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Background :The factor of maternal health care utilization is complex and varying from region
to region. However, identifying their cause assist health planners to maximize effort and is the
fundamental step for intervention strategies in the study area and other similar settings
Objectives: The aim of this study was to measure the maternal health service utilization and
associated factors at Dale-Wonsho health and demographic surveillance site of Hawassa
University ,Ethiopia, 2019.
Methods:A community based cross-sectional study was conducted on 691 women of reproductive
age in Dale-Wonsho health and demographic surveillance site of Hawassa University by using
multi-stage sampling technique. Structured interviewer administrated questionnaire was used to
collect the data. The data was entered to Epi data and exported to SPSS for analysis. Bivariate
analysis done first and variables with p-value <0.25 were considered as candidate for multivariable
analysis.
Result: The response rate is 98.6%. The utilization of ANC, institutional delivery and PNC among
the women’s of reproductive age was 69.1%, 52.1% and 32.7% respectively in the study area.
Odds of being utilization of ANC increased 4.72 times for mothers who had a formal
education(AOR=4.72, 95% CI=2.82-7.9; P=0.001) than mothers who did not have it. Moreover,
the receiving of model household training (AOR=8.52; 95% CI = 5.5 -13.1; P = 0.001) and being
richest wealth index groups (AOR = 0.16; 95% CI =0.06-0.41; P=0.001) were found to be a
significant contributor to the mothers being utilize ANC. Institutional delivery was more likely to
occur in women who had used ANC as compared to did not use (AOR = 5.9; 95% CI= 3.87 – 9.17;
P= 0.001). Presence of information about PNC (AOR= 3.6; 95% CI = 2.18-6.2; P= 0.001) and
autonomy of mothers to make decision on health matters (AOR=6.13, 95% CI=3.8-9.72; P= 0.001)
showed that a significant association with a women’s PNC utilization.
Conclusion: The Utilization of maternal health service in the study was found to be lower than
the targeted zonal and health sectors transformation plan. Maternal and paternal education,
autonomy of the mothers to make decision on the health matters, wealth index and having a plan
on current live birth were responsible factors for the low level coverage of maternal health care for
women’s in the studied area. |
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