Prevalence and Associated Factors of Institutional Delivery Service Utilization among Mothers Who Gave Birth in the Past Two Years in Erigavo, Somaliland-Somalia.

Mukhtar Mohamoud, Somali National Bureau of Statistics

Background: Institutional delivery service utilization has been considered as one of the important strategies to improve maternal health. Maternal mortality due to unsafe abortion, prolonged labor, eclampsia and other reasons has been the major problem across the globe especially in developing countries. This is because; most of those deliveries occur outside health care facilities and assisted with nonprofessionals. Somaliland is one of the 10 countries with the highest maternal mortality ratio (estimated as 829 deaths per 100,000 live births in 2017). Methods: community based cross sectional study was conducted among mothers who gave birth in the past two year, from April to May, 2020. A multistage sampling technique was used to select 317 mothers. Structured and pretested questionnaire was used to collect data from respondents. Data was analyzed using SPSS software version 20. Bivariate and multivariate Logistic regression was employed to assess the associated factors. Results: A total of 312 mothers were included in the analysis and the result shows that only 46.5% were delivered in the health facility. This indicates that the utilization of institutional delivery service is currently low and less than half of the respondents were delivered at health facilities for their last childbirth.

Keywords: Mortality and Longevity, Health and Morbidity, Data and Methods, Population and Development

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