Multilevel analysis of factors associated with utilization of institutional delivery in Ethiopia

IF 2.7 Q2 OBSTETRICS & GYNECOLOGY

Womens Health Pub Date : 2022-01-01 DOI:10.1177/17455057221099505

Sali Suleman Hassen, Sebwedin Surur Jemal, Meseret Mesfin Bambo, Mesfin Esayas Lelisho, Seid Ali Tareke, Amanuel Mengistu Merera, Admasu Markos Kontuab

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引用次数: 3

Abstract

Background: The maternal mortality rate in poor nations remains unacceptably high. The purpose of this study was to identify factors associated with institutional delivery usage. Methods: The data came from the Ethiopian mini demographic and health survey, which was conducted in 2019. This study comprised 3978 women of reproductive age who had given birth within the previous 5 years. To uncover significantly linked parameters associated with institutional delivery, we used a multilevel logistic regression model. Statistical significance was declared at p < 0.05, and we assessed the strength of association using adjusted odds ratios with 95% confidence intervals. Results: More than half of the women (53.67%) among 3978 women with last birth had their babies delivered in a health facility. In the multilevel logistic regression analysis, women in age group 45–49 (AOR = 2.43, 95% CI: 1.280, 4.591), primary educational level (AOR = 2.21, 95% CI: 1.864, 2.625, secondary and above education level (AOR = 6.37, 95% CI: 4.600, 8.837), being Muslim (AOR = 2.57, 95% CI: 1.245, 2.166), women who visited ANC service four up to seven times (AOR = 2.75, 95% CI: 2.175, 3.473), women visited ANC service eight times and above (AOR = 3.295% CI: 1.685, 6.050), women who reside in middle wealth index (AOR = 1.57, 95% CI: 1.273, 1.950), and rich wealth index (AOR = 3.43, 95% CI: 2.782, 4.225) were more likely to give birth at health institution compared to their counterparts. Furthermore, women being in rural area (AOR = 0.34, 95% CI:- 0.283, 0.474) and protestant women (AOR = 0.1.57, 95% CI: 0.479, 0.852) were less likely to deliver at health institution. Conclusions: Ethiopia still has a low level of institutionalized delivery. Institutional delivery in Ethiopia should be improved through context-specific and personalized programs, such as educating women and enhancing access to ANC services.

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埃塞俄比亚机构交付利用相关因素的多层次分析

背景:贫穷国家的产妇死亡率仍然高得令人无法接受。本研究的目的是确定与机构交付使用相关的因素。方法:数据来自2019年进行的埃塞俄比亚小型人口与健康调查。这项研究包括3978名育龄妇女，她们在过去5年内生过孩子。为了揭示与机构交付相关的显著关联参数，我们使用了多层次逻辑回归模型。p < 0.05为统计学显著性，我们使用95%置信区间的校正优势比评估关联强度。结果:3978例末次分娩妇女中，半数以上(53.67%)在卫生机构分娩。在多水平logistic回归分析中，45-49岁年龄组妇女(AOR = 2.43, 95% CI: 1.280, 4.591)、小学教育程度(AOR = 2.21, 95% CI: 1.864, 2.625)、中学及以上教育程度(AOR = 6.37, 95% CI: 4.600, 8.837)、穆斯林(AOR = 2.57, 95% CI: 1.245, 2.166)、4 - 7次ANC服务的妇女(AOR = 2.75, 95% CI: 2.175, 3.473)、8次及以上ANC服务的妇女(AOR = 3.295% CI:1.685, 6.050)，生活在中等财富指数(AOR = 1.57, 95% CI: 1.273, 1.950)和富裕财富指数(AOR = 3.43, 95% CI: 2.782, 4.225)的妇女更有可能在卫生机构分娩。此外，农村妇女(AOR = 0.34, 95% CI:- 0.283, 0.474)和新教妇女(AOR = 0.1.57, 95% CI: 0.479, 0.852)在卫生机构分娩的可能性较小。结论:埃塞俄比亚的制度化分娩水平仍然很低。应通过具体情况和个性化的方案改善埃塞俄比亚的机构交付，例如教育妇女和增加获得ANC服务的机会。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Womens Health OBSTETRICS & GYNECOLOGY-

CiteScore

2.80

自引率

4.20%

发文量

审稿时长

15 weeks

期刊介绍： For many diseases, women’s physiology and life-cycle hormonal changes demand important consideration when determining healthcare management options. Age- and gender-related factors can directly affect treatment outcomes, and differences between the clinical management of, say, an adolescent female and that in a pre- or postmenopausal patient may be either subtle or profound. At the same time, there are certain conditions that are far more prevalent in women than men, and these may require special attention. Furthermore, in an increasingly aged population in which women demonstrate a greater life-expectancy.