title: Utilization of institutional delivery service and associated factors in Bench Maji zone, Southwest Ethiopia: community based, cross sectional study.
abstract: At the end of Millennium development goals, Ethiopia was included among 10 countries which constitutes about 59% of maternal deaths due to complications of pregnancy and/or childbirth every year globally. Institutional delivery, which is believed to contribute in reduction of maternal mortality is still low. Hence this study was conducted in order to assess utilization of institutional delivery and related factors in Bench Maji zone, Southwest Ethiopia.
  
  
  
  Cross sectional study was employed from September 1st - 30th, 2015 in Bench Maji Zone, Southwest Ethiopia where 765 mothers who deliver 2 years preceding the study provided data for this research. Data were collected by enumerators who were trained. In addition to descriptive statistics, binary and multivariate logistic regression analyses were performed. Statistical significance was considered at a p-value < 0.05. Strength of association was also assessed using odds ratios with a 95% confidence intervals.
  
  
  
  About 800 mothers were approached but 765 of them who gave birth 2 years preceding the survey participated and gave consent to the data included in the analysis. About 78.30% delivered their last child in health institution while rest gave birth at home. Factors such as maternal age, religion, occupation, availability of information source as TV/Radio, income quartile, residence, knowledge of problems during labor and antenatal follow up had association with institutional delivery which was significant.
  
  
  
  In Bench Maji Zone institutional delivery was shown to be comparatively good compared to other studies in the region and in Ethiopia in general even though it is below the health sector transformation plan of Ethiopia which aimed to increase deliveries attended by skilled health personnel to 95%. Empowering women, increasing awareness about institutional delivery and proper scaling up of antenatal care services which is an entry point for institutional delivery are recommended.
authors.affiliation: Department of Nursing, Mizan Tepi University, College of Medicine and Health Sciences, Mizan Teferi, Ethiopia. niguse99@gmail.com.
authors.forename: Niguse
authors.identifier: 0000-0002-3765-3617
authors.initials: N
authors.lastname: Tadele
authors.affiliation: Department of Nursing, Mizan Tepi University, College of Medicine and Health Sciences, Mizan Teferi, Ethiopia.
authors.forename: Tafesse
authors.initials: T
authors.lastname: Lamaro
mesh_terms: D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D036861:Delivery, Obstetric / Q000706:statistics & numerical data*; D005002:Ethiopia; D005260:Female; D006700:Home Childbirth; D006801:Humans; D008427:Maternal Health Services / Q000706:statistics & numerical data*; D008428:Maternal Mortality / Q000639:trends*; D016017:Odds Ratio; D011247:Pregnancy; D011295:Prenatal Care / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Bench Maji; Ethiopia; Institutional delivery