Background
Methods
Inclusion and exclusion criteria
Search strategy and information sources
Data extraction
Study selection
Quality assessment/critical appraisal
Outcome measurement
Data synthesis and analysis
Results
Study characteristics and study participants
S.n | Reference | Location | objective | Study design | Participants/Subjects | Sample size | Key finding; Prevalence of institutional delivery (%) | Quality status by using Joanna Briggs Institute checklist |
---|---|---|---|---|---|---|---|---|
1 | Luelseged Assefa, Mussie Alemayehu and Ayal Debie, Magnitude of institutional delivery service utilization and associated factors among women in pastoral community of Awash Fentale district Afar Regional State, Ethiopia.BMC Res Notes (2018) 11:162 | Afar | To assess institutional delivery service utilization and associated factors among women in pastoral community of Awash Fentale district, Ethiopia. | CS | women who gave birth in the last one years | 423 | 35.2 | Low risk |
2 | Getnet Gedefaw, Eskeziaw Abebe, Rebka Nigatu, Bethelihem Mesfin, and Amanuel Addisu,Institutional Delivery Service Utilization and its Factors Influencing Among Mothers Who Gave Birth in Woldia Town, Ethiopia. A Community-Based Cross-Sectional Study:.Gynecol Obstet (Sunnyvale) 2018, 8:9 | Amhara | To assess the prevalence and factors associated with institutional delivery service utilization of childbearing age group women who gave birth in Woldia town. | CS | women who gave birth in the last one years | 360 | 74.7 | Low risk |
3 | Solomon Weldemariam, Amare Kiros and Mengistu Welday, Utilization of institutional delivery service and associated factors among mothers in North West Ethiopian.BMC Res Notes (2018) 11:194 | Bie.Guz | To assess institutional delivery and its associated factors in Benishangul-Gumez region, North-West of Ethiopia | CS | women who gave birth in the last one years | 427 | 51.1 | Low risk |
4 | Niguse Tadele and Tafesse Lamaro, Utilization of institutional delivery service and associated factors in Bench Maji zone, Southwest Ethiopia: community based, cross sectional study. BMC Health Services Research (2017) 17:101 | SouthernNation Nationality and Peoples Region | To assess utilization of institutional delivery and related factors in Bench Maji zone, Southwest Ethiopia. | CS | women who gave birth in the last two years | 765 | 78.3 | Low risk |
5 | Dereje Kifle, Telake Azale, Yalemzewod Assefa Gelaw and Yayehirad Alemu Melsew, Maternal health care service seeking behaviors and associated factors among women in rural Haramaya District, Eastern Ethiopia: a triangulated community-based cross-sectional study. Reproductive Health (2017) 14:6 | Oromiya | To assess the maternal health care seeking behavior and associated factors of reproductive age women in rural villages of Haramaya district, East Ethiopia. | CS | women who gave birth in the last two years | 561 | 28.7 | Low risk |
6 | Sewnet Kidanu, Genet Degu and Tenaw Yimer Tiruye, Factors nfluencing institutional delivery service utilization in Dembecha district, Northwest Ethiopia: A community based cross sectional study. Reproductive Health (2017) 14:98 | Amhara | To assess factors influencing institutional delivery service utilization in Dembecha district, Northwest Ethiopia. | CS | women who gave birth in the last two years | 674 | 34.0 | Low risk |
7 | Wako Golicha Wako and Dejene Hailu Kassa, Institutional delivery service utilization and associated factors among women of reproductive age in the mobile pastoral community of the Liban District in Guji Zone, Oromia, Southern Ethiopia: a cross sectional study. BMC Pregnancy and Childbirth (2017) 17:144 | Oromiya | To assess utilization of institutional delivery and associated factors among women of reproductive age in the mobile pastoral community of the Liban District in Guji zone, Oromia, Ethiopia. | CS | women who gave birth in the last two years | 791 | 13.9 | Low risk |
8 | Eshetu Ejeta, Tadele Nigusse, Determinants of Skilled Institutional Delivery ServiceUtilization among Women Who Gave Birth in the Last 12 Months in Bako District, Oromia, Ethiopia, 2012/13(Case-Control Study Design). Journal of Gynecology and Obstetrics 2015; 3(2): 36–42 | Oromiya | To assess factors affecting utilization of skilled institutional delivery services among women who gave birth in the last 12 months preceding the study in Bako woreda, West Shoa Zone, Ethiopia, 2012/13. | CC | women who gave birth in the last one years | 380 | 34.2 | Low risk |
