Maternal Factors Associated with Healthcare Facility Delivery in South Gondar Zone, Amhara Region, Ethiopia

Hailegebrael Birhan Biresaw, Setegn Muche Fenta, Bezanesh Melese Masresha, Kenaw Derebe Fentaw, Yikeber Abebaw Moyehodie, Alebachew Taye Belay and Mequanint Melkam Yalew

SAGE Open, 2025, vol. 15, issue 3, 21582440251339968

Abstract: The most essentially effective approach for decreasing mother and newborn death is thorough treatment at a medical center during and post-pregnancy. This study aims to assess the factors affecting maternal mortality in the South Gondar zone and the prevalence of hospital delivery services. The community-based cross-sectional study design was used from May 2020 to May 2021. Data were collected using a structured questionnaire administered by an interviewer, targeting 434 women of reproductive age selected through a two-stage cluster sampling method, and logistic regression analysis was employed for the analysis. The study found that 76% of births in the study region took place at medical facilities. Women who completed primary, secondary, and tertiary education were 4.912 times (AOR = 4.912; 95% CI: [2.287, 10.552]), 7.609 times (AOR = 7.609; 95% CI: [2.215, 12.145]), and 17.533 times (AOR = 17.533; 95% CI: [11.083, 23.294]) more likely to give birth in a healthcare setting, respectively. Additionally, women with road access to healthcare facilities were 2.780 (AOR = 2.780; 95% CI: [1.540, 5.021]) times more likely to deliver in a health institution, while those who did not have media exposure were 57% (AOR = 0.429; 95% CI: [0.258, 0.712]) less likely to do so. In the study area, the use of healthcare facilities is extremely low. Efforts must be made to reduce maternal deaths by establishing a highly effective healthcare system, by providing ambulances that are available in every district and educational initiatives should be expanded.

Keywords: maternal health; South Gondar zone; delivery care; binary logistic regression model (search for similar items in EconPapers)
Date: 2025
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Persistent link: https://EconPapers.repec.org/RePEc:sae:sagope:v:15:y:2025:i:3:p:21582440251339968

DOI: 10.1177/21582440251339968

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