| Summary: | Abstract Objective The aim of this study was to assess delivery place preference and its determinant factors in Simada District of Amhara Region, Northwest Ethiopia. Data was collected among 346 women who delivered in the last 12 months. Result Of the total 362 study participants, 346 were included in the analysis giving a response rate of 95.6%. More than half, 56.4% of the study participants reported home as their preferred delivery place. The odds of preferring home delivery was higher among women with low household income (AOR = 2.13, 95%, CI (1.06, 4.35)), and those who had < 4 antenatal care visits (AOR = 3.65, 95%, CI (1.58, 8.41)). Whereas, preference of home delivery was lower (AOR = 0.13, 95%, CI (0.05, 0.32)), (AOR = 0.40, 95%, CI (0.17, 0.98)), and (AOR = 0.31, 95%, CI (0.15, 0.67)) among women with facility delivery, within 5 km distance to health facility, and who had transport access respectively. Improving access of health facility to the nearest possible and improving transport access shall be emphasized to improve institutional delivery.
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