Abstract

Teka Senay Wolderufael*, Fasika Fanta Gebreyesus* and Zeleke Girma Abate*

ABSTRACT

Background: Delivery care through access to health facilities and skilled health personnel is the main important intervention for safe motherhood. Institutional delivery service utilization reduces maternal morbidity and mortality. Despite, institutional delivery assisted by skilled attendants given for free, nearly one third of pregnant mothers give birth at home. This study was tried to identify predictors of home delivery among Child Bearing Age (15-49years) Women in Wonago District, Southern Ethiopia, 2018. Methods: unmatched case-control study was conducted from May-June 2018. The total Sample size for this study was 512 from which 170 cases and 342 controls. Simple random sampling technique was employed to select study participants. Interviewer administrated structured questioner was used to collect data for quantitative study. Quantitative data were analysed using SPSS version 20.0 software. Descriptive statistics was employed to describe each variables and Multi variable logistic regression analysis was used to identify independent predictors of home delivery. Crude odds ratio (OR) and 95% confidence interval (CI) for each variable of interest was calculated. P < 0.05 was considered as statistically significant. Results: The main reasons for home delivery among cases were 84 (33.2%) need family support, 68(26.9%) did not know the expected date of delivery followed by lack of transportation access 31(12.3%). In this study antenatal care visit is one of the important predictor in determining home delivery; women who had few ANC visits were less likely to delivery at health institutions (AOR=.065, 95%CI: (.027-.159) compare to those who had more ANC visits. Conclusion: Number of Antenatal care visits, perceived husband support, Knowledge about pregnancy related danger signs and perceived quality of care were significant factors associated with home delivery. Therefore, those Healthcare providers should take the opportunity to encourage mothers to attend institutional delivery services and to improve institutional delivery and creating awareness towards impact of home delivery.