Abstract:
Introduction: Maternal mortality is unacceptably high. Most maternal deaths are avoidable by increasing institutional delivery. Despite antenatal care is key factor for institutional delivery; many women who had antenatal care gave birth at home. In Ethiopia, few are known about the factors that affect women’s place of delivery after antenatal care. Objective: This study aimed to assess the prevalence and associated factors of home delivery after antenatal care booked women In East Dembiya, District. Methods: Community-based cross-sectional study was conducted from January - March, 2023. Multistage sampling methods were used to select a total of 567 samples. Data was collected through face to face interview using pretested questionnaire. Kobo collect application version 2022.3.6 used for data entry and Statistical package for social science (SPSS) version 26 were used for analysis. A p-value less than or equals to 0.05 at 95% Confidence Intervals of odds ratio were taken as significance level in the multivariable model.
Results: A total of 204 (36.0%) women gave birth at home. Presence of health facility within 30 minute on foot (AOR: 3.81, 95% CI: 2.29 – 6.35), family size < 3 person (AOR: 2.66, 95% CI: 1.27–5.56), number of ANC visits < 4 (AOR: 2.61, 95% CI: 1.05-6.45), poor knowledge on obstetric complications (AOR: 1.86, 95% CI: 1.12 – 3.09), husband preference for home delivery (AOR: 2.01, 95% CI: 1.19-3.39) and decision on place of delivery made by husband only or family (AOR: 2.25, 95% CI: 1.38-3.66) were factors found associated with home delivery after antenatal care.
Conclusions and recommendations: The magnitude of home delivery among mothers who were booked for antenatal care and gave birth within one year prior to survey was high in East Dembiya District. Availability of health facility within 30 minute on foot, family size, number of ANC visits, knowledge on obstetric complications, husband preference for place
of delivery and decision-making capability of women were are found to have statistically significant association with home delivery.
