawa, S., Sophal Oum S., and Susumu Wakai, S. (2006).Determinants of skilled birth attendance in rural Cambodia. Tropical Medicine and International Health, 238–251.
World Health Organization (WHO). Reduction of maternal mortality. A Joint WHO/UNFPA/UNICEF World Bank Statement. WHO, Geneva, 1999.
WHO, World Health Organization (2005), Factsheets Maternal Mortality, http://www.who.int/making_pregnancy_safer/events/2008/mdg5/factsheet_maternal_mortalit y.pdf Assessed on May.21, 2009. Women’s Health: Western Pacific Region. www.wpro.who.int/internet
Family Care International (FHI) and The Safe Motherhood Inter Agency Group (IAG). A comprehensive package of services for Safe Motherhood, New York, 1998.A vailable at www.safemotherhood.org Accessed on August 20, 2005.
Fact Sheet: The Safe Motherhood Initiative. Family Care International (FCI), Safe Motherhood Inter Agency Group (IAG)2002.www.safemotherhood.org/facts_and_figures/initiative.htmfigures/initiative.htm
Carroli G, Rooney C, Villar J: How effective is antenatal care in preventing maternal mortality and serious morbidity? An overview of the evidence. Paediatr & Perinat Epidemiol 2001, 15(suppl 1):1-42.
Lindmark G, Berendes H, Meirik O: Antenatal care in developed countries Paediatr & Perinat Epidemiol 1998, 12(suppl 2):4-6.
Campbell OMR, Graham WJ: Strategies for reducing maternal mortality: getting on with what works. Lancet 2006, 368:1284-1299
Bloom SS, Lippeveld T, Wypij D: Does antenatal care make a difference to safe delivery? A study in urban Uttar Pradesh, India. Health Policy Plan 1999, 14(1):38-48.
WHO/UNICEF: Antenatal care in developing countries: Promises, achievements and missed opportunities. Analysis of trends, levels and differentials 1990-2001. WHO, Geneva 2003
Central Statistical Agency: ICF International: Ethiopian Demographic and Health Survey, Addis Ababa, Ethiopia, Calverton, Maryland, USA; 2011
Abera A,G/mariam A, Belachew T: Predictors of safe delivery service utilization in Arsi Zone soutrh-west Ethiopia,Ethiop J Health Sci ,2011.
Mesfin Nigussie, M., Damen Haile Mariam, D., Getnet Mitike, G. (2004). Assessment of safe delivery service utilization among women of childbearing age in north Gondar Zone.Ethiopian Journal of Health Development, 18(3):14-152
Mekonnen Yared, Y. and Asnaketch Mekonnen, A. (2002). Utilization of Maternal Health Care services in Ethiopia. www.measuredhs.com/pubs/pdf Accessed on June, 16, 2013.
Central Statistical Agency: ICF International: Ethiopian Demographic and Health Survey, Addis Ababa, Ethiopia,2005
Gurmesa T, Abebe G : safe delivery service utilization in Metekel zone, Northwest Ethiopia, EJHD 2008, 17(4):217-219
Addai I. Demographic and socio-cultural factors influencing use of maternal health services in Ghana. African Journal of Reproductive Health 1998; 2(1): 73-80.
Amardeep Thind, A., Amir Mohani, A., Kaberi Banerjee, K., and Fred Hagigi,F. (2008). Where to deliver? Analysis of choice of delivery location from a national survey in India. BMC Public Health, 8, 29
[Babar T., Shaikh, and Juanita Hatcher, J. (2004). Health seeking behavior and health service utilization in Pakistan challenging the policy makers. Journal of Public Health, 10.1093
Safe motherhood. Good quality maternal health services. Available at Internet: http://www.safemotherhood.org/maternal_health Accessed on February 20, 2006
Carla C., AbouZahr (2003). Global burden of maternal death and disability. British Medical Bulletin, 67
Abou Zahr C. Improve Access to Quality Maternal Health Services. Presentation at Safe Motherhood Consultation in Sri Lanka, 18-23 October 1997.
Mwifadhi Mrisho, M., Joanna A. Schellenberg, Adiel K. Mushi, Brigit Obrist, M., Hassan Mshinda, H., Marce Tanner, M.; and David Schellenberg D.(2007).Factors affecting home delivery in rural Tanzania. Tropical Medicine and International Health,12
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