Background: This study investigated the utilization of vital registration services among mothers of under-five children in Areka Town, Southern Ethiopia. It was initiated in response to the 2012 proclamation that mandated such registrations but highlighted the lack of evidence on service usage.
Methodology: The study employed a cross-sectional design with systematic sampling from households, focusing on mothers with under-five children. Data were analyzed using SPSS, applying binary logistic regression to identify factors influencing service utilization.
Results: Out of 264 participants, the majority were female (91.7%), and the mean age was approximately 30 years. Knowledge of vital registration services uptake was found (51.8%) 95% CI: (45.9%-57.9%). Altitude towards vital registration services uptake (41.5%) 95% CI: (36.5%-48.4%. Practice towards vital registration services (37.9%) 95% CI: (32.0%-43.7%). Key findings indicated that educational status significantly influenced service utilization. Illiterate mothers had higher odds of not utilizing services (AOR = 1.7), while those with primary education showed even greater odds (AOR = 2.93). Poor knowledge and attitudes towards vital registration further exacerbated the issue, with both factors having an AOR of 4.06.
Conclusion: The conclusion underscored a paradox where, although respondents had a good understanding of the registration's importance, their attitudes and practices were lacking. Significant associations were found between educational status, knowledge, attitude, and service utilization.
Recommendations: To enhance uptake, the recommendation was made for vital registration offices to collaborate with health facilities, media, and religious organizations to raise awareness and improve service access for clients.
This study provides critical insights into the barriers to vital registration service utilization, emphasizing the need for targeted educational interventions.