ASSESSMENT OF INSTITUTIONAL DELIVERY SERVICE UTILIZATION AND ITS BARRIER AND FACILITATOR AMONG MOTHERS WHO GAVE BIRTH IN THE LAST TWO YEARS, IN SEHALA DISTRICT,

Abstract

Abstract Background: Most obstetric complications happen during the time of delivery, but they can be avoided with appropriate therapeutic care within the health facilities. In spite the Ethiopian government’s efforts to grow health service facilities and advance health institution-based delivery service within the country, an assessed 85% of births still take place at home. Objective: the aim of this study was to assess the magnitude of institutional delivery Service utilization and its barrier and facilitators in Sehala District, Waghimra Zone, Amhara National Regional Sate, Ethiopia, 2022. Methods: A community based mixed sequential explanatory study was conducted. A stratified sampling technique was used to select 585 study participants. Data were collected from mothers who gave birth in the past 24 months. Purposive sampling technique was used to determined sample size for the qualitative study. In Bivariable logistic regression those variable with a p-value of <0.25 are candidates for multivariable logistic regression. In multivariable logistic regression, P-value <0.05 was considered as statistically significant with 95% confidence interval. Model fitness was checked by using hosmer lemeshow. Results: The overall prevalence of institutional delivery service utilization was 64.1% (95%CI; 60.1, 67.9). Residing in rural area (AOR= 0.42, 95%CI: 0.21, 0.82), among women whose home were > 5km from the health institution (AOR=0.28, 5%CI: 0.19, 0.57), husband decision (AOR=0.11, 95%CI: 0.04, 0.26), having 3 and 4 ANC follow up (AOR=7.62, 95%CI: 2.13, 9.18) and 7.92 (AOR=7.92, 95%CI: 2.06, 10.43) respectively, being transport by ambulance (AOR=2.79, 95%CI: 1.61, 4.84), do not have ANC follow up (AOR=0.17, 95%CI: 0.04, 0.75).and do not have exposed for media as (AOR=0.22, 95%CI: 0.08, 0.59) were significantly associated with institutional delivery service utilization. Conclusion: Utilization of institutional delivery services in Sehala district was shown to be comparatively good compared to other studies in the region and in Ethiopia even though it is below the HSTP of Ethiopia to increase deliveries attended by skilled health personnel. Number of ANC visit, media exposure, distant health facilities, decision making, residence,