Abstract:
Background: In the developed world where less than 1% of maternal deaths occur, it is estimated
that 99% deliver in health institution. In developing countries 53% deliver in health institutions
In Ethiopia Ten percent of births are delivered at a health facility. Institutional delivery service
utilization is essential to improve maternal and child health. However, little is known about
institutional delivery service utilization in Seka Chokersa district, Jimma, Ethiopia.
Objective: assessment of factors associated institutional delivery utilization and its prevalence.
Methods: A community based cross sectional study was done on 152 mothers who gave birth in
the last 2 years in Seka Chokersa district. Eleven kebeles were selected. The study population was
selected from 11 kebeles using systematic random method and the study participant was
interviewed by trained data collector. Analysis was done by using SPSS version 16.0 after
exported from EPI Info data. Variable which has significant in Bivarite logistic regression
analysis with p-value <0.05 entered in to multivariate analysis of logistic regression and P-values
<0.05 were considered as statically significant.
Results: Majority mothers 134(75.0%) age were in the range of 20–34 years and utilize delivery
service 4.7 times more likely than age range of 15-19. Ninety (59.2%) are illiterate. About
93(61.2%) has monthly income less than 300 ETB. Thirty(19.4 %) of mother delivered at health
facility. Planned at health post and health center72 (47.4%), 70 (46.1%) to give birth during their
last pregnancy respectively. About 22.2% of mother said that cost, 52.0 % transportation were
factor to not utilize delivery service. About 101(66.4) % and 79(52%) said that labor is smooth
and short and laboring mother carried by stretcher. About 42.8 % of mothers have no access of
health facility within 2 hour walking distance. Bivarite logistic regression analysis of attitude
towards institutional delivery showed significant association with institutional delivery service
utilization [COR= 0.88, 95% CI (0.78, 0.99), P-value (0.029).
Conclusions: Institutional delivery was lower when compared to mothers planned to deliver in
health facility and health facility were far. Lack of adequate transportation. Mothers who gave
birth only one child has no utilization of institutional delivery. Cost and income were also
another factor to not utilize institutional delivery service.
