Institutional delivery and postnatal care services utilizations in Abuna Gindeberet District, West Shewa, Oromiya Region, Central Ethiopia: A Community-based cross sectional study

This article has tried to assess institutional delivery and postnatal care services
utilization and their associated factors among mothers of under 1 year children. From
the total study participants, only 101 (14.4 %) of them delivered their youngest child
in health institutions. Among the home delivery, 214 (35.5 %) attended by mother-in-law,
138 (22.9 %) attended by their mother, 109 (18.1 %) attended by relatives/neighbors
and 51 (8.5 %) assisted by HEWs.

In case of the study done in Tigray region, Ethiopia; 691 (95.3 %) of women delivered
their baby at home with the help of relative/friend/neighbor 586 (80.8 %) and 49 (6.8 %)
were assisted by the HEWs 11]. In addition, the study conducted in Sekela District, North West of Ethiopia; indicated
that 326 (87.9 %) of the mothers delivered at home with the assistance of family members
274 (80 %), themselves 20 (6.1 %), their mother 13 (3.98 %) and health workers 2 (0.6 %)
12].

Moreover, the study done in in Munisa district, South East Ethiopia show that, 750
(87.7 %) of the mothers gave birth to their last baby at home by the assistance of
family or relatives 392 (52.2 %), untrained traditional birth attendant 288 (38.4 %),
themselves 23 (3.1 %) and no one were assisted by health workers during their home
delivery 13].

The delivery services utilizations from health institutions can be affected by distance
of household from health institution, household as model family, decision-making style
in household and utilization of ANC services.

In contrary to this finding, in study done at Wukro and Butajera districts, Ethiopia;
the factors that determine use of institutional delivery were women education and
household economic status. However, women’s autonomy in decision making on place of
delivery did not show statistical association 14]. Moreover, according to the study conducted in Dodota district, Oromiya regional
state, Ethiopia; residence, educational level of mothers, pregnancy related health
problems, previous history of prolonged labor, and decision making style showed association
with utilization of institutional delivery services utilizations 15].

Concerning the postnatal care services 223 (31.7 %) of the respondents utilized the
services for their recent child. From those had utilized postnatal care services for
their last child, 204 (91.5 %) of them took the services from health extension workers.
This result is congruent with study done in Sidama zone, Southern Ethiopia; where
37.2 % of the mothers utilized postnatal care services from health institutions 16]. To the contrary, in Tigray region, Ethiopia; only 5 % of the mothers had PNC checkups
for their baby at health institutions 11].

Postnatal care services utilization from health institution can be affected by educational
status of their husband, household distance from health institution, household as
model family, decision making style, ANC services utilization and place of recent
delivery. In similar educational status, women’s autonomy, number of pregnancy and
place of delivery were the factors making a difference in utilizing post natal care
service 16]. Confidence and knowledge from previous pregnancies and births were the major reasons
for low utilization of postnatal care services among many child holder women.

In this study interviewer administered method of data collection used, that has contribution
for quality of data collected. The data were collected from representative sample
and it can be generalized for the total population. Only quantitative methods of data
collection were used and it is better if qualitative methods were included to triangulate
the information collected from the sample.