Institutional delivery is a delivery that takes place at any medical facility staffed by skilled delivery assistance. It is estimated that using institutional delivery could reduce 16 to 33% of maternal deaths. Despite the importance of delivering at health institutions, in Ethiopia, mothers prefer to give birth at home. Therefore, the aim of this study was to compare institutional delivery service utilization and associated factors among rural and urban mothers in Mana district, Jimma Zone, Southwest Ethiopia, 2017. A community based comparative cross sectional study was conducted in Mana district, Southwest Ethiopia from March to June, 2017. A stratified probability sampling technique was used to select a total of 1426 (713 urban, 713 rural) study participants. Data were collected from mothers who gave birth in the past 24 months by using a structured and pretested questionnaire. The overall prevalence of institutional delivery service utilization was 86.4%. Higher number of antenatal care visits, having good knowledge on the danger signs of labor, increased wealth index, primary and above educational level of the husband, mothers age below 40-year, and less than 30-min travel time to the nearby health institutions had significantly increased the rate of institutional delivery service utilization. Institutional delivery service utilization is high in the study area. Maternal awareness of danger signs of labor, frequent ANC visit and better education of husband, and household wealth predicted the utilization of the service. Therefore, due attention need to be given to enhancing education, expanding health institutions and creating awareness on advantage of antenatal care follow up and danger signs to make all pregnancies delivered at health institutions.

中文翻译：

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埃塞俄比亚西南部过去24个月分娩妇女机构分娩服务利用率及其决定因素

机构分娩是指在任何配备熟练分娩协助人员的医疗机构进行的分娩。据估计，使用机构分娩可以减少 16% 至 33% 的孕产妇死亡人数。尽管在卫生机构分娩很重要，但在埃塞俄比亚，母亲们更喜欢在家分娩。因此，本研究的目的是比较 2017 年埃塞俄比亚西南部吉马地区马纳区农村和城市母亲的机构分娩服务利用率和相关因素。在埃塞俄比亚西南部马纳区进行了一项基于社区的比较横断面研究2017 年 3 月至 6 月。采用分层概率抽样技术共选择了 1426 名研究参与者（713 名城市，713 名农村）。通过使用结构化且经过预先测试的调查问卷，从过去 24 个月内分娩的母亲那里收集数据。机构送餐服务总体使用率为86.4%。产前检查次数较多、了解临产危险征兆、财富指数提高、丈夫小学及以上文化程度、母亲年龄在40岁以下、前往附近卫生机构的时间少于30分钟显着提高了机构交付服务的利用率。研究区域的机构配送服务利用率较高。母亲对临产危险信号的认识、频繁的 ANC 拜访、丈夫更好的教育以及家庭财富预测了该服务的利用率。因此，需要适当注意加强教育、扩大卫生机构并提高对产前保健随访优势和危险信号的认识，使所有妊娠都在卫生机构分娩。