Factors affecting institutional delivery in Ethiopia: A multi-level analysis

• Main Authors: Aytenew Gashaye (Author), Getiye Dejenu Kibret (Author), Yibelu Bazezew (Author), Belayneh Mengist (Author)
• Format: Book
• Published: Elsevier, 2021-01-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.

Summary

Background: Childbirth is a complex process that requires the safest care to prevent maternal and neonatal complications. The proportion of births occurring at health institutions in Ethiopia is still below expected (26%), which significantly contribute to a large number of maternal deaths. Hence, identifying factors affecting institutional delivery is crucial. Objectives: The main objective of this study was to assess factors affecting institutional delivery among women who had a live birth in Ethiopia within five years preceding Ethiopian Demographic and Health Survey 2016. Method: The 2016 Ethiopian demographic and health survey data were used to identify factors associated with institutional delivery. As the data has nested structure, a multilevel logistic regression model was used for analysis by taking a nationally representative sample of 7193 women nested within 645 clusters. Result: A significant heterogeneity was observed between clusters for institutional delivery which explains about 53.5% of the total variation. Individual-level variables: higher-level women education (AOR = 5.74; 95% CI 2.7-9.73), parity 5, and more (AOR = 0.39; 95% CI 0.32-0.49) and the number of ANC visit four and greater visit (AOR = 6.74; 95% CI 4.11-11.04) were significantly associated with institutional delivery. Community-level variables, Community media exposure (AOR = 1.80; 95% CI 1.31-2.4) and community antenatal coverage (AOR = 1.97; 95% CI 1.18-3.30) had a significant effect on institutional delivery. Conclusion: The effort to promote institutional delivery should pay special attention to multiparous and less educated women.

Item Description

2214-1391
10.1016/j.ijans.2021.100331