Determinants of Institutional Delivery in Ethiopia: A cross-sectional study

A. K. Tsehay, Minale Tareke, Endalkachew Dellie, Yonas Derressa
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引用次数: 2

Abstract

Background & aim: Government of Ethiopia is promoting institutional delivery despite the fact that there are a high number of home deliveries in the country mainly in hard-to-reach areas. Choice of institutional delivery is vital for the reduction of maternal and neonatal mortalities. The present study aimed to investigate the determinants of institutional delivery in Ethiopia. Methods: This cross-sectional survey was conducted on 11023 women (age range: 15-49 years) who delivered in the preceding five years before the 2016 Ethiopian demographic health survey in Ethiopia from January 18, 2016 to June 27, 2016. The primary outcome variable was institutional delivery. Statistical analysis was performed using SPSS software (version 20). The multivariate logistic regression was used to identify variables that had a significant association with institutional delivery (P<0.05).  Results: Institutional delivery was 4.36 times higher in women with secondary education (OR: 4.36; 95% CI: 3.12-6.09). In addition, it was threefold higher among the subjects who were the residents of urban areas (OR: 3.26; 95% CI: 2.19-4.35). Institutional delivery was higher among women who had antenatal care (ANC) visits (OR: 1.81; 95% CI: 1.58-2.07) and watched television at least once a week (0R: 1.90; 95% CI: 1.35-2.66). Based on the wealth index, the wealthiest subjects were 2.61 times more likely to deliver in health institutions (OR: 2.61; 95% CI: 1.95-3.50). Conclusion: Having higher educational levels, being wealthy, residing in urban areas, having ANC visits at least once, and watching television at least once a weak were considered as important determinants for the choice of institutional delivery.
埃塞俄比亚制度交付的决定因素:一项横断面研究
背景和目的:埃塞俄比亚政府正在促进机构分娩,尽管该国主要在难以到达的地区有大量的家庭分娩。选择机构分娩对降低孕产妇和新生儿死亡率至关重要。本研究旨在调查埃塞俄比亚机构交付的决定因素。方法:对2016年1月18日至2016年6月27日埃塞俄比亚2016年人口健康调查前5年内分娩的11023名妇女(年龄15-49岁)进行横断面调查。主要结局变量是机构交付。采用SPSS软件(version 20)进行统计分析。多变量logistic回归用于识别与机构交付有显著关联的变量(P<0.05)。结果:受过中等教育的妇女的机构交付率是4.36倍(OR: 4.36;95% ci: 3.12-6.09)。此外,在城市居民中,这一比例高出三倍(OR: 3.26;95% ci: 2.19-4.35)。接受过产前护理(ANC)的妇女在机构分娩的比例更高(OR: 1.81;95% CI: 1.58-2.07),每周至少看一次电视(r: 1.90;95% ci: 1.35-2.66)。根据财富指数,最富有的受试者在卫生机构分娩的可能性是其2.61倍(OR: 2.61;95% ci: 1.95-3.50)。结论:高等教育程度、富裕程度、居住在城市地区、至少一次ANC访问和至少一次看电视被认为是选择机构交付的重要决定因素。
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