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Factors Associated with Safe Delivery Service Utilization Among Women in Sheka Zone, Southwest Ethiopia

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Abstract

Attempts to predict pregnancy and childbirth complications before they occur have not been successful. Provision of safe delivery service for all births is considered to be a critical intervention for ensuring safe motherhood. Hence the aim of the study was to assess factors associated with safe delivery service utilization among women in Sheka Zone South West Ethiopia. A community based comparative cross sectional survey was conducted among 554 women in Sheka Zone from February to March 2008. Data were collected through structured pre-tested questionnaire and entered into Epinfo version 3.3. Analyses were done with SPSS version 13 computer software with which bivariate and multiple logistic regressions were carried out. Mothers who completed at least secondary school were more likely to give birth at health facility than those uneducated (AOR = 3.26, 95 % CI 1.51–7.06). Women with birth order above four were less likely to give birth in a health facility than those with first order births (AOR = 0.21, 95 %CI 0.10–0.43). Women who had encountered problems in their immediate birth and received prenatal care were more likely to give birth at health facilities AOR = 33.78 95 % CI 16.44–69.39) and (AOR = 2.55, 95 % CI 1.05–6.21) respectively. Factors associated with safe delivery service utilization are related to the women’s socioeconomic status and obstetric experiences. Consequently promotion of maternal education, prenatal care utilization, information education and communication on obstetric risks and general health service expansion are needed to ensure safe delivery service.

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Acknowledgments

We would like to extend our thanks to Addis Ababa University for sponsoring the study and staffs of the School of Public Health of the University for their unreserved Support throughout the study period. We also thank employees of Sheka Zone health department and Woreda health offices in the Zone, who facilitated the data collection process. Last but not least we would like to thank the data collectors, supervisors and study subjects.

Conflict of interest

The authors declare that they have no competing interests.

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Authors and Affiliations

  1. College of Health Sciences, Mizan Tepi University, Mizan Teferi, Ethiopia

    Abyot Asres

  2. Brighton & Sussex Medical School, Brighton, UK

    Gail Davey

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Correspondence to Abyot Asres.

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Asres, A., Davey, G. Factors Associated with Safe Delivery Service Utilization Among Women in Sheka Zone, Southwest Ethiopia. Matern Child Health J 19, 859–867 (2015). https://doi.org/10.1007/s10995-014-1584-y

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