In spite of the promotion of institutional delivery in Ethiopia, home delivery is still common primarily in hard-to-reach areas. Institutional delivery supported to achieve the goal of reducing maternal and neonatal mortality in Ethiopia. The objective of this study is to assess the determinants of institutional delivery in Ethiopia. Cross sectional survey was conducted in 11 administrative regions of Ethiopia. The Ethiopian demographic and health survey data collection took place from January 18, 2016, to June 27, 2016. The study subjects were 11,023 women (15–49 years old) who gave birth in the preceding 5 years before 2016 Ethiopian demographic health survey. This representative data was downloaded from Demographic Health Survey after getting permission. The Primary outcome variable was institutional delivery. The data was transferred and analyzed with SPSS Version 20 statistical software package. Of 11,023 mothers, 2892 (26.2%) delivered at a health facility and 8131 (73.8%) at home. Women with secondary education were 4.36 times more likely to have an institutional delivery (OR: 4.36; 95% CI: 3.12–6.09). Institutional delivery was higher among women who were resided in urban areas by three fold (OR: 3.26; 95% CI: 2.19–4.35). Women who visited ANC (Antenatal care) were about two times more likely to choose institutional delivery (OR: 1.81; 95% CI: 1.58–2.07). Respondents who watch television at least once a week was two times more likely to experience institutional delivery than those who did not watch at all (0R: 1.90; 95% CI: 1.35–2.66). The wealthiest women were 2.61 times more likely to deliver in an institution compared with the women in the poorest category (OR: 2.61; 95% CI: 1.95–3.50). Women having higher educational level, being richest, residing in urban area, visiting antenatal care at least once, and frequent exposure to mass media were factors associated with institutional delivery. Improving access to education and health promotion about obstetrics and delivery through mass media will increase the uptake of institutional delivery.

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埃塞俄比亚与机构分娩有关的因素：一项横断面研究

尽管在埃塞俄比亚促进了机构交付，但仍主要在难以到达的地区普遍提供家庭交付。机构分娩支持实现埃塞俄比亚降低孕产妇和新生儿死亡率的目标。这项研究的目的是评估埃塞俄比亚机构交付的决定因素。在埃塞俄比亚的11个行政区域进行了横断面调查。埃塞俄比亚人口与健康调查数据收集时间为2016年1月18日至2016年6月27日。研究对象为11,023名妇女（15-49岁），她们在2016年埃塞俄比亚人口健康调查之前的5年内分娩。在获得许可后，该代表性数据是从“人口健康调查”中下载的。主要结果变量是机构分娩。数据已传输并使用SPSS 20版统计软件包进行了分析。在11023名母亲中，有2892名（26.2％）在医疗机构分娩，在家庭中有8131名（73.8％）。受过中等教育的妇女接受机构分娩的可能性高4.36倍（OR：4.36； 95％CI：3.12-6.09）。居住在城市地区的妇女的机构分娩率提高了三倍（OR：3.26； 95％CI：2.14-4.35）。参加ANC（产前保健）的妇女选择机构分娩的可能性大约高出两倍（OR：1.81； 95％CI：1.58–2.07）。每周至少看电视一次的受访者经历机构交付的可能性是完全不看电视的受访者的两倍（0R：1.90； 95％CI：1.35-2.66）。最富有的女人是2。与最贫困类别的女性相比，在机构中分娩的可能性要高61倍（OR：2.61； 95％CI：1.95-3.50）。受过高等教育的妇女，最富有的妇女，居住在城市地区，至少接受一次产前保健以及经常接触大众媒体是与机构分娩有关的因素。通过大众媒体改善对产科和分娩的教育和促进健康的机会，将增加机构对分娩的接受。