Institutional delivery service utilization and associated factors in Ethiopia: a systematic review and META-analysis
Abstract Background There is wide variation in the utilization of institutional delivery service in Ethiopia. Various socioeconomic and cultural factors affect the decision where to give birth. Although there has been a growing interest in the assessment of institutional delivery service utilization...
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doaj-ed55fc9b9f834709b49f09d77550b2972020-11-25T03:06:43ZengBMCBMC Pregnancy and Childbirth1471-23932020-06-0120112510.1186/s12884-020-03032-5Institutional delivery service utilization and associated factors in Ethiopia: a systematic review and META-analysisAdane Nigusie0Telake Azale1Mezgebu Yitayal2Department of Health Education and Behavioral Sciences, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Health Education and Behavioral Sciences, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartement of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of GondarAbstract Background There is wide variation in the utilization of institutional delivery service in Ethiopia. Various socioeconomic and cultural factors affect the decision where to give birth. Although there has been a growing interest in the assessment of institutional delivery service utilization and its predictors, nationally representative evidence is scarce. This study was aimed to estimate the pooled national prevalence of institutional delivery service utilization and associated factors in Ethiopia. Methods Studies were accessed through PubMed, Cochrane library, Web of Science, and Google Scholar. The funnel plot and Egger’s regression test were used to see publication bias, and I-squared statistic was applied to check heterogeneity of studies. A weighted Dersimonian laired random effect model was applied to estimate the pooled national prevalence and the effect size of institutional delivery service utilization and associated factors. Result Twenty four studies were included in this review. The pooled prevalence of institutional delivery service utilization was 31% (95% Confidence interval (CI): 30, 31.2%; I2 = 0.00%). Attitude towards institutional delivery (Adjusted Odd Ratio (AOR) = 2.83; 95% CI 1.35,5.92) in 3 studies, maternal age at first pregnancy (AOR = 3.59; 95% CI 2.27,5.69) in 4 studies, residence setting (AOR = 3.84; 95% CI 1.31, 11.25) in 7 studies, educational status (AOR = 2.91;95% 1.88,4.52) in 5 studies, availability of information source (AOR = 1.80;95% CI 1.16,2.78) in 6 studies, ANC follow-up (AOR = 2.57 95% CI 1.46,4.54) in 13 studies, frequency of ANC follow up (AOR = 4.04;95% CI 1.21,13.46) in 4 studies, knowledge on danger signs during pregnancy and benefits of institutional delivery (AOR = 3.04;95% CI 1.76,5.24) in 11 studies and place of birth of the elder child (AOR = 8.44;95% CI 5.75,12.39) in 4 studies were the significant predictors of institutional delivery service utilization. Conclusion This review found that there are several modifiable factors such as empowering women through education; promoting antenatal care to prevent home delivery; increasing awareness of women through mass media and making services more accessible would likely increase utilization of institutional delivery.http://link.springer.com/article/10.1186/s12884-020-03032-5Skilled birth attendanceWomenFacility-based delivery |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Adane Nigusie Telake Azale Mezgebu Yitayal |
spellingShingle |
Adane Nigusie Telake Azale Mezgebu Yitayal Institutional delivery service utilization and associated factors in Ethiopia: a systematic review and META-analysis BMC Pregnancy and Childbirth Skilled birth attendance Women Facility-based delivery |
author_facet |
Adane Nigusie Telake Azale Mezgebu Yitayal |
author_sort |
Adane Nigusie |
title |
Institutional delivery service utilization and associated factors in Ethiopia: a systematic review and META-analysis |
title_short |
Institutional delivery service utilization and associated factors in Ethiopia: a systematic review and META-analysis |
title_full |
Institutional delivery service utilization and associated factors in Ethiopia: a systematic review and META-analysis |
title_fullStr |
Institutional delivery service utilization and associated factors in Ethiopia: a systematic review and META-analysis |
title_full_unstemmed |
Institutional delivery service utilization and associated factors in Ethiopia: a systematic review and META-analysis |
title_sort |
institutional delivery service utilization and associated factors in ethiopia: a systematic review and meta-analysis |
publisher |
BMC |
series |
BMC Pregnancy and Childbirth |
issn |
1471-2393 |
publishDate |
2020-06-01 |
description |
Abstract Background There is wide variation in the utilization of institutional delivery service in Ethiopia. Various socioeconomic and cultural factors affect the decision where to give birth. Although there has been a growing interest in the assessment of institutional delivery service utilization and its predictors, nationally representative evidence is scarce. This study was aimed to estimate the pooled national prevalence of institutional delivery service utilization and associated factors in Ethiopia. Methods Studies were accessed through PubMed, Cochrane library, Web of Science, and Google Scholar. The funnel plot and Egger’s regression test were used to see publication bias, and I-squared statistic was applied to check heterogeneity of studies. A weighted Dersimonian laired random effect model was applied to estimate the pooled national prevalence and the effect size of institutional delivery service utilization and associated factors. Result Twenty four studies were included in this review. The pooled prevalence of institutional delivery service utilization was 31% (95% Confidence interval (CI): 30, 31.2%; I2 = 0.00%). Attitude towards institutional delivery (Adjusted Odd Ratio (AOR) = 2.83; 95% CI 1.35,5.92) in 3 studies, maternal age at first pregnancy (AOR = 3.59; 95% CI 2.27,5.69) in 4 studies, residence setting (AOR = 3.84; 95% CI 1.31, 11.25) in 7 studies, educational status (AOR = 2.91;95% 1.88,4.52) in 5 studies, availability of information source (AOR = 1.80;95% CI 1.16,2.78) in 6 studies, ANC follow-up (AOR = 2.57 95% CI 1.46,4.54) in 13 studies, frequency of ANC follow up (AOR = 4.04;95% CI 1.21,13.46) in 4 studies, knowledge on danger signs during pregnancy and benefits of institutional delivery (AOR = 3.04;95% CI 1.76,5.24) in 11 studies and place of birth of the elder child (AOR = 8.44;95% CI 5.75,12.39) in 4 studies were the significant predictors of institutional delivery service utilization. Conclusion This review found that there are several modifiable factors such as empowering women through education; promoting antenatal care to prevent home delivery; increasing awareness of women through mass media and making services more accessible would likely increase utilization of institutional delivery. |
topic |
Skilled birth attendance Women Facility-based delivery |
url |
http://link.springer.com/article/10.1186/s12884-020-03032-5 |
work_keys_str_mv |
AT adanenigusie institutionaldeliveryserviceutilizationandassociatedfactorsinethiopiaasystematicreviewandmetaanalysis AT telakeazale institutionaldeliveryserviceutilizationandassociatedfactorsinethiopiaasystematicreviewandmetaanalysis AT mezgebuyitayal institutionaldeliveryserviceutilizationandassociatedfactorsinethiopiaasystematicreviewandmetaanalysis |
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