Prevalence and Associated Factors of Home Delivery in Arbaminch Zuria District, Southern Ethiopia: Community Based Cross Sectional Study

Abstract

Background፡ Maternal morbidity and mortality is a global health challenge and developing countries contribute about 99% of maternal death. In Ethiopia about 30% of all women death is related to pregnancy related causes and current maternal mortality ratio is 676 per 100,000 live births. However, a large proportion of these maternal deaths could be prevented through timely and appropriate interventions including the presence of skilled delivery service utilization at each birth. Therefore the aim of this study was to assess prevalence and associated factors of home delivery at Arbaminch zuria district. Method: A community based cross-sectional study design was applied from July 1 st to July 30 2012 to collect data from reproductive age women who gave birth in the last 2 years in Arbaminch zuria district who was sampled by systematic random sampling method. A single population proportion formula was used to estimate the sample size by using statistical software EPI info 3.5.4 by considering the assumption that the prevalence of home delivery 81.8%, 95% confidence interval, 5% of absolute precision, design effect 2 then adding non response rate of 5% a total sample size of 481 mother who gave birth in the last two years. The data was entered into EPI info version 3.5.4 and exported into SPSS then analysis was made by using SPSS version 16. Descriptive statistics to describe the study population in relation to relevant variables and multivariate analysis was used to assess the presence and degree of association between home delivery and independent variables. Result: Of the total respondents 157(36%) of the women was age in between 25-29 years, with mean age of 31.4±6.2 years and majority was married and illiterate 396(90.8%) and 234(53.6%)respectively. 346(79.4%) was gave birth at home with unskilled attendants 328(75.2%).Mothers educational status(p< 0.001), parity of the women(p<0.001),and travel time to health facility(p<0.001) was statistically significant association with home delivery. Conclusion: As revealed by this study home delivery attended by un trained personnel was high (75.2%) and the predominant factors associated with home delivery identified by this study were educational status of the women, parity of the women and travel time to health institution.