Analyzing Prevalence of Home Delivery and Associated Factors in Anlemo District, Southern Ethiopia

Abstract

Background: Home delivery is childbirth in the non- clinical setting that takes place in residence than in Hospitals or Birth center. Objective: the aim of this study is to assess the prevalence of Home delivery and factors associated with home delivery. Methods: A community based cross-sectional study was conducted in Anlemo District. Nine kebeles and study participants were selected using simple random sampling (lottery method). A total of 276 sample used. Data were analyzed using SPS version 20. Binary logistic regression model was used. Adjusted odds ratio was also used to quantify association. Result: 268 mothers with a response rate of 97.1% participated in the study. 132(49.3%) mothers delivered at home, main reason for home delivery was the absence of problem in the past delivery followed by absence of transportation access to take mothers institution during labor. Being farmers 5.9(AOR= 5.9, 95% CI: 1.64, 21.22), merchants were 11.2(AOR=11.2,95%CI: 2.37, 52.91)), place previous delivery 3.74(AOR=3.74, 95%CI: 1.69, 8.26), counseled AOR=2.37, 95%CI: 1.13, 4.98 and Mothers who Perceive quality of service of the nearest HI as not decided whether good or bad were AOR=7.49, 95%CI: (3.06, 18.33) , Perceive quality of service of the nearest HI as bad AOR=5.64, 95%CI: 1.69, 18.77. Conclusion: Generally, about half of the mothers delivered at home in Anlemo district and main reasons for home delivery were absence of complication(having no problem) in past delivery, no transport access during labor, fear of surgical procedures at health institution, sudden onset of labor followed by no difference in giving birth at home and health institutions. Factors found to be associated with home delivery were Partner occupation, Place of previous delivery, Receiving Counseling service to deliver at health institution during pregnancy, Perceived quality of service of the nearest health institution.