Place of delivery after antenatal care: the case of Fogera district, Amhara region, North West, Ethiopia; 2013

Back ground: Increasing the proportion of institutional deliveries with a skilled attendant is a key intervention for reducing maternal morbidity and mortality. However remarkable difference is observed between the proportion of antenatal care clients and facility delivery utilisation. In Ethiopia, little is known about the factors that affect women’s place of delivery after utilization of antenatal care service. Objective: To identified women’s place of delivery and associated factors after antenatal care (ANC) service in Fogera district, North West Ethiopia. Method: Community based cross sectional study was conducted from January to March, 2013 on randomly selected sample of 399 women who had antenatal care visit and delivered one year before the survey. Pre-tested and structured interviewer administered questioner was used to collect the data. The data were analysed using SPSS version 16 and multiple logistic regression was used. Results: A total of 399 women who had at least one antenatal care (ANC) follow up and delivered one year prior to the survey was interviewed. Only 126(31.6%) of mothers gave birth in the health facilities. Multivariate analysis showed that residence AOR= 4.6, 95%CI; (1.3, 15.9), privacy during antenatal care (ANC) AOR =4.6, 95%CI :( 2.2,9.2), respect during ANC AOR =2.9, 95%CI:( 1.5,5.9) and quality of antenatal care counseling were important predictors of place of delivery after antenatal care (ANC). Conclusion: Institutional delivery after ANC utilization was low. Maternal education, absence of privacy and low quality of antenatal care counseling during ANC visit were important predictors. Women friendly care and quality of counseling during ANC visit have a great role on facility delivery.