Factors associated with institutional delivery service utilization in Ethiopia.
BACKGROUND
Most obstetric complications occur unpredictably during the time of delivery, but they can be prevented with proper medical care in the health facilities. Despite the Ethiopian government's efforts to expand health service facilities and promote health institution-based delivery service in the country, an estimated 85% of births still take place at home.


OBJECTIVE
The review was conducted with the aim of generating the best evidence on the determinants of institutional delivery service utilization in Ethiopia.


METHODS
The reviewed studies were accessed through electronic web-based search strategy from PubMed, HINARI, Mendeley reference manager, Cochrane Library for Systematic Reviews, and Google Scholar. Review Manager V5.3 software was used for meta-analysis. Mantel-Haenszel odds ratios (ORs) and their 95% confidence intervals (CIs) were calculated. Heterogeneity of the study was assessed using I (2) test.


RESULTS
People living in urban areas (OR =13.16, CI =1.24, 3.68), with primary and above educational level of the mother and husband (OR =4.95, CI =2.3, 4. 8, and OR =4.43, CI =1.14, 3.36, respectively), who encountered problems during pregnancy (OR =2.83, CI =4.54, 7.39), and living at a distance <5 km from nearby health facility (OR =2.6, CI =3.33, 6.57) showed significant association with institutional delivery service utilization. Women's autonomy was not significantly associated with institutional delivery service utilization.


CONCLUSIONS
Distance to health facility and problems during pregnancy were factors positively and significantly associated with institutional delivery service utilization. Promoting couples education beyond primary education regarding the danger signs of pregnancy and benefits of institutional delivery through available communication networks such as health development army and promotion of antenatal care visits and completion of four standard visits by pregnant women were recommended.
Department of Population and Family Health.
Alemi
A
Kebede
College of Health Sciences, Jimma University, Ethiopia.
Kalkidan
K
Hassen
Department of Population and Family Health.
Aderajew
A
Nigussie Teklehaymanot
Ethiopia; associated factors; institutional delivery; predictors; systematic review
BMC Int Health Hum Rights. 2013 Apr 15;13:20
23587369
BMC Pregnancy Childbirth. 2013 Jan 16;13:5
23324550
Ethiop J Health Sci. 2011 Aug;21(Suppl 1):95-106
24776809
BMC Pregnancy Childbirth. 2009 Aug 11;9:34
19671156
PLoS Med. 2011 Jan 25;8(1):e1000394
21283606
BMC Pregnancy Childbirth. 2010 Aug 11;10:43
20701762
ScientificWorldJournal. 2013 Oct 28;2013:423403
24288482
J Health Popul Nutr. 2003 Dec;21(4):374-82
15038593
Int J Equity Health. 2011 Jul 30;10:31
21801437
Asia Pac Fam Med. 2013 Oct 24;12(1):5
24156527
BMC Pregnancy Childbirth. 2012 Oct 08;12:105
23043258
Bull World Health Organ. 2007 Oct;85(10):812-9
18038064
Reprod Health. 2012 Dec 15;9:33
23241397
Ethiop J Health Sci. 2013 Jul;23(2):79-89
23950624
BMC Res Notes. 2012 Nov 24;5:653
23176369
Reprod Health. 2014 Sep 19;11(1):71
25238684
BMJ Open. 2014 Mar 20;4(3):e004372
24650803
Int J Equity Health. 2014 Jun 16;13:48
24934657
Int Perspect Sex Reprod Health. 2013 Mar;39(1):32-41
23584466
BMC Public Health. 2012 Dec 05;12:1049
23217157
Int J Equity Health. 2013 May 14;12:30
23672203
Int Sch Res Notices. 2014 Oct 29;2014:917058
27437510
PLoS One. 2014 May 08;9(5):e97194
24810609
BMC Pregnancy Childbirth. 2014 May 28;14:178
24886375
Int J Equity Health. 2011 Dec 05;10:59
22142036
PLoS One. 2011;6(6):e21432
21731747
BMC Health Serv Res. 2013 Jul 03;13:256
23822155
BMC Pregnancy Childbirth. 2012 Jul 31;12:74
22849421
BMC Int Health Hum Rights. 2013 Sep 08;13:36
24011335
BMC Pregnancy Childbirth. 2013 Jan 22;13:18
23339515
BMC Pregnancy Childbirth. 2009 Sep 15;9:43
19754941
BMC Public Health. 2014 Apr 03;14:306
24708511
Ethiop J Health Sci. 2014 Sep;24 Suppl:93-104
25489186
Int J Womens Health. 2013;5:79-85
23459063
Pan Afr Med J. 2012;13 Suppl 1:17
23467618
BMC Pregnancy Childbirth. 2007 Dec 06;7:29
18053268
Reprod Health. 2013 Aug 20;10:40
23962135
Reprod Health. 2014 Mar 14;11:22
24629278
BMC Public Health. 2013 Feb 12;13:130
23402542
Ethiop J Health Sci. 2014 Sep;24 Suppl:81-92
25489185
Afr Health Sci. 2014 Jun;14(2):288-98
25320577