Level and factors associated with preference of institutional delivery among pregnant woman in Debre-tabor town, North West Ethiopia, 2017: a community based cross sectional study

OBJECTIVE: Maternal mortality rates in Ethiopia remain highest in the world. Information with respect to factors that influence preference of institutional delivery among pregnant women are of relevance for designing intervention programs to reduce these deaths. This study aimed to determine level and factors affecting preference of institutional delivery among pregnant woman in Debretabor, North West Ethiopia, 2017. RESULT: Out of 399 respondents 394 were included in the analysis and making a response rate 98.7%. From a total of 279 (70.8%) respondents prefer health institution as their place of birth. Educational level of unable to read and write (AOR = 0.18, 95% CI 0.06–0.51), Primaryeducation (AOR = 0.25, 95% CI 0.09–0.68), monthly income category of 600–1000 ETB (AOR = 0.24, 95% CI 0.11–0.50), Gravida of more than five (AOR = 0.23, 95% CI 0.08–0.61) and lack of ANC follow up (AOR = 8.33, 95% CI 4–16.6) were significantly affect preference of health institution as place of delivery. Therefore, it is better to give more attention and emphasis on continues education about benefit of institutional delivery, strengthening ANC services and work to improve economic status of women.