Magnitude of institutional delivery service utilization and associated factors among women in pastoral community of Awash Fentale district Afar Regional State, Ethiopia

Abstract Objective Reduction of maternal mortality is a global priority particularly in developing countries like Ethiopia where maternal mortality ratio is one of the highest in the world. Most deliveries in developing countries occur at home without skilled birth attendants. Therefore, the objective of this study was to assess institutional delivery service utilization and associated factors among women in pastoral community of Awash Fentale district, Ethiopia. Results Overall, 35.2% of women delivered at health facilities. Women who had good knowledge AOR = 2.1, 95% CI 1.32, 4.87), Ante Natal Care (ANC) follow up (AOR = 3.2, 95% CI 1.55, 6.63), resided in a place where distance to reach at the nearby health facilities takes < 30 min (AOR = 3.1; 95% CI 2.57, 66.33) and women whose husband involved in decision regarding delivery place (AOR = 1.9; 95% CI 1.49, 5.07) were more likely to deliver at health facility. Therefore, strengthening ANC services, improving maternal knowledge, involving husbands in decision of delivery place and expanding health facilities in the community would enhance institutional delivery

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Additional file 2: Figure S2. Place of delivery in the last pregnancy among women in pastoral Awash Fentale district, Ethiopia, 2016. Prevalence of institution delivery service utilization. Among mothers who gave birth in the last 12 months, 35.2% of them delivered in health facilities while the rest 64.8% gave birth at home

MOESM1 of Magnitude of institutional delivery service utilization and associated factors among women in pastoral community of Awash Fentale district Afar Regional State, Ethiopia

Additional file 1: Figure S1. Knowledge, attitude, perception, husband involvement and distance towards institutional delivery in pastoral Awash Fentale district, 2016. Knowledge, attitude, perception, husband involvement, and distance to health facility. Among study participants, 24.3% of women had good knowledge on labor and pregnancy, and 83% of women had favorable attitudes towards institutional delivery. Moreover, 60.3% of women had good perception on the benefit of skilled birth attendance and 33.6% of women’s husband involved on decision regarding delivery place. Concerning the time taken, 19.9% of mothers travelled on foot more than 30 min to reach the nearby health facilities