Determinants Of Home Delivery Among Women Who Gave Birth In The Last 12 Months In Berek District North Shao Zone, Oromia, Ethiopia, 2023

Abstract

Background Home delivery is public health serious problem maternal mortality not only the Maternal but also affects their families, community and nation's growth. There is small of information on the determinants of it in study area. So identifying determinant of home delivery play a vital role in reducing mortality related to it. Objective: To identify the determinants of home delivery among women who gave birth in the last 12 months in Berek District North Shao Zone, Oromia, Ethiopia 2023. Methods: A community based Unmatched case control study was conducted in Berek district among 410 (1: (103 case and 307 control) subjects from May 1 30 2023. Simple random sampling technique was used to select the study participants. A pre tested structured questionnaire was used to collect data. After the data was entered into Epi data version 3.1, it was exported to SPSS version 25 for analysis. Bivariable logistic regression was first performed to select candidate independent variables for multivariable logistic regression model. Independent variables with a p value 0.25 in bivariable binary logistic regression were entered into a multivariable logistic regression model. In the multivariable binary logistic regression model, independent variables with a p value 0.05 were considered to significant determinants of outcome variable of the study. Result A total of 410 women (103 cases and 307 controls) participated in the study, and making the response rate of 100%. Home delivery was significantly associated with family low income (AOR=. [ CI: .003 expensive cost transportation (AOR= [95% CI: 1.73, 6.68), decision of place delivery (AOR=. [ CI: 1.73, and far distance from health facility (AOR= [ CI: 7.95, 55.1). Conclusion: The predictors of home delivery were Low income, far distance of health facility, decision of place delivery by husband and expensive transport cost were the predictors of home delivery among the study participants. Actions to encouraging of transportation and making health facilities accessible are the recommended interventions to tackle home delivery.