Temam and Banbeta, Gynecol Obstet (Sunnyvale) 2016, 6:9 DOI: 10.4172/2161-0932.1000402 Research Article OMICS International Volume 6 • Issue 9 • 1000402 Gynecol Obstet (Sunnyvale), an open access journal ISSN: 2161-0932 Keywords: Antenatal care; Utilization; Skilled birth attendant; Logistic regression Abbreviations: ANC: Antenatal Care; MCH: Maternal and Child Health; MMR: Maternal Mortality Ratio; SBA: Skilled Birth Attendant; OR: Odds Ratio Background Health services accessibility has been a challenge globally especially in developing countries. Utilization of maternal health services in developing countries is hindered by not only infrastructural and quality issues but also by accessibility. Te efect of low utilization of quality maternal care services is known to be a contributory factor to the high incidence of avoidable deaths of pregnant women in mostly developing nations including Ethiopia. Te use of skilled delivery is desirable as it is recognized to yield positive delivery outcomes by reducing maternal and infant morbidity and mortality. Sub-Saharan Africa (SSA) contributes to 57% of the 358, 000 global maternal deaths despite the fact that it has 17% of the global births [1]. Te life time risk of dying during pregnancy, childbirth or in the early post natal period is very high in this area; 1 in 31 compared to 1 in 4300 in developed regions. Similarly, more than a third of the approximately 2.65 million stillbirths and 3.3 million neonatal deaths globally occur in SSA [2]. Access to Skilled Birth Attendance during childbirth and in the immediate post natal period and access to Emergency obstetric care in case of obstetric complications are considered to be efective interventions to reduce the number of global maternal and newborn deaths [3]. As shown in assessment of trends in maternal mortality for 181 countries from 1980 to 2008, it was estimated to be 342,900 maternal deaths world- wide in 2008 decreasing from 526,300 in 1980. More than 50% of all maternal deaths were only from six countries in 2008 (India, Nigeria, Pakistan, Afghanistan, Ethiopia, and the Democratic Republic of Congo) [4]. It is known about 80% of maternal deaths are due to causes directly related to pregnancy and childbirth. Worldwide, the major causes of maternal mortality are severe bleeding (24%), infection (15%), unsafe abortion (13%), hypertensive disorders (12%) and obstructed labour (8%) [5]. In 2008, from the estimated 358 000 maternal deaths worldwide, developing countries accounted for 99% (355 000). Nearly three ffhs of the maternal deaths (204 000) occurred in the SSA region alone followed by South Asia (109 000). Together the two regions accounted for 87% of such deaths globally. Southern Asia has made steady progress, with a 53% decline in maternal mortality between 1990 and 2008. In contrast, the ratio has fallen by only 26% in Sub-Saharan Africa, though evidence suggests that progress has picked up speed since 2000. Te proportions of births attended by skilled personnel are very much lower than SSA. Even for women who have access to the services, the proportion of births occurring in health facilities is very low. *Corresponding author: Akalu Banbeta, Department of Statistics, Natural Science College, Jimma University, Jimma, Ethiopia, Tel: +251910085803; E-mail: akalubanbetastat@gmail.com Received August 31, 2016; Accepted September 24, 2016; Published September 30, 2016 Citation: Temam I, Banbeta A (2016) Utilization of Skilled Birth Attendant in Bonga Town, Kafa Zone, South West Ethiopia. Gynecol Obstet (Sunnyvale) 6: 402. doi: 10.4172/2161-0932.1000402 Copyright: © 2016 Temam I, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Utilization of Skilled Birth Attendant in Bonga Town, Kafa Zone, South West Ethiopia Ibrahim Temam Abadiga 1 and Akalu Banbeta Tereda 2 * 1 Yale Global Health Leadership Institute, PTI Management Mentor, SNNPR, Ethiopia 2 Department of Statistics, Natural Science College, Jimma University, Jimma, Ethiopia Abstract Background: Ethiopia with maternal mortality ratio (MMR) of 353 per 100,000 live births, the majority of births are delivered at home and the proportion of deliveries assisted by skilled attendant is very low. Based on EDHS 2014 urban births are six times more likely than rural births to be delivered in a health facility (59% versus 10%). Implementing and assuring utilization of skilled delivery services is potentially one of the most effective maternal health interventions for preventing maternal morbidity and mortality. Objective: To assess utilization of skilled birth attendant (SBA) among mothers who gave birth the last one year prior to the data collection period in Bonga town, Ethiopia. Methodology: Community based cross-sectional study employing quantitative methods was conducted in Bonga town, Kaffa zone, Southwest Ethiopia from June 1 to July 25, 2013. Stratifed random sampling technique was employed to select a sample of 296 participants. Logistic regression analysis was performed to obtain predictors of SBA. Results: From the total of 296 deliveries 78.6% of the women utilize skilled birth attendant during delivery. Women’s educational status, their number of pregnancy, Antenatal care (ANC) visit, knowledge about risk factors related to pregnancy and women’s power to make the decision in terms of getting skilled delivery are important predictors for their utilization of skilled birth attendant. Conclusions: Interventional IEC activities focusing on pregnancy complications and benefts of ANC for reproductive age women will be helpful in utilizing skilled delivery attendant so that their infuences can be directed in the line of encouraging women to utilize skilled delivery services. G y n e c o l o g y & O b s t e t r i c s ISSN: 2161-0932 Gynecology & Obstetrics