Determinants of institutional delivery in Sub-Saharan Africa: findings from Demographic and Health Survey (2013–2017) from nine countries
Abstract Introduction Institutional delivery is a major concern for a country’s long-term growth. Rapid population development, analphabetism, big families, and a wider range of urban-rural health facilities have had a negative impact on institutional services in Sub-Saharan Africa (SSA) countries....
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ftdoajarticles:oai:doaj.org/article:e62a670d378e4329b573c396d7a2f7d5 2023-05-15T15:17:06+02:00 Determinants of institutional delivery in Sub-Saharan Africa: findings from Demographic and Health Survey (2013–2017) from nine countries Shewayiref Geremew Gebremichael Setegn Muche Fenta 2021-05-01T00:00:00Z https://doi.org/10.1186/s41182-021-00335-x https://doaj.org/article/e62a670d378e4329b573c396d7a2f7d5 EN eng BMC https://doi.org/10.1186/s41182-021-00335-x https://doaj.org/toc/1349-4147 doi:10.1186/s41182-021-00335-x 1349-4147 https://doaj.org/article/e62a670d378e4329b573c396d7a2f7d5 Tropical Medicine and Health, Vol 49, Iss 1, Pp 1-8 (2021) Institutional Delivery Sub-Saharan Africa Women DHS Arctic medicine. Tropical medicine RC955-962 article 2021 ftdoajarticles https://doi.org/10.1186/s41182-021-00335-x 2022-12-31T09:10:27Z Abstract Introduction Institutional delivery is a major concern for a country’s long-term growth. Rapid population development, analphabetism, big families, and a wider range of urban-rural health facilities have had a negative impact on institutional services in Sub-Saharan Africa (SSA) countries. The aim of this study was to look into the factors that influence women’s decision to use an institutional delivery service in SSA. Methods The most recent Demographic and Health Survey (DHS), which was conducted in nine countries (Senegal, Ethiopia, Malawi, Rwanda, Tanzania, Zambia, Namibia, Ghana, the Democratic Republic of Congo) was used. The service’s distribution outcome (home delivery or institutional delivery) was used as an outcome predictor. Logistic regression models were used to determine the combination of delivery chances and different covariates. Results The odds ratio of the experience of institutional delivery for women living in rural areas vs urban area was 0.44 (95% confidence interval (CI) 0.41–0.48). Primary educated women were 1.98 (95% CI 1.85–2.12) times more likely to deliver in health institutes than non-educated women, and secondary and higher educated women were 3.17 (95% CI 2.88–3.50) times more likely to deliver in health centers with facilities. Women aged 35–49 years were 1.17 (95% CI 1.05–1.29) times more likely than women aged under 24 years to give birth in health centers. The number of ANC visits: women who visited four or more times were 2.98 (95% CI 2.77–3.22) times, while women who visited three or less times were twice (OR = 2.03; 95% CI 1.88–2.18) more likely to deliver in health institutes. Distance from home to health facility were 1.18 (95% CI 1.11–1.25) times; media exposure had 1.28 (95% CI 1.20–1.36) times more likely than non-media-exposed women to delivery in health institutions. Conclusions Women over 24, primary education at least, urban residents, fewer children, never married (living alone), higher number of prenatal care visits, higher economic level, have a ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Tropical Medicine and Health 49 1 |
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Directory of Open Access Journals: DOAJ Articles |
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English |
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Institutional Delivery Sub-Saharan Africa Women DHS Arctic medicine. Tropical medicine RC955-962 |
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Institutional Delivery Sub-Saharan Africa Women DHS Arctic medicine. Tropical medicine RC955-962 Shewayiref Geremew Gebremichael Setegn Muche Fenta Determinants of institutional delivery in Sub-Saharan Africa: findings from Demographic and Health Survey (2013–2017) from nine countries |
topic_facet |
Institutional Delivery Sub-Saharan Africa Women DHS Arctic medicine. Tropical medicine RC955-962 |
description |
Abstract Introduction Institutional delivery is a major concern for a country’s long-term growth. Rapid population development, analphabetism, big families, and a wider range of urban-rural health facilities have had a negative impact on institutional services in Sub-Saharan Africa (SSA) countries. The aim of this study was to look into the factors that influence women’s decision to use an institutional delivery service in SSA. Methods The most recent Demographic and Health Survey (DHS), which was conducted in nine countries (Senegal, Ethiopia, Malawi, Rwanda, Tanzania, Zambia, Namibia, Ghana, the Democratic Republic of Congo) was used. The service’s distribution outcome (home delivery or institutional delivery) was used as an outcome predictor. Logistic regression models were used to determine the combination of delivery chances and different covariates. Results The odds ratio of the experience of institutional delivery for women living in rural areas vs urban area was 0.44 (95% confidence interval (CI) 0.41–0.48). Primary educated women were 1.98 (95% CI 1.85–2.12) times more likely to deliver in health institutes than non-educated women, and secondary and higher educated women were 3.17 (95% CI 2.88–3.50) times more likely to deliver in health centers with facilities. Women aged 35–49 years were 1.17 (95% CI 1.05–1.29) times more likely than women aged under 24 years to give birth in health centers. The number of ANC visits: women who visited four or more times were 2.98 (95% CI 2.77–3.22) times, while women who visited three or less times were twice (OR = 2.03; 95% CI 1.88–2.18) more likely to deliver in health institutes. Distance from home to health facility were 1.18 (95% CI 1.11–1.25) times; media exposure had 1.28 (95% CI 1.20–1.36) times more likely than non-media-exposed women to delivery in health institutions. Conclusions Women over 24, primary education at least, urban residents, fewer children, never married (living alone), higher number of prenatal care visits, higher economic level, have a ... |
format |
Article in Journal/Newspaper |
author |
Shewayiref Geremew Gebremichael Setegn Muche Fenta |
author_facet |
Shewayiref Geremew Gebremichael Setegn Muche Fenta |
author_sort |
Shewayiref Geremew Gebremichael |
title |
Determinants of institutional delivery in Sub-Saharan Africa: findings from Demographic and Health Survey (2013–2017) from nine countries |
title_short |
Determinants of institutional delivery in Sub-Saharan Africa: findings from Demographic and Health Survey (2013–2017) from nine countries |
title_full |
Determinants of institutional delivery in Sub-Saharan Africa: findings from Demographic and Health Survey (2013–2017) from nine countries |
title_fullStr |
Determinants of institutional delivery in Sub-Saharan Africa: findings from Demographic and Health Survey (2013–2017) from nine countries |
title_full_unstemmed |
Determinants of institutional delivery in Sub-Saharan Africa: findings from Demographic and Health Survey (2013–2017) from nine countries |
title_sort |
determinants of institutional delivery in sub-saharan africa: findings from demographic and health survey (2013–2017) from nine countries |
publisher |
BMC |
publishDate |
2021 |
url |
https://doi.org/10.1186/s41182-021-00335-x https://doaj.org/article/e62a670d378e4329b573c396d7a2f7d5 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Tropical Medicine and Health, Vol 49, Iss 1, Pp 1-8 (2021) |
op_relation |
https://doi.org/10.1186/s41182-021-00335-x https://doaj.org/toc/1349-4147 doi:10.1186/s41182-021-00335-x 1349-4147 https://doaj.org/article/e62a670d378e4329b573c396d7a2f7d5 |
op_doi |
https://doi.org/10.1186/s41182-021-00335-x |
container_title |
Tropical Medicine and Health |
container_volume |
49 |
container_issue |
1 |
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1766347384243093504 |