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Multilevel logistic regression analysis of factors associated with delivery care service utilization among childbearing women in Ethiopia

Delivery service utilization is one of the key and proven interventions to reduce maternal death during childbearing. In Ethiopia, the utilization of health facilities for delivery service is still at a lower level. This study intends to model the determinant factors for the delivery care service ut...

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Autores principales: Gebrekrstos Zeru, Naod, Bedada Tolessa, Dechasa, Abdisa Fufa, Jaleta, Girma Fufa, Bonsa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10321404/
https://www.ncbi.nlm.nih.gov/pubmed/37416083
http://dx.doi.org/10.3389/frph.2023.1045964
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author Gebrekrstos Zeru, Naod
Bedada Tolessa, Dechasa
Abdisa Fufa, Jaleta
Girma Fufa, Bonsa
author_facet Gebrekrstos Zeru, Naod
Bedada Tolessa, Dechasa
Abdisa Fufa, Jaleta
Girma Fufa, Bonsa
author_sort Gebrekrstos Zeru, Naod
collection PubMed
description Delivery service utilization is one of the key and proven interventions to reduce maternal death during childbearing. In Ethiopia, the utilization of health facilities for delivery service is still at a lower level. This study intends to model the determinant factors for the delivery care service utilization of childbearing mothers in Ethiopia using the 2016 Ethiopian demographic and health survey data. A cross-sectional study design was selected to assess factors associated with delivery care among mothers who had at least one child in the last 5 years before the survey aged 15–49 years in the data. Among these eligible mothers, 3,052 (27.7%) mothers had received delivery service care from health professionals. The results of multilevel logistic regression indicated that those at age 35–49 years (AOR = 0.7808, 95% CI: 0.5965–1.1132), an urban place of residence (AOR = 5.849 95% CI: 4.2755–8.0021), woman's higher level of education (AOR = 3.484, 95% CI: 2.0214–6.0038) and partner's higher educational level (AOR = 1.9335, 95% CI: 3,808–2.07352), household wealth index (AOR = 1.99, 95% CI: 1.724–2.3122), most every day exposed to mass media (AOR = 3.068, 95% CI: 1.456–6.4624), 2–4 birth order number (AOR = 0.604, 95% CI: 0.51845–1.4213), using contraceptive type (AOR = 1.4584, 95% CI: 1.2591–1.6249) and visiting more than 4 antenatal care visits (AOR = 7.574, 95% CI: 6.4824–8.84896) were more likely to give birth at a health facility compared to their counterparts. The woman's and partner's educational level, household wealth index, exposure to mass media and number of antenatal care visits had a positive association with delivery assistance whereas birth order had a negative association. The findings of this study were valuable implications to support strategies and interventions to address delivery care service in Ethiopia.
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spelling pubmed-103214042023-07-06 Multilevel logistic regression analysis of factors associated with delivery care service utilization among childbearing women in Ethiopia Gebrekrstos Zeru, Naod Bedada Tolessa, Dechasa Abdisa Fufa, Jaleta Girma Fufa, Bonsa Front Reprod Health Reproductive Health Delivery service utilization is one of the key and proven interventions to reduce maternal death during childbearing. In Ethiopia, the utilization of health facilities for delivery service is still at a lower level. This study intends to model the determinant factors for the delivery care service utilization of childbearing mothers in Ethiopia using the 2016 Ethiopian demographic and health survey data. A cross-sectional study design was selected to assess factors associated with delivery care among mothers who had at least one child in the last 5 years before the survey aged 15–49 years in the data. Among these eligible mothers, 3,052 (27.7%) mothers had received delivery service care from health professionals. The results of multilevel logistic regression indicated that those at age 35–49 years (AOR = 0.7808, 95% CI: 0.5965–1.1132), an urban place of residence (AOR = 5.849 95% CI: 4.2755–8.0021), woman's higher level of education (AOR = 3.484, 95% CI: 2.0214–6.0038) and partner's higher educational level (AOR = 1.9335, 95% CI: 3,808–2.07352), household wealth index (AOR = 1.99, 95% CI: 1.724–2.3122), most every day exposed to mass media (AOR = 3.068, 95% CI: 1.456–6.4624), 2–4 birth order number (AOR = 0.604, 95% CI: 0.51845–1.4213), using contraceptive type (AOR = 1.4584, 95% CI: 1.2591–1.6249) and visiting more than 4 antenatal care visits (AOR = 7.574, 95% CI: 6.4824–8.84896) were more likely to give birth at a health facility compared to their counterparts. The woman's and partner's educational level, household wealth index, exposure to mass media and number of antenatal care visits had a positive association with delivery assistance whereas birth order had a negative association. The findings of this study were valuable implications to support strategies and interventions to address delivery care service in Ethiopia. Frontiers Media S.A. 2023-06-21 /pmc/articles/PMC10321404/ /pubmed/37416083 http://dx.doi.org/10.3389/frph.2023.1045964 Text en © 2023 Gebrekrstos Zeru, Bedada Tolessa, Abdisa Fufa and Girma Fufa. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Reproductive Health
Gebrekrstos Zeru, Naod
Bedada Tolessa, Dechasa
Abdisa Fufa, Jaleta
Girma Fufa, Bonsa
Multilevel logistic regression analysis of factors associated with delivery care service utilization among childbearing women in Ethiopia
title Multilevel logistic regression analysis of factors associated with delivery care service utilization among childbearing women in Ethiopia
title_full Multilevel logistic regression analysis of factors associated with delivery care service utilization among childbearing women in Ethiopia
title_fullStr Multilevel logistic regression analysis of factors associated with delivery care service utilization among childbearing women in Ethiopia
title_full_unstemmed Multilevel logistic regression analysis of factors associated with delivery care service utilization among childbearing women in Ethiopia
title_short Multilevel logistic regression analysis of factors associated with delivery care service utilization among childbearing women in Ethiopia
title_sort multilevel logistic regression analysis of factors associated with delivery care service utilization among childbearing women in ethiopia
topic Reproductive Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10321404/
https://www.ncbi.nlm.nih.gov/pubmed/37416083
http://dx.doi.org/10.3389/frph.2023.1045964
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