IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0184688.html
   My bibliography  Save this article

Individual, household and contextual factors associated with skilled delivery care in Ethiopia: Evidence from Ethiopian demographic and health surveys

Author

Listed:
  • Markos Mezmur
  • Kannan Navaneetham
  • Gobopamang Letamo
  • Hadgu Bariagaber

Abstract

Despite evidence that social contexts are key determinants of health, research into factors associated with maternal health service utilization in Ethiopia has often focused on individual and household factors. The downside is that this underestimates the importance of taking contextual factors into account when planning appropriate interventions in promoting safe motherhood in the country. The purpose of this study is to fill this knowledge gap drawing attention to the largely unexplored contextual factors affecting the uptake of skilled attendance at delivery in a nationally representative sample. Data for the study comes from two rounds of the Ethiopian Demographic and Health Surveys (EDHS) conducted in the year 2005 and 2011. Analysis was done using a two-level multivariable multilevel logistic regression model with data from 14, 242 women who had a live birth in the five years preceding the surveys clustered within 540 (in the year 2005) and 624 (in the year 2011) communities. The results of the study point to multiple levels of measured and unmeasured factors affecting the uptake of skilled delivery care in the country. At community level, place of residence, community level of female education and fertility significantly predict the uptake of skilled delivery care. At individual and household level, maternal age, birth order, maternal education, household wealth and access to media predict the uptake of such service. Thus, there is a need to consider community contexts in the design of maternal health programs and employ multi-sectorial approach to addressing barriers at different levels. For example, improving access and availability of skilled delivery care should eventually enhance the uptake of such services at community level in Ethiopia. At individual level, efforts to promote the uptake of such services should constitute targeted interventions paying special attention to the needs of the youth, the multiparous, the less educated and women in the poorest households.

Suggested Citation

  • Markos Mezmur & Kannan Navaneetham & Gobopamang Letamo & Hadgu Bariagaber, 2017. "Individual, household and contextual factors associated with skilled delivery care in Ethiopia: Evidence from Ethiopian demographic and health surveys," PLOS ONE, Public Library of Science, vol. 12(9), pages 1-16, September.
    • Handle: RePEc:plo:pone00:0184688
    DOI: 10.1371/journal.pone.0184688
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0184688
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0184688&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0184688?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Stephenson, R. & Baschieri, A. & Clements, S. & Hennink, M. & Madise, N., 2006. "Contextual influences on the use of health facilities for childbirth in Africa," American Journal of Public Health, American Public Health Association, vol. 96(1), pages 84-93.
    2. Gage, Anastasia J., 2007. "Barriers to the utilization of maternal health care in rural Mali," Social Science & Medicine, Elsevier, vol. 65(8), pages 1666-1682, October.
    3. McTavish, Sarah & Moore, Spencer & Harper, Sam & Lynch, John, 2010. "National female literacy, individual socio-economic status, and maternal health care use in sub-Saharan Africa," Social Science & Medicine, Elsevier, vol. 71(11), pages 1958-1963, December.
    4. Kruk, Margaret E. & Rockers, Peter C. & Mbaruku, Godfrey & Paczkowski, Magdalena M. & Galea, Sandro, 2010. "Community and health system factors associated with facility delivery in rural Tanzania: A multilevel analysis," Health Policy, Elsevier, vol. 97(2-3), pages 209-216, October.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Seman K. Ousman & Jeanette H. Magnus & Johanne Sundby & Mekdes K. Gebremariam, 2020. "Uptake of Skilled Maternal Healthcare in Ethiopia: A Positive Deviance Approach," IJERPH, MDPI, vol. 17(5), pages 1-22, March.
    2. Tanvir M Huda & Morseda Chowdhury & Shams El Arifeen & Michael J Dibley, 2019. "Individual and community level factors associated with health facility delivery: A cross sectional multilevel analysis in Bangladesh," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-13, February.
    3. Samuel Hailegebreal & Girma Gilano & Atsedu Endale Simegn & Binyam Tariku Seboka, 2022. "Spatial variation and determinant of home delivery in Ethiopia: Spatial and mixed effect multilevel analysis based on the Ethiopian mini demographic and health survey 2019," PLOS ONE, Public Library of Science, vol. 17(3), pages 1-16, March.
    4. Mamunur Rashid & Mohammad Rocky Khan Chowdhury & Manzur Kader & Anne-Sofie Hiswåls & Gloria Macassa, 2022. "Determinants of Utilization of Institutional Delivery Services in Zambia: An Analytical Cross-Sectional Study," IJERPH, MDPI, vol. 19(5), pages 1-13, March.
    5. Tesfalidet Tekelab & Catherine Chojenta & Roger Smith & Deborah Loxton, 2019. "Factors affecting utilization of antenatal care in Ethiopia: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-24, April.
    6. Sanni Yaya & Ghose Bishwajit & Olalekan A Uthman & Agbessi Amouzou, 2018. "Why some women fail to give birth at health facilities: A comparative study between Ethiopia and Nigeria," PLOS ONE, Public Library of Science, vol. 13(5), pages 1-11, May.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Guliani, Harminder & Sepehri, Ardeshir & Serieux, John, 2012. "What impact does contact with the prenatal care system have on women’s use of facility delivery? Evidence from low-income countries," Social Science & Medicine, Elsevier, vol. 74(12), pages 1882-1890.
    2. Kruk, Margaret E. & Rockers, Peter C. & Mbaruku, Godfrey & Paczkowski, Magdalena M. