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Correlates of institutional deliveries among teenage and non-teenage mothers in Nepal
INTRODUCTION: Globally, maternal age is identified as an important predictor of institutional service utilization during delivery. This study aims to assess the correlates of institutional delivery among teenage and non-teenage mothers in Nepal by using the data from Nepal Demographic and Health Sur...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5636073/ https://www.ncbi.nlm.nih.gov/pubmed/29020047 http://dx.doi.org/10.1371/journal.pone.0185667 |
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author | Acharya, Pawan Adhikari, Tara Ballav Neupane, Dipika Thapa, Kiran Bhandari, Parash Mani |
author_facet | Acharya, Pawan Adhikari, Tara Ballav Neupane, Dipika Thapa, Kiran Bhandari, Parash Mani |
author_sort | Acharya, Pawan |
collection | PubMed |
description | INTRODUCTION: Globally, maternal age is identified as an important predictor of institutional service utilization during delivery. This study aims to assess the correlates of institutional delivery among teenage and non-teenage mothers in Nepal by using the data from Nepal Demographic and Health Survey 2011. METHODS: The study population consisted of 5391 women of reproductive age (15–49 years) who had given birth to a child within five years before the survey. Out of them, 381 (7.07%) were teenage mothers. The association between the background characteristics and institutional delivery was assessed separately for the teenage and non-teenage mothers using chi-square test and multiple logistic regression analysis. RESULTS: After adjusting for background characteristics, teenage mothers were found more likely to deliver at a health facility [AOR: 2.25; 95% CI: 1.10 4.59] in comparison to the non-teenage mothers. Place of residence, occupation, socioeconomic status, and frequency of ANC visits were associated with institutional delivery in both the teenage and non-teenage mothers. However, educational status, parity, birth preparedness and women autonomy had statistically significant association with institutional delivery among the non-teenage mothers only. None of the background characteristics were significantly associated with institutional delivery in teenage mothers only. CONCLUSIONS: This study identified a significant difference in institutional delivery service utilization among the teenage and non-teenage mothers. While the association of most of the background characteristics with institutional delivery was uniform for both teenage and non-teenage mothers, the association with educational status, parity, birth preparedness and women autonomy was significant only for non-teenage mothers. Considering this difference in the interaction of women’s background characteristics with institutional delivery between teenage and non-teenage mothers might help in identifying the pain points and devise targeted interventions to encourage institutional delivery in teenage mothers or non-teenage mothers or both. |
format | Online Article Text |
id | pubmed-5636073 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-56360732017-10-30 Correlates of institutional deliveries among teenage and non-teenage mothers in Nepal Acharya, Pawan Adhikari, Tara Ballav Neupane, Dipika Thapa, Kiran Bhandari, Parash Mani PLoS One Research Article INTRODUCTION: Globally, maternal age is identified as an important predictor of institutional service utilization during delivery. This study aims to assess the correlates of institutional delivery among teenage and non-teenage mothers in Nepal by using the data from Nepal Demographic and Health Survey 2011. METHODS: The study population consisted of 5391 women of reproductive age (15–49 years) who had given birth to a child within five years before the survey. Out of them, 381 (7.07%) were teenage mothers. The association between the background characteristics and institutional delivery was assessed separately for the teenage and non-teenage mothers using chi-square test and multiple logistic regression analysis. RESULTS: After adjusting for background characteristics, teenage mothers were found more likely to deliver at a health facility [AOR: 2.25; 95% CI: 1.10 4.59] in comparison to the non-teenage mothers. Place of residence, occupation, socioeconomic status, and frequency of ANC visits were associated with institutional delivery in both the teenage and non-teenage mothers. However, educational status, parity, birth preparedness and women autonomy had statistically significant association with institutional delivery among the non-teenage mothers only. None of the background characteristics were significantly associated with institutional delivery in teenage mothers only. CONCLUSIONS: This study identified a significant difference in institutional delivery service utilization among the teenage and non-teenage mothers. While the association of most of the background characteristics with institutional delivery was uniform for both teenage and non-teenage mothers, the association with educational status, parity, birth preparedness and women autonomy was significant only for non-teenage mothers. Considering this difference in the interaction of women’s background characteristics with institutional delivery between teenage and non-teenage mothers might help in identifying the pain points and devise targeted interventions to encourage institutional delivery in teenage mothers or non-teenage mothers or both. Public Library of Science 2017-10-11 /pmc/articles/PMC5636073/ /pubmed/29020047 http://dx.doi.org/10.1371/journal.pone.0185667 Text en © 2017 Acharya et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Acharya, Pawan Adhikari, Tara Ballav Neupane, Dipika Thapa, Kiran Bhandari, Parash Mani Correlates of institutional deliveries among teenage and non-teenage mothers in Nepal |
title | Correlates of institutional deliveries among teenage and non-teenage mothers in Nepal |
title_full | Correlates of institutional deliveries among teenage and non-teenage mothers in Nepal |
title_fullStr | Correlates of institutional deliveries among teenage and non-teenage mothers in Nepal |
title_full_unstemmed | Correlates of institutional deliveries among teenage and non-teenage mothers in Nepal |
title_short | Correlates of institutional deliveries among teenage and non-teenage mothers in Nepal |
title_sort | correlates of institutional deliveries among teenage and non-teenage mothers in nepal |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5636073/ https://www.ncbi.nlm.nih.gov/pubmed/29020047 http://dx.doi.org/10.1371/journal.pone.0185667 |
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