Journal of Family Medicine and Health Care 2017; 3(3): 45-51 http://www.sciencepublishinggroup.com/j/jfmhc doi: 10.11648/j.jfmhc.20170303.11 ISSN: 2469-8326 (Print); ISSN: 2469-8342 (Online) Determinants of Institutional Delivery Among Mothers Who Gave Birth in the Last One Year in Dejen Woreda, Ethiopia, 2016: A Cross Sectional Study Melaku Desta 1, * , Temesgen Getaneh 1 , Tebikew Yeneabat 1 , Yewbmirt Sharew 1 , Mulugeta Animaw 2 , Haymanot Tsegaw 2 1 Department of Midwifery, College of Health Science, Debre Markos University, Debre Markos, Ethiopia 2 Midwifery Health professionals, Southern Nations and Nationalities Hospital, Hawasa, Ethiopia Email address: melakd2015@gmail.com (M. Desta) * Corresponding author To cite this article: Melaku Desta, Temesgen Getaneh, Tebikew Yeneabat, Yewbmirt Sharew, Mulugeta Animaw, Haymanot Tsegaw. Determinants of Institutional Delivery Among Mothers Who Gave Birth in the Last One Year in Dejen Woreda, Ethiopia, 2016: A Cross Sectional Study. Journal of Family Medicine and Health Care. Vol. 3, No. 3, 2017, pp. 45-51. doi: 10.11648/j.jfmhc.20170303.11 Received: August 14, 2017; Accepted: August 31, 2017; Published: October 23, 2017 Abstract: Background: Globally maternal mortality remained a public health challenge. Institutional delivery ensures safe birth which reduces maternal mortality and morbidity. This study aimed to assess determinants of institutional delivery among mothers who gave birth in the last one year. Methods: A community-based cross-sectional study was conducted during May 16 to 28, 2016 in Dejen woreda. Multistage sampling technique was used for selection of 361 participants and collected data were entered and analyzed using Statistical package for social sciences (SPSS) version 20. Multiple logistic regression was employed to identify factors associated with the institutional delivery at p-value <0.05` and to control the confounders. Results: Institutional delivery service utilization was 71.7%. Educational status, age and residence of the mother, having antenatal care visit/frequency of ANC visit, gravidity and husband's preference were independent predictors of institutional delivery service utilization. Conclusion and recommendation: Many women gave birth at health institution in Dejen Woreda. Younger age, having secondary and above educational status and urban residents, having 4 or above ANC visit, primiparaous and husband's preferred health facility had significantly associated with increased institutional delivery. Empowering women, ensuring all women to receive ANC visit according to the recommended number of visit, improving the quality of information on skilled delivery and enhancing partner’s involvement, as well as increasing accessibility of health facilities in the rural areas, could increase institutional delivery service utilization. Keywords: Institutional Delivery, Determinants, Dejen Woreda 1. Introduction Globally, maternal mortality ratio (MMR) has declined by 45% between 1990 and 2013. developing countries account for 99% (286,000) of global maternal deaths, with sub- Saharan Africa (SSA) region accounting for 62% (179,000) followed by Southern Asia, 23.9% (69,000) [1, 2]. Sixty-one percent of births are attended by a skilled health worker globally. In Ethiopia, only 10% percent of births are delivered with the assistance of a trained health professional (doctor, nurse or midwife) and 28% of deliveries were attended by traditional birth attendants. Skilled attendance during labor, delivery and the early postpartum period could reduce an estimated 16–33% of maternal Deaths [3, 4]. Eighteen percent of maternal deaths occur directly related to pregnancy and childbirth. Primary causes of maternal mortality in Africa are hemorrhage (34%), other direct causes (17%) and major causes of maternal deaths in Ethiopia are similar to most developing countries such as infection, hemorrhage, obstructed labor, abortion and hypertension in pregnancy [5-8]. Recent efforts to reduce maternal mortality in developing countries have focused primarily on training and deploying