Determinants of Home Delivery in the Central Zone of Tigrai, North Ethiopia: Evidence from Case-Control Study

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Abstract Background: Place of delivery is critical factor which affects the health of the mother and newborn. Delivery and early post-partum period remains the most important intervention in reducing maternal mortality and obstetric complications. This study aims to investigate the determinant factors of home delivery in North Ethiopia.Methods: A case control study was conducted from August 2017 to Feb 2018. A total of 324 mothers who delivered and visit public health facilities for postnatal care were included in the study. Mothers who delivered at home (cases=108) and health institutions (controls = 216) were selected by systematic sampling technique. Data were coded and entered using Epi-data 3.1 and exported to SPSS Version 21 for analysis. Multivariate logistic regression was employed to identify the predictors at p-value 0.05.Result: The mean age of cases and controls was 28.75(SD= ±3.5) and 25.53(SD= ±4.98) years respectively. The likelihood risk of home delivery was greater among mothers with no formal education (AOR=7.9, 95%CI: 1.49–42.05), no experience of institutional delivery (AOR=9.1, 95%CI: 1.58–52.21), unplanned pregnancy (AOR=8.4, 95%CI: 2.00-35.46), poor knowledge about obstetric complications (AOR=5.98, 95% CI: 1.20-29.77), and lack of joint decision on place of delivery (AOR=7.1, 95%CI: 1.34-37.61).Conclusions: Mothers with no formal education, lack of experience of facility delivery, unplanned pregnancy, absence of obstetric complications, poor knowledge on obstetric complications, and absence of joint decision were predictors of home delivery. Health professionals should take the opportunity of antenatal care to create awareness regarding to place of delivery to tackle the problems.

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