Abstract:
Abstract
Background: Improving institutional delivery service is one of the most crucial
strategies to reduce maternal and neonatal mortalities. Globally the proportion of
health facility delivery is unacceptably low. In developing countries, only 50% of
pregnant women deliver in health facilities. The recent Ethiopian Mini Demographic
and Health Survey, 2019 showed that only 48% of pregnant women deliver in health
facilities. Knowing the intentions of pregnant women to use institutional delivery service
is the best predictor of behavior. However, evidence on intention to use institutional
delivery is not known in Yilmana Densa District.
Objective: This study aimed to assess magnitude of intention to use institutional
delivery service and its predictors among pregnant women in Yilmana Densa district
from February 15/2020 to March15/2020.
Methods: Community-based cross-sectional study was conducted among pregnant
women in Yilmana Densa District from February to March. The total sample size of the
study was 645 participants. Multi-stage followed by cluster sampling technique was
used to select the study participants. Data were collected by pretested intervieweradministered
questionnaire through a face-to-face interview technique. Data were
entered into Epi Data version 4.6.0.2 and analyzed with SPSS version 20.
Multivariable binary logistic regression analysis was done to identify independent
predictors of intention at 95% confidence level and P < 0.05 was used to determine
statistically significant predictors.
Results: The magnitude of Intention to use institutional delivery service among
pregnant women was 74.3%. Four and above antenatal care visit (AOR=3.37,
95%CI:1.29, 8.79),past experience of institutional delivery( AOR=3.69,
95%CI:1.90,7.12),Four and more parity ( AOR=0.23, 95%CI:0.11, 0.48 ),Good
knowledge on institutional delivery ( AOR=2.48, 95%CI: 1.46, 4.22),rural residence
(AOR=0.51, 95%CI:0.27, 0.95),favorable attitude( AOR=3.57, 95%CI:1.94 ,6.55) and
high perceived behavioral control (AOR= 3.07,95%CI: 1.75 ,5.34:) were factors
significantly associated with intention to use institutional delivery service.
Conclusion and recommendation: Majority of the participants had intended to use
institutional delivery service. Good Knowledge on institutional delivery, one or more
antenatal care visit, past experience of institutional delivery, rural residence, one or
more parity, favorable attitude, and high perceived behavioral control were identified
factors significantly associated with intention to use institutional delivery service. So,
strengthening awareness creation, antenatal care and behavioral change
communication programs are required in Yilmana Densa District to raise intention of
pregnant women towards institutional delivery.
Keywords: Intention, theory of planned behavior, Yilmana Densa district
