Respectful Delivery Care and Associated Factors Among Mothers Delivered in Debre Berhan Town Public Health Facilities, Ethiopia 

Abstract Background: In Ethiopia despite many interventions, 74% of mothers are delivered outside of health facilities. The gap between institutional delivery (26%) and antenatal care booked women (62%) is huge. Even if, respectful delivery care is the best and key strategy to increase institutional delivery, little is known about the implementation. The objective of this study was to assess the proportion and associated factors of respectful delivery care among mothers delivered in Debre Berhan town public health facilities, Ethiopia, 2019.Methods: Facility-based cross-sectional study design was conducted among 413 consecutively selected mothers delivered in Debre Berhan town public health facilities from November 15 to December 30, 2019. Pretested structured interview-administered questionnaire was used. Respectful delivery care was assessed using twenty dichotomous items. Mothers who were reported yes for all of the items were considered to have received respectful maternity care. Data were entered into Epi-data version 3.1 and bivariable and multivariable logistic analyses were computed by using SPSS version 25 software. The Adjusted Odds ratio along with a 95% confidence interval was used to assess the magnitude and direction of the association. A statistically significant association was declared at a P-value of less than 0.05.Result: The proportion of respectful delivery care in this study was 35.7% (95% CI: 31%, 40.3%). Day time delivery [AOR=2.48; 95% CI (1.55, 3.99)], secondary or more educated mothers [AOR= 3.59; 95% CI (1.53, 8.42)], having a companion during delivery care [AOR=2.45; 95% CI (1.47, 4.07)], and Antenatal care visits [AOR= 2.54; 95% CI (1.60, 4.01)] were the significantly associated factors. Conclusion: The proportion of respectful delivery care in this study is low. Hence, health administrators and health workers should allow mothers to have a companion during delivery care. Furthermore, improve antenatal care visits and education has to be the direction of the health administration and education sectors.