HOME DELIVERY STATUS AND ITS ASSOCIATED FACTORS AMONG WOMEN WHO GAVE BIRTH WITHIN LAST 12 MONTHS IN EAST BADEWACHO DISTRICT, HADIYA ZONE, SOUTHERN ETHIOPIA.

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