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Background: Although institutional delivery is the corner stone to reduce maternal death and improve child health, institutional delivery in Ethiopia is the lower in the world where only 26% of women attained skilled delivery. This study aimed to identify factors determininging the utilization of delivery services among women in Farta District. Method: A community based cross sectional study design was conducted from March 1-30, 2017. Multistage sampling was used to select women. Data were collected from a sample of 779 women using structured questionnaire, entered in to EPI-info version 7.2, and analysed by SPSS Version 23. Frequencies, percentages and summary statistics were computed to describe the study population. Logistic regression was computed to identify the associated predictors with skilled delivery service utilization. Statistical level of significance was declared at p<0.05. Results: The prevalence of institutional delivery was 64.4% (95% CI=61, 67.4). A multivariable logistic regression model indicated that family size, availability of transport, planned pregnancy, information about place of delivery, participation of women monthly health conference (PWMHC), information about exempted service, and having antenatal care (ANC) follow up during their last pregnancy were found to be significantly associated with institutional delivery service utilization. Conclusion: The attendance of women for institutional delivery care is good but below the national plan. Maternal care information, women monthly conference and behavioural change for planning pregnancy should be taken due attention to mobilize mothers towards skilled birth attendance. Allocation of more resource to the program and increasing availability of transportation during labor is also commendable. Improving mother’s ANC follow up attendance in resource limited regions is warmly suggested.

Prevalence and Determinants of Institutional Delivery Service Uptake among Women in Farta District, Northwest Ethiopia