Research Article Frequent Antenatal Care Visits Increase Institutional Delivery at Dabat Health and Demographic Surveillance System Site, Northwest Ethiopia Abel Fekadu , 1 Mezgebu Yitayal , 2,3 Geta Asrade Alemayehu, 2 Solomon Mekonnen Abebe, 3,4 Tadesse Awoke Ayele , 1,3 Amare Tariku , 3,4 Gashaw Andargie , 2,3 Destaw Fetene Teshome , 1 and Kassahun Alemu Gelaye 1,3 1 Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Science, University of Gondar, Ethiopia 2 Department of Health Service Management and Health Economics, Institute of Public Health, College of Medicine and Health Science, University of Gondar, Ethiopia 3 Dabat Research Centre Health and Demographic Surveillance System, Institute of Public Health, College of Medicine and Health Science, University of Gondar, Ethiopia 4 Department of Human Nutrition, Institute of Public Health, College of Medicine and Health Science, University of Gondar, Ethiopia Correspondence should be addressed to Destaw Fetene Teshome; destaw.fetene@gmail.com Received 23 March 2018; Revised 20 October 2018; Accepted 19 November 2018; Published 27 January 2019 Academic Editor: Jacques Balayla Copyright © 2019 Abel Fekadu et al. Tis is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Background. Early diagnosis of pregnancy, professional follow-up, and skilled delivery service are the main interventions that reduce maternal morbidity and mortality. Generating local based evidence could support targeted and efective intervention placed by a government. Terefore, determining the prevalence of skilled institutional delivery and its associated factors is of supreme importance. Methods. A community based cross-sectional study was conducted among pregnant women at Dabat Health and Demographic Surveillance System (DHDSS) site from 2014 to 2015. A total of 1290 pregnant women were included in the study. Data were extracted from what was collected as part of the ongoing DHDSS. Variables were extracted from the Household Registration System (HRS2 version 2.1) database and exported to STATA version 14.1 for analysis. Binary logistic regression was used to identify the factors associated with skilled institutional delivery. Statistical test was considered signifcant at P value < 0.05. Results. Te proportion of skilled institutional delivery was 31.0% (95% CI: 28.5, 33.6). Frequent Antenatal care (ANC) visits (Adjusted Odds Ratio (AOR): 2.94; 95% CI: 1.75, 4.94)), living in urban setting (AOR: 9.54; 95% CI: 5.99, 15.17), and ability to read and write (AOR: 1.81; 95% CI: 1.18, 2.75) were factors associated with increased delivery in the health institutions. On the other hand, giving more number of births (AOR: 0.39; 95% CI: 0.22, 0.66) decreased health institution delivery by 61%. Conclusion. Higher rate of skilled institutional delivery has been observed at the surveillance site as compared with the previous national estimates. Giving less number of births, frequent ANC visits, being in urban residence, and ability to read and write increased the likelihood of health institution delivery. Strengthening interventions that could infuence the identifed factors could improve mothers’ choice to skilled institutional delivery. 1. Introduction Globally, maternal mortality ratio (MMR) is estimated at 500/100,000 live births of which sub-Saharan countries con- stitute 56% [1, 2]. Ethiopia is one of the sub-Saharan African countries with the highest maternal mortality (420/100,000 live births) in the world, which is found to be far from the World Health Organization (WHO) target (267/100,000) for 2015 [3]. In sub-Saharan Africa, however, the high maternal and child mortality has been attributed to low coverage of maternal services during pregnancy, most of which is linked Hindawi Journal of Pregnancy Volume 2019, Article ID 1690986, 6 pages https://doi.org/10.1155/2019/1690986