Determinants of Utilization of Institutional Delivery Services in Zambia: An Analytical Cross-Sectional Study

Rashid, Mamunur; Chowdhury, Md. Iqbal Bahar; Kader, Manzur; Hiswåls, Anne-Sofie; Macassa, Glória

doi:10.3390/ijerph19053144

Cited by 5 publications

(2 citation statements)

References 35 publications

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“…Among the age categories of women delivering in health facilities, women belonging to 20-34 years age group had lower odds of institutional delivery as compared to the women of age less than 20 years. Further analyses of demographic and health survey conducted in different countries support the findings of this study [25][26][27][28].…”

Section: Institutional Deliverysupporting

confidence: 83%

“…Similar to other studies conducted in Nepal [24,29], this study also identified that women of higher wealth quintile were more likely than women with lower wealth quintile to give birth in a health facility. Other studies conducted in Ethiopia [27], India [25], and Zambia [28] found that the household wealth index was positively associated with institutional delivery.…”

Section: Institutional Deliverymentioning

confidence: 88%

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Determinants of Maternal Health Service Utilization and Continuum of Care in Nepal: An Analysis from Demographic and Health Survey 2022

Pandey,

Adhikari,

Sangroula

et al. 2023

Preprint

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Background Continuum of care for maternal health services is essential in minimizing preventable fatalities linked to pregnancy and childbirth. The study focuses on assessing determinants of maternal health service utilization i.e., four or more antenatal care (ANC) visits, institutional delivery, and postnatal care (PNC) visit within the first 2 days of delivery and the continuum of care. Methods We performed weighted analysis of Nepal Demographic and Health Survey 2022 accounting for complex survey design. Categorical variables are presented using frequency, percentage, and 95% confidence intervals (CI), while numerical variables were represented as mean and a 95% CI. We performed bivariable and multivariable binary logistic regression and the results are odds ratios presented with 95%. Results Among total participants, 80.5% (95% CI: 77.9, 82.8) had four or more antenatal care (ANC) visits, 79.4% (95% CI: 76.8, 81.9) had institutional delivery and 70.2% (95% CI:67.5, 72.9 postnatal care (PNC) visit within 2 days of delivery. The proportion of participants having both four or more ANC visits and institutional delivery was 67.6% (95% CI: 64.7, 70.4) those completing all three components of care (4 or more ANC visits, delivering in health facility and having PNC visit for mother within 2 days of delivery) was 51.2% (95% CI: 48.3, 54.0). Compared to participants in poorest wealth quintile, participants in wealthiest quintile had 12 folds higher odds (AOR: 11.96, 95% CI: 14.36, 32.79) of having both four or more ANC visits and institutional delivery. Residents of the Madhesh had lower odds (AOR: 0.47, 95% CI: 0.23, 0.99), Sudurpaschim had higher odds (AOR: 2.37, 95% CI: 1.17, 4.82) of having 4 or more ANC visits and institutional delivery compared to Koshi Province. Residents of Bagmati Province had lower odds (AOR:0.49, 95% CI: 0.28, 0.87) of having all three components of care: 4 or more ANC visits, institutional delivery and PNC visit within 2 days of delivery for mother. Conclusion There are notable differences in coverage of maternal health services based on education, wealth quintile, province and place of residence. Addressing economic inequalities and provincial differences and harnessing technology to provide and equitable access to vital maternal and newborn health initiatives.

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Section: Institutional Deliverysupporting

confidence: 83%