Am J Med Public Health | Volume 4, Issue 4 | Research Article | Open Access
Bitew DA1*, Asmamaw DB1, Belachew TB2 and Negash WD2
1Department of Reproductive Health, Institute of Public Health, College of Medicine and Health Sciences, Ethiopia
2Department of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences,
University of Gondar, Ethiopia
*Correspondance to: Desalegn Anmut Bitew
Fulltext PDFIntroduction: Receiving skilled health professional’s care before, during and after childbirth is a key intervention to prevent maternal and newborn deaths. Despite the efforts being made by the Government of Ethiopia and other stakeholders to increase the institutional delivery by skilled birth attendant, most Ethiopian women are giving birth at home and skilled birth attendant remains low. Therefore, the main objective of our research was to determine the magnitude and to identify the positional predictors of skilled birth attendant among mother who gave birth after having ANC follow up. Methods: An in-depth secondary data analysis was performed using the Interim Ethiopian Demographic and Health Survey (EMDHS) 2019 data set. A weighted sample of 2,888 mothers was included in the final analysis. Four models were fitted. Variables with p-value ≤ 0.25 in the bivariable multilevel logistic regression model were included in the multivariable multilevel logistic regression model. The Adjusted Odds Ratio (AOR) with a 95% Confidence Interval (95% CI) was computed. Variables with a P-value of less than 0.05 in the multi-variable multilevel logistic regression were declared as statistically significant predictors. Result: The overall magnitude of skilled birth attendance was 65.03% (CI: 63.3, 66.75). Residence (Rural; AOR: 0.32; 95% CI: 0.16, 0.65), educational status (No education; AOR: 0.33; 95% CI: 0.16, 0.72), religion (Muslim; AOR: 2.17; 95% CI: 1.30, 3.59, protestant: AOR: 0.57; 95% CI: 0.36, 0.90 and Others; AOR: 0.21; 95% CI: 0.07, 0.65), wealth index (Poor; AOR: 0.44; 95% CI: 0.32, 0.60, middle: AOR: 0.60; 95% CI: 0.44, 0.82), frequency of ANC visits (One ANC visit; AOR: 0.19; 95% CI: 0.11, 0.33, 2-3 ANC visits; AOR: 0.57; 95% CI: 0.45, 0.70), parity (Para 1; AOR: 3.11; 95% CI: 1.85, 5.25), community contraceptive use (High proportion of contraceptive non-use; AOR: 0.50; 95% CI: 0.29, 0.88), and age at first birth ( ≤ 15; AOR: 1.38; 95% CI: 1.01, 1.89) are statistically significant factors. Conclusion: The utilization of skilled birth attendant service is very low. We found that a higher level of women’s, education, higher household wealth index, younger age at first birth, primipara, being a rural resident, living in a community with high proportion of contraceptive non-use and having few numbers of ANC visit were significant predictors of SBA. Therefore, improving women’s education and household wealth, giving special attention for teenagers and primiapra women as well as encouraging pregnant mothers to have frequent ANC visits are vital for the health policies aiming to increase SBA services utilizations in Ethiopia.
Skilled birth attendant; ANC follow up; Ethiopia
Bitew DA, Asmamaw DB, Belachew TB, Negash WD. Multilevel Analysis of Skilled Birth Attendant after ANC Follow Up in Ethiopia, 2023: Based on Ethiopian Mini Demographic and Health Survey Data. Am J Med Public Health. 2023; 4(4): 1051..