Abstract:
Background: Home delivery is responsible to maternal mortality due to obstetric complication
like hemorrhage, hypertensive disorders, and sepsis. The prevalence of home delivery is
remained very high both nationally (73%) and regionally (SNNPR) with 74.5%. efforts were
made to increase institutional delivery through skilled birth attendance. But, women still prefer
home as a place of delivery. This study was done to determine whether home preference has
association with home delivery or not, and the reason why they prefer home delivery.
Objective: To assess the status of home delivery and its associated factors among women who
gave birth within 12 months preceding the survey in East Badewacho district, Hadiya Zone,
Southern Ethiopia from January 26-Feb 25/2018.
Method: A community based cross sectional study was conducted in East Badewacho district
from January 26 to February 25/2018. A total of 552 participants were selected by systematic
sampling. Data were collected using both quantitative and qualitative approaches. Bivariate
and multivariable analyses were carried out to identify factors associated with home
delivery. Qualitative data was analyzed thematically and results were triangulated with the
data. Associations were determined by using OR at 95% CI and p value at 0.05.
Result: Home delivery is found to be 73.6 %( 95% CI, 69.9%-77.2%). Lack of written birth
plan for birth preparedness and readiness (AOR= 14.965, 95% CI: 4.488, 49.899), incomplete
number of ANC visits (1-3), (AOR= 4.455, 95%CI: 1.942, 10.221) and home preference as a
place delivery (AOR=4.039 95%CI=1.545, 10.558) were independent predictors of home
delivery.
Conclusion: Home delivery was 73.6 in the district. The independent factors that significantly
associated with home were lack of written birth plan for preparedness and readiness, incomplete
number of ANC visits (1-3) andhome preference as place of delivery.Actions targeting maternal
education, encouraging number of ANC visits, and avoiding barriers for ID utilization were
the crucial areas to tackle the problem
