Determinants Of Institutional Delivery Among Post-Natal Attendance In Kpone Katamanso Municipality

Abstract

INTRODUCTION: Efforts by the world health organization to improve maternal health involves antenatal care services and safe and clean delivery services. Place of delivery may affect maternal morbidity and mortality. The aim of this study was to find out the factors that affected place of delivery among women attending the post-natal clinic in the Kpone Katamanso Municipality. The study examined socio-cultural and economic factors as well as factors within the health facility that can affect place of delivery. METHOD: The study used a case control study design, with the ratio of the cases to control as 1:1. The sample size used for the study was four hundred and eight (408). Mothers attending post-natal clinics and child welfare clinics were interviewed. Mothers who delivered in health institutions were cases and mothers who did not deliver in health institutions made up the control group. A multistage sampling method was used in the sampling from the facility level to the individual level. Questionnaires were used to collect data for analysis. Data was analyzed in two parts. Part one is a bivariate analysis of all the socio-economic and obstetric factors and its effect on institutional delivery. Factors significantly associated with institutional deliveries were involved in the multivariate analysis in the second part. Results: Antenatal coverage among the study population was 92.16% with most deliveries occurring in the age range of 25-to-29-year group (37.25%) for institutional delivery and 37.75% for non-institutional delivery. Conclusion: Education, Christians and living in communities that supported antenatal service utilizations were some social factors that positively affected institutional delivery. Early booking and attending at least eight antenatal clinics were positively associated with institutional delivery.