Factors Associated with Maternal Health Care Services in Enderta District, Tigray, Northern Ethiopia: A Cross Sectional Study

Abstract

Introduction: Ethiopia is among the top six high burden countries in which half of global maternal deaths occur. To improve maternal health care service in Ethiopia, it is important to understand factors influencing maternal health care service utilization. This is study aimed at assessing the magnitude and factors associated with maternal health care service utilization. Objective: To determine the magnitude and factors associated with maternal health care service utilization in Enderta district, Tigray, Ethiopia. Method: Community based cross sectional study which contains both quantitative and qualitative methods of data collection was conducted among 574 married women in Enderta district from March 1-14, 2013. A multistage sampling technique was used to approach the study participants. Descriptive and multiple logistic regression analyses were performed using SPSS 20 for windows to estimate indicators and effect sizes of the predictors on maternal health care service. Result: The proportion of antenatal, delivery and postnatal care service utilization was 70%, 37.9% and 49.7%, respectively. Income status, knowledge on danger sign during pregnancy, husbands education and place of delivery were the determinant factors for ANC. Income status, family size, the women`s time taken to health facility, husband attend ANC with spouse and who decides place of delivery were the determinant factors for delivery service utilization. And postnatal care was associated with place of delivery, knowledge on complicated related pregnancy, from where got information and knowledge on postnatal care. Conclusion: The proportion of ANC and Delivery service, and postnatal care in the study area was fair. Women’s own monthly income, husbands’ educational status, place of delivery and their knowledge on danger sign that could occur during pregnancy could influence ANC utilization. Women husband educational status might have on women decision to deliver at health institution. And accompany of women to ANC by their husband and their awareness on postnatal care services could influence postnatal care utilization.