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Vital Registration Services Uptake and Associated Factors among Residents of Southern Ethiopia

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Article Type: Research Article Published: 2025-10-18 Volume/Issue: 6 / 10 Pages: 1470-1481

Vital Registration Services Uptake and Associated Factors among Residents of Southern Ethiopia

Fankasho HW, Molis AK and Fikire N
Vital Registration Services Uptake and Associated Factors among Residents of Southern Ethiopia
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Abstract

<p>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.<br>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.<br>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.<br>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.<br>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. <br>This study provides critical insights into the barriers to vital registration service utilization, emphasizing the need for targeted educational interventions.<br></p>

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