Title:
Factors influencing non-utilization of facility based delivery in Ethiopia
Authors:
Berhanu, K.E.
Year:
2014
PAGE:
viii, 45
Language:
En
Subject:
Maternal Health – Lessons Learned
Keywords:
Maternal Mortality, ANC, Skilled Birth Attendant, Utilization, Framework, Place of Delivery and Ethiopia.
Abstract:
Introduction: Institutional delivery reduces maternal morbidity and mortality through skilled birth attendants (SBAs). Despite this fact institutional delivery in Ethiopia is only 10% and most women prefer home delivery. Understanding the factors influencing non- utilization of facility based delivery will help to overcome the problem. Objective: The overall objective of this study is to identify and analyze the factors associated with non-utilization of delivery services in Ethiopia. Methodology: Journal articles, webpages, reports and other documents reviewed using an adopted Anderson’s conceptual framework. Findings: Shortage of midwives and staff with midwifery skills compromises the quality of maternal health care in Ethiopia. Ethiopian women are not empowered to decide on their own health care without family especially husband. Married women utilize health care less because of husband and other family influence. Educated women, women residing in the urban areas, wives of educated men better utilize institutional delivery. Women’s education strongly increases the likelihood of institutional birth. Women prefer to deliver at home because of Traditional Birth Attendants (TBAs) are nearby and they are more confidential than health workers. Also travel distance, waiting time in health services, attitudes of health professionals, cost of health services/ lack of transportation and for some of the women it is not important to give birth in the health facility at all. Women who come for ANC are missed because they are not counselled about the importance of institutional delivery. Counselling about complications of pregnancy increases the chance of delivery in the health facility three times. Health professionals fail to deliver health information because of workload, poor motivation and poor supportive supervision. In Ethiopia there are innovative local interventions to increase maternal health care utilization through the Health Extension Program (HEP). Cultural barriers can be overcome by starting some applicable cultural practices in the facilities after birth for example preparation of local food. Experiences tell us there is a need for community based inervention. The CHO and women group discussion is an example of community based interventions. Conclusion and recommendations: Though Ethiopia government is committed to different interventions to reduce maternal health problems, the interventions are not scientifically proven and they are segregated. Improvement of community based interventions, counseling during ANC and implementation of HRH strategy should be emphasized. Maternal health cere utilization will not be solved only by MOH, so the government should strengthen inter-sectorial collaboration.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Department:
Development Policy & Practice
Country:
Ethiopia, Federal Democratic Republic of
Region:
Horn of Africa
Training:
Master of Public Health / International Course in Health Development
Category:
Research
Right:
© 2014 Berhanu
Document type:
Thesis/dissertation
File:
nMk4BKngwd_2016110110205590.pdf