DETERMINANTS ON THE UTILIZATION OF INSTITUTIONAL DELIVERY IN RURAL AREAS OF MYAING TOWNSHIP, MAGWAY REGION, MYANMAR

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Thida Aung
Aung Kyaw Oo
Alan F. Geater
Tippawan Liabsuetrakul
Min Ko Ko

Abstract

Background: Institutional delivery is one of the most important interventions to reduce maternal and neonatal mortality, especially in low and middle-income countries. Increased maternal and neonatal mortality has a huge impact on the health and socio-economic status of families and society. 


Aim: This study aimed to assess the utilization of institutional delivery among women of reproductive age in a rural area of Myanmar and explore its determinants. 


Methods: A community-based cross-sectional study was carried out among 286 women aged 15–49 years with delivery in the year prior to the survey in Myaing township, Central Myanmar region, 2017. 


Results: About two-thirds of the participants (60.1%, 95%CI: 55.6-65.9) utilized institutional delivery. Over three-quarters of the participants took antenatal (AN) care from a rural health centre and 73.8% from a midwife. In logistic regression analysis, adjusted for potential confounders, the odds of utilizing institutional delivery were four times for persons who took AN care with skilled birth attendants (OR 4.23; 95%CI 1.37, 13.10), over three times for those with low parity (OR 3.61; 95%CI 2.02, 6.46), and 1.83 times in those who could access labour room service easily (OR 1.83; 95%CI 1.10, 3.04) and in those living near to a health centre (OR 1.77; 95%CI 1.13, 2.98). 


Conclusion: Even though the proportion of institutional delivery was higher than in other studies, health facility delivery still needs to be promoted to cover all childbirths. Taking AN care with skilled birth attendants should be made a priority to promote the utilization of institutional delivery.

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Section
Research article