9 | Hinsermu Bayu, Mulatu Adefris2, Abdella Amano and Mulunesh Abuhay, Pregnant women’s preference and factorsassociated with institutional delivery service utilization in Debra Markos Town, North West Ethiopia: a community based follow up study. BMC Pregnancy and Childbirth (2015) 15:15 | Amhara | To assess Pregnant women’s preference and factors associated with institutional delivery service utilization in Debra Markos Town, North West Ethiopia. | Cohort | 2nd and 3rd trimester pregnant women | 393 | 62.3 | Low risk |
10 | Tesfalidet Tekelab, Birhanu Yadecha and Alemu Sufa Melka, Antenatal care and women’s decision making power as determinants of institutional delivery in rural area of Western Ethiopia. BMC Res Notes (2015) 8:769 | Oromiya | to determine the prevalence of institutional delivery service utilization and associated factors in rural area of East Wollega Zone, Western Ethiopia. | CS | women who gave birth in the last two years | 798 | 39.7 | Low risk |
11 | Feleke Habte and Meaza Demissie, Magnitude and factors associated with institutional delivery service utilization among childbearing mothers in Cheha district, Gurage zone, SNNPR, Ethiopia: a community based cross sectional study. BMC Pregnancy and Childbirth (2015) 15:299 | Southern Nation Nationality and Peoples Region | To measure the prevalence and to identify factors associated with institutional delivery service utilization among childbearing mothers in Cheha District, SNNPR, Ethiopia. | CS | women who gave birth in the last two years | 816 | 31.0 | Low risk |
12 | Seifu Hagos, Debebe Shaweno, Meselech Assegid, Alemayehu Mekonnen, Mesganaw Fantahun Afework and Saifuddin Ahmed, Utilization of institutional delivery service at Wukro and Butajera districts in the Northern and South Central Ethiopia. BMC Pregnancy and Childbirth 2014, 14:178 | Tigray&Oromiya | to determine the magnitude and identify factors affecting delivery at health institution in two districts in Ethiopia. | CS | women who gave birth in the last two years | 4949 | 25.0 | Low risk |
13 | Gedefaw Abeje, Muluken Azage and Tesfaye Setegn, Factors associated with Institutional delivery service utilization among mothers in Bahir DarCity administration, Amhara region: a community based cross sectional study. Reproductive Health 2014, 11:22 | Amhara | To assess factors associated with institutional delivery service use among mothers in Bahir Dar city administration | CS | women who gave birth in the last one years | 481 | 78.8 | Low risk |
14 | Alemaw Wolelie, Mekonnen Aychiluhm,Worku Awoke, Institutional delivery service utilization and associated factors in Banja District, Awie Zone, Amhara Regional Sate, Ethiopia. Open Journal of Epidemiology, 2014, 4, 30–35 | Amhara | To assess institutional delivery service utiliza- tion and associated factors in Banja District, Amhara region, Ethiopia, 2013 | CS | women who gave birth in the last two years | 394 | 15.7 | Low risk |
15 | Abdella Amano, Abebaw Gebeyehu and Zelalem Birhanu, Institutional delivery service utilization in Munisa Woreda, South East Ethiopia: a community based cross-sectional study. BMC Pregnancy and Childbirth 2012, 12:105 | Oromiya | To determine the level of institutional delivery service utilization and associated factors. | CS | women who gave birth in the last one years | 855 | 12.3 | Low risk |
16 | Daniel Bogale Odo1, Desalegn Markos Shifti, Institutional delivery service utilization and associated factors among child bearing age women in Goba Woreda, Ethiopia. Journal of Gynecology and Obstetrics 2014; 2(4): 63–70 | Oromiya | Assessing level of institutional delivery service utilization and associated factors among mothers who gave birth during the last twelve months prior to this study. | CS | women who gave birth in the last one years | 562 | 47.0 | Low risk |
17 | Alemayehu Shimeka Teferra, Fekadu Mazengia Alemu and Solomon Meseret Woldeyohannes Institutional delivery service utilization and associated factors among mothers who gave birth in the last 12 months in Sekela District, North West of Ethiopia: A community - based cross sectional study. BMC Pregnancy and Childbirth 2012, 12:74 | Amhara | To assess factors affecting institutional delivery service utilization among mothers who gave birth in the last 12 months in Sekela District, Amhara Region, Ethiopia. | CS | women who gave birth in the last one years | 371 | 12.1 | Low risk |
18 | Addis Alem Fikre and Meaza Demissie,Prevalence of institutional delivery and associated factors in Dodota Woreda (district), Oromia regional state, Ethiopia. Reproductive Health 2012, 9:33 | Oromiya | To determine the prevalence of institutional delivery and understand the factors associated with institutional delivery in Dodota, Woreda, Oromia Region. | CS | women who gave birth in the last two years | 506 | 18.2 | Low risk |
19 | Mulumebet Abera, Abebe G/mariam, Tefera Belachew,PREDICTORS OF SAFE DELIVERY SERVICE UTILIZATION IN ARSI ZONE, SOUTH-EAST ETHIOPIA. Ethiop J Health Sci. Vol. 102 21, Special Issue August, 2011 | Oromiya | To assess the predictors of safe delivery service utilization in Arsi Zone, Southeast Ethiopia. | CS | women who gave birth in the last one years | 1074 | 16.4 | Low risk |
20 | Mohammed Ahmed, Meaza Demissie, Araya Abrha Medhanyie, Alemayehu Worku, Yemane Berhane,Utilization of Institutional Delivery Service in a Predominantly Pastoralist Community of Northeast Ethiopia Ethiop J Health Sci. Vol. 28, No. 4 July 2018 | Afar | To determine the prevalence of utilization of institutional delivery and associated factors. | CS | women who gave birth in the last two years | 1842 | 18.4 | Low risk |
21 | Gebeyehu Dejene and Tesfahun Hailemariam, Utilization of Institutional Delivery Services and Associated Factors among Mothers in Semi-pastoralist, Southern Ethiopia J Women’s Health Care 2015, 4:7 | Southern Nation Nationality and Peoples Region | To determine the prevalence of Institutional Delivery Services utilization and Associated Factors among Mothers in Semi-pastoralist, Southern Ethiopia | CS | women who gave birth in the last two years | 756 | 14.6 | Low risk |
22 | Asmamaw Limenih, Negussie Deyesa and Adugnaw Berhane,Assessing the Magnitude of Institutional Delivery Service Utilization and Associated Factors among Mothers in Debre Berhan, Ethiopia J Preg Child Health 2016, 3:3 | Amhara | ssessing the magnitude of institutional delivery service utilization and associated factors. | CS | women who gave birth in the last two years | 404 | 80.1 | Low risk |
23 | Taye Shigute, Solomon Tejineh and Legesse Tadesse, Institutional Delivery Service Utilization and Associated Factors among Women of Child Bearing Age at Boset Woreda, Oromia Regional State, Central Ethiopia J Women’s Health Care 2017, 6:5 | Oromiya | To assess institutional delivery magnitude and associated factors among mothers delivered in the past 12 months in Boset Woreda, Ethiopia. | CS | women who gave birth in the last one years | 589 | 60.3 | Low risk |
24 | Serawit Mekonnen Jinka, Legesse Tadesse Wodajo and Gebi Agero, Predictors of institutional delivery service utilization,among women of reproductive age group in DimaDistrict, Agnua zone, Gambella, Ethiopia. Medical Practice and Review Vol. 9(2), pp. 8–18 | Gambiela | Assessing institutional delivery and predictors in Gambella, Ethiopia | CS | women who gave birth in the last one years | 798 | 63.2 | Low risk |
Quality of studies
Meta-analysis
Heterogeneity of studies
Prevalence of institutional delivery service utilization
Publication bias
Subgroup analysis
Variables | Characteristics | No of studies | Pooled proportion | (95% CI) | Weight | I2 (P-value) |
---|---|---|---|---|---|---|
By region (Fixed) | Afar | 2 | 0.21 | 0.19 0.22 | 12.09 | 0.00%(0.000) |
Amhara | 7 | 0.47 | 0.46 0.49 | 15.81 | 0.00%(0.000) | |
Bie.Guz | 1 | 0.51 | 0.46 0.56 | 1.46 | 0.00%(0.000) | |
Southern Nation Nationality and Peoples Region | 3 | 0.39 | 0.37 0.40 | 12.33 | 0.00%(0.000) | |
Oromiya | 9 | 0.24 | 0.23 0.25 | 32.77 | 0.00%(0.000) | |
Tigray&Oromiya | 1 | 0.25 | 0.24 0.26 | 22.61 | 0.00%(0.000) | |
Gambiela | 1 | 0.63 | 0.60 0.66 | 2.94 | 0.00%(0.000) | |
Over all | 24 | 0.31 | 0.30 0.31 | 100.00 | 0.00%(0.000) | |
By year of Publication (Fixed) | 2017–2018 | 10 | 0.37 | 0.36 0.38 | 34.66 | 0.00%(0.000) |
2015–2016 | 6 | 0.37 | 0.35 0.38 | 16.39 | 0.00%(0.000) | |
2011–2014 | 8 | 0.24 | 0.23 0.25 | 48.95 | 0.00%(0.000) | |
Over all | 24 | 0.31 | 0.30 0.31 | 100.00 | 0.00%(0.000) |