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Utilization and predictors of maternal health services for women of childbearing age at the health and population monitoring system site of hawasa University in southern Ethiopia: a cross-sectional study

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Document pages: 10 pages

Abstract: Maternal background services regularly reduce maternal incidence rate and mortality. However, the main predictors affecting the utilization of existing maternal health services are complex and vary from place to place. Therefore, evaluating these predictors can help health planners determine the priority of promotion strategies, which is the basic step of intervention. This study evaluated the utilization and predictors of maternal health services for women of childbearing age at the hawasa health and population monitoring system site in southern Ethiopia in 2019. method. A community-based cross-sectional study of 682 women of childbearing age was conducted from January to February 2019. Two stage stratified sampling method was used. Data isollected using a structured, face-to-face interviewer-administered questionnaire. The data were entered using Epi Data 3.1 and analyzed using SPSS version 20. The variables were entered into the multivariable model using the backward stepwise regression approach. Multivariable logistic regression analysis was used to identify factors associated with utilization of the maternal health care. Adjusted odds ratios (AORs) with 95 confidence interval (CI) were computed to assess the presence and strength of associations. Result. The overall utilization of ANC, institutional delivery, and PNC was 69.1, 52.1, and 32.7 , respectively. The odds of utilizing ANC were 4.72 times higher for women who have a formal education (AOR: 4.72, 95 CI = 2.82–7.90) as compared to those who have no formal education. The odds of utilizing institutional delivery were 5.96 times higher for women who had ANC follow-up (AOR: 5.96; 95 CI = 3.88–9.18) as compared to those who had no ANC follow-up. Presence of information about the PNC (AOR: 3.66; 95 CI = 2.18–6.14) and autonomy of a woman to make decision on health issues (AOR: 6.13, 95 CI = 3.86–9.73) were positively associated with utilization of PNC. Conclusion. The utilization of maternal health care services is far below the national target in the study area. Maternal and paternal education status, autonomy of the woman to make decision on the health issues, wealth status, and having a plan on the current pregnancy were major predictors of the maternal health care service utilization. Providing information and training about the model household to the women about maternal health care service utilization using various methods of health education should be considered.

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