IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0216714.html
   My bibliography  Save this article

Utilization of decentralized health facilities and factors influencing women’s choice of a delivery site in Gida Ayana Woreda, western Ethiopia

Author

Listed:
  • Habtamu Tolera
  • Tegegne Gebre-Egziabher
  • Helmut Kloos

Abstract

Introduction: Despite the government’s efforts to decentralize and expand health institutions to promote facility-based child delivery, home delivery and maternal mortality are still widespread problems in Ethiopia. Most mothers continue to give birth at home. This study aims at identifying the socio-cultural practices, perceived benefit or need, and accessibility factors influencing women’s choice of health facilities for delivery services in Gida Ayana Woreda, western Ethiopia. Methods: We conducted a cross-sectional survey to assess women’s use of delivery care services in Gida Ayana Woreda, from November 2016 to January 2017; 459 women who were selected randomly participated in the study. We evaluated the socio-cultural, perceived benefit or need, and economic and physical accessibility factors in women’s choice of delivery care and used adjusted logistic regression analysis to examine significant predictors of delivery site use decisions. Results: Over half (56.6%) of the women self-reported using institutional delivery care; 80.9% gave birth at a health center. A socio-cultural variable, maternal education, significantly influenced women’s choice of health facility for delivery care services (AOR 3.4; 95% CI 2.0–5.9). Mothers’ knowledge level of obstetric complications and experience of complications during the last birth were the two perceived benefits or need factors associated with higher odds of receiving delivery care from decentralized local facilities. Utilization of health centers for maternal delivery care was significantly higher than of health posts (AOR 5.0; 95% CI 2.4–10.2). Availability of motorized transportation during labor to nearby delivery site was a significant predictor of institutional delivery. Conclusion: This study demonstrates the under-utilization of decentralized health facilities for maternal delivery care services in Gida Ayana Woreda, which was significantly influenced by socio-cultural, perceived need, and accessibility factors of women during childbirth. This suggests the need for tailored intervention to improve childbirth services use for mothers in this kind of rural settings.

Suggested Citation

  • Habtamu Tolera & Tegegne Gebre-Egziabher & Helmut Kloos, 2019. "Utilization of decentralized health facilities and factors influencing women’s choice of a delivery site in Gida Ayana Woreda, western Ethiopia," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-16, May.
  • Handle: RePEc:plo:pone00:0216714
    DOI: 10.1371/journal.pone.0216714
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0216714
    Download Restriction: no

    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0216714&type=printable
    Download Restriction: no

    File URL: https://libkey.io/10.1371/journal.pone.0216714?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Saifuddin Ahmed & Andreea A Creanga & Duff G Gillespie & Amy O Tsui, 2010. "Economic Status, Education and Empowerment: Implications for Maternal Health Service Utilization in Developing Countries," PLOS ONE, Public Library of Science, vol. 5(6), pages 1-6, June.
    2. Henock Yebyo & Mussie Alemayehu & Alemayehu Kahsay, 2015. "Why Do Women Deliver at Home? Multilevel Modeling of Ethiopian National Demographic and Health Survey Data," PLOS ONE, Public Library of Science, vol. 10(4), pages 1-14, April.
    3. Tulsi Ram Bhandari & V Raman Kutty & P Sankara Sarma & Ganesh Dangal, 2017. "Safe delivery care practices in western Nepal: Does women’s autonomy influence the utilization of skilled care at birth?," PLOS ONE, Public Library of Science, vol. 12(8), pages 1-10, August.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Maryam Vizheh & Frances Rapport & Jeffrey Braithwaite & Yvonne Zurynski, 2023. "The Impact of Women’s Agency on Accessing and Using Maternal Healthcare Services: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 20(5), pages 1-17, February.
    2. Herwansyah Herwansyah & Katarzyna Czabanowska & Stavroula Kalaitzi & Peter Schröder-Bäck, 2022. "Exploring the Influence of Sociodemographic Characteristics on the Utilization of Maternal Health Services: A Study on Community Health Centers Setting in Province of Jambi, Indonesia," IJERPH, MDPI, vol. 19(14), pages 1-13, July.
    3. Chaoqun Hu & Wenya Yu & Yipeng Lv & Haiping Chen & Qiangyu Deng & Lulu Zhang, 2017. "Study on the Health Status and Health Service Utilization of the Elderly of a Remote and Poor Village in a Mountainous Area in Jinzhai, Anhui," IJERPH, MDPI, vol. 14(4), pages 1-9, April.
    4. Dr. Dilip Kumar & Dr. Amit Kumar, 2024. "Usage of Maternal Health Services for Fertility Regulation in India: A Retrospective Study," International Journal of Research and Innovation in Social Science, International Journal of Research and Innovation in Social Science (IJRISS), vol. 8(6), pages 2417-2421, June.
    5. Laura K. Merrell & Sarah R. Blackstone, 2020. "Women’s Empowerment as a Mitigating Factor for Improved Antenatal Care Quality despite Impact of 2014 Ebola Outbreak in Guinea," IJERPH, MDPI, vol. 17(21), pages 1-18, November.
    6. Weitzman, Abigail, 2017. "The effects of women's education on maternal health: Evidence from Peru," Social Science & Medicine, Elsevier, vol. 180(C), pages 1-9.
    7. Hafiz Ghulam Mujaddad & Mumtaz Anwar, 2022. "Spatial Analysis of Socioeconomic Inequality of Opportunity in Access to Skilled Birth Attendant in Punjab, Pakistan," Journal of Economic Impact, Science Impact Publishers, vol. 4(1), pages 88-98.
    8. Esther Awazzi Envuladu & Abukari Ibrahim Issaka & Mansi Vijaybhai Dhami & Biniyam Sahiledengle & Kingsley Emwinyore Agho, 2023. "Differential Associated Factors for Inadequate Receipt of Components and Non-Use of Antenatal Care Services among Adolescent, Young, and Older Women in Nigeria," IJERPH, MDPI, vol. 20(5), pages 1-16, February.
    9. Habtamu Tolera & Tegegne Gebre-Egziabher & Helmut Kloos, 2020. "Using Andersen’s behavioral model of health care utilization in a decentralized program to examine the use of antenatal care in rural western Ethiopia," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-18, January.
    10. Samb, Oumar Mallé & Ridde, Valery, 2018. "The impact of free healthcare on women's capability: A qualitative study in rural Burkina Faso," Social Science & Medicine, Elsevier, vol. 197(C), pages 9-16.
    11. Kyoko Shimamoto & Jessica D Gipson, 2019. "Investigating pathways linking women’s status and empowerment to skilled attendance at birth in Tanzania: A structural equation modeling approach," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-16, February.
    12. Xinguang Fan & Maria Vignau Loria, 2020. "Intimate partner violence and contraceptive use in developing countries: How does the relationship depend on context?," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 42(10), pages 293-342.
    13. Tensae Mekonnen & Tinashe Dune & Janette Perz & Felix Akpojene Ogbo, 2020. "Postnatal Care Service Utilisation in Ethiopia: Reflecting on 20 Years of Demographic and Health Survey Data," IJERPH, MDPI, vol. 18(1), pages 1-14, December.
    14. Saji S Gopalan & Varatharajan Durairaj, 2012. "Addressing Women's Non-Maternal Healthcare Financing in Developing Countries: What Can We Learn from the Experiences of Rural Indian Women?," PLOS ONE, Public Library of Science, vol. 7(1), pages 1-8, January.
    15. Bove, Riley M. & Vala-Haynes, Emily & Valeggia, Claudia R., 2012. "Women's health in urban Mali: Social predictors and health itineraries," Social Science & Medicine, Elsevier, vol. 75(8), pages 1392-1399.
    16. Pratley, Pierre, 2016. "Associations between quantitative measures of women's empowerment and access to care and health status for mothers and their children: A systematic review of evidence from the developing world," Social Science & Medicine, Elsevier, vol. 169(C), pages 119-131.
    17. Thapa, Deependra Kaji & Niehof, Anke, 2013. "Women's autonomy and husbands' involvement in maternal health care in Nepal," Social Science & Medicine, Elsevier, vol. 93(C), pages 1-10.
    18. Fatema, Kaniz, 2020. "Mass Media Exposure and Maternal Healthcare Utilization in South Asia," SocArXiv 5dhyr, Center for Open Science.
    19. Dickin, Sarah & Bisung, Elijah & Nansi, Juste & Charles, Katrina, 2021. "Empowerment in water, sanitation and hygiene index," World Development, Elsevier, vol. 137(C).
    20. Marufa Sultana & Nausad Ali & Raisul Akram & Tania Jahir & Rashidul Alam Mahumud & Abdur Razzaque Sarker & Ziaul Islam, 2019. "Group prenatal care experiences among pregnant women in a Bangladeshi community," PLOS ONE, Public Library of Science, vol. 14(6), pages 1-15, June.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0216714. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.