Abstract:
Background: Home delivery is common in sub Saharan states including Ethiopia leading to cause morbidity and mortality of maternal and child health. This study aims to determine factors affecting utilization of institutional delivery among mothers of under two-year-old children in Gambella regional state, Ethiopia Method: A cross sectional study which approach 404 mothers of under too years old children in Gambella region, western Ethiopia. By using multistage and purposive sampling technique. Data was collected by self-administer questioner to find predisposing, enabling, need factors. Descriptive, Pearson’s Chi-square, and Fisher exact were performed to describe and determine the associations. Result: The study shows that 69.3% of respondent’s delivery in the health facility. The mother’s delivery the recent child at home was 26.7% and those deliveries on the road and ambulance was 4%. This study disclosed that low level of knowledge on pregnancy complications (65.6%). Education of the mother, ethnicity, attitude, transport accessibility was significantly associated to institutional delivery. Conclusion: Institutional delivery is affected by predisposing factors, enabling factors, need factors. Especially women's autonomy, age, education, occupation, marital status, road and transportation, gravida knowledge and attitude on pregnancy complication. The health care facilities should give training and promote the society on awareness creation on institutional delivery.
