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Factors associated with the utilization of institutional and home birth services among women in Ethiopia: A scoping review
  1. Bronwyn Lapp1 and
  2. David Zakus2
  1. 1.Department of Nursing, Sunnybrook Health Sciences Centre, Toronto, ON, Canada
  2. 2.Faculty of Community Services, School of Occupational and Public Health, Ryerson University, Toronto, ON, Canada
  1. Corresponding authors: Bronwyn Lapp, RN, BScN Department of Nursing, Sunnybrook Health Sciences Centre, 2075 Bayview Ave, Toronto, ON M4N 3M5, Canada, E-mail: bronwyn.lapp{at}; David Zakus, BSc, MES, MSc, PhD, Faculty of Community Services, School of Occupational and Public Health, Ryerson University, Room POD249, 350 Victoria Street, Toronto, ON M5B 2K3, Canada, E-mail: dzakus{at}


Objective To examine the factors associated with the use of institutional delivery and home birth services among women in Ethiopia.

Methods Fifteen peer-reviewed, primary research articles published between 2011 and 2015 were selected for this scoping review. The articles included case-control, cross-sectional, and retrospective follow-up studies conducted in Ethiopia.

Results Findings were categorized with use of content and factorial analysis. The data in this scoping review revealed a significant inequality in skilled care use among Ethiopian women with differences in economic status, education, residence, autonomy in decision making, parity, and antenatal care attendance.

Conclusion Sociodemographic, accessibility, and obstetric factors are key determinants of skilled care utilization. Strategies and policy changes to address maternal health service use should aim to improve economic status, facilitate higher education, increase access to care, promote the empowerment of women, and enhance antenatal care initiatives. Additional research should be conducted to evaluate the influence of the media and culture on skilled care utilization, since few studies have examined these factors.

  • Maternal health
  • obstetrics
  • midwifery
  • Ethiopia

This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See

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