Institutional delivery service use and associated factors among women who delivered during the last 2 years in Dallocha town, SNNPR, Ethiopia.
Masresha Assefa, Robera Olana Fite, Ayanos Taye and 1 others
PMID 31871702WHAT IT FOUND
In an Ethiopian town, 74% of mothers delivered in a health facility.
Women who owned a radio or TV, attended more than four antenatal visits, or knew at least one benefit of maternity services were significantly more likely to deliver in a facility.
Key findings
0174% of the women who delivered in the last two years used a health institution for delivery.
02Having more than four antenatal care visits was associated with 3.526 times higher odds of institutional delivery compared to having 1-4 visits.
03Mothers who did not know at least one benefit of giving birth at a health institution had much lower odds of delivering in a facility (AOR = 0.091) compared to those who knew at least one benefit.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The cross-sectional design means the study cannot prove that these factors caused women to deliver in facilities; it only shows an association. Data relied on women recalling their delivery experiences from up to two years prior, which introduces potential recall bias. The study was conducted in an urban setting, so findings may not apply to rural areas where barriers like distance and transport are more severe.
Declared interests
The authors declared no conflict of interest.
The easy way to misread this
Do not interpret the association between media ownership and facility delivery as evidence that giving women radios will independently increase institutional delivery rates. This is a cross-sectional survey showing correlation, not causation, and media access may simply reflect other socio-economic advantages or higher baseline health engagement.