{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T14:28:16Z","timestamp":1785940096914,"version":"3.56.0"},"reference-count":43,"publisher":"Public Library of Science (PLoS)","issue":"12","license":[{"start":{"date-parts":[[2020,12,3]],"date-time":"2020-12-03T00:00:00Z","timestamp":1606953600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Hadiya zone health department"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>Institutional delivery is one of the key interventions that have been proven to reduce maternal and newborn morbidity and mortality. Ethiopia has initiated different efforts to enhance the acceptance of institutional delivery. In spite of this, the number of institutional deliverys is still very low in Ethiopia and varies from region to region. Therefore, this study aimed to assess the utilization of institutional delivery and of factors associated with it among mothers in Hossana Town, Southern Ethiopia.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>This study was a community-based cross-sectional study of mothers who had given birth within 12 months before the study. Data were collected using a pretested questionnaire. During the study period, 403 mothers were selected using the systematic random sampling technique. Data entry was done using EpiData (version 3.1), and data were exported to SPSS (version 24) for analysis. Both bivariate and multivariable logistic regression analyses were used to identify the associated factors at 95% CI.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>This study revealed that 53.6% of mothers delivered their infants at health facilities. The factors associated with the institutional delivery were primigravidas (AOR = 3.9; 95% CI, 1.4\u20134.7), the availability of antenatal care (AOR = 3.4; 95%CI, 1.7\u20137.2), having planned pregnancies (AOR = 3.9; 95%CI, 1.7\u20139.3) and the involvement of both parents in decision making (AOR = 2.4; 95%CI, 1.4\u20132.5). However, when only the mother was involved in the decision making regarding the delivery, the figure decreased by 70% (AOR = 0.3; 95%CI, 0.1\u20130.8).<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusions<\/jats:title>\n<jats:p>The findings of this study indicate that high numbers of births occur without skilled attendants or are non- institutional delivery. In terms of the factors that are associated with institutional delivery, the study suggests that strengthening sustained provision of education during antenatal care and at community levels are crucial.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0243350","type":"journal-article","created":{"date-parts":[[2020,12,3]],"date-time":"2020-12-03T19:29:00Z","timestamp":1607023740000},"page":"e0243350","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":11,"title":["Utilization of institutional delivery and associated factors among mothers in Hosanna Town, Hadiya Zone, Southern Ethiopia: A community-based cross-sectional study"],"prefix":"10.1371","volume":"15","author":[{"given":"Demeke","family":"Anshebo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bifitu","family":"Geda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aregash","family":"Mecha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alemu","family":"Liru","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2867-7526","authenticated-orcid":true,"given":"Ritbano","family":"Ahmed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2020,12,3]]},"reference":[{"key":"pone.0243350.ref001","doi-asserted-by":"crossref","first-page":"980","DOI":"10.1016\/S0140-6736(14)60696-6","article-title":"Global, regional, and national levels and causes of maternal mortality during 1990\u00b12013: a systematic analysis for the Global Burden of Disease Study 2013","volume":"384","author":"NJ Kassebaum","year":"2014","journal-title":"Lancet"},{"key":"pone.0243350.ref002","unstructured":"WHO. Trends in Maternal Mortality: 2000 to 2017: Estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division 2019; (2). Available at: http:\/\/documents.worldbank.org\/curated\/en\/793971568908763231\/."},{"key":"pone.0243350.ref003","unstructured":"WHO. Trends in Maternal Mortality: 1990 to 2015: Estimates by WHO, UNICEF, UNFPA, United Nations Population Division and the World Bank, 2015. Available at: http:\/\/www.who.int\/reproductivehealth\/publications\/monitoring\/maternal-mortality-2015\/en\/."},{"key":"pone.0243350.ref004","unstructured":"Central Statistical Agency (CSA) [Ethiopia] and ICF. Ethiopia Demographic and Health Survey 2016. Addis Ababa, Ethiopia 2017. Available at: https\/\/:dhsprogram.com\/publications\/publication-fr328-dhs-final-reports.cfm."},{"key":"pone.0243350.ref005","unstructured":"WHO. Strategies towards ending preventable maternal mortality (\u200eEPMM). Geneva: World Health Organization; 2015. Available at: https:\/\/www.who.int\/reproductivehealth\/topics\/maternal_perinatal\/epmm\/en\/"},{"key":"pone.0243350.ref006","unstructured":"World Health Organization and United Nations Children\u2019s Fund. WHO\/UNICEF joint database on SDG 3.1.2 Skilled Attendance at Birth. Available at: https:\/\/unstats.un.org\/sdgs\/indicators\/database\/."},{"key":"pone.0243350.ref007","unstructured":"UNICEF, Healthy Mothers, Healthy Newborns: Taking Stock of Maternal Health. UNICEF, New York, 2019. https:\/\/data.unicef.org\/wp-content\/uploads\/2019\/06\/Healthy-Mothers-Healthy-Babies-brochure.pdf"},{"key":"pone.0243350.ref008","unstructured":"WHO. Definition of skilled health personnel providing care during childbirth: the 2018 joint statement by WHO, UNFPA, UNICEF, ICM, ICN, FIGO and IPA. 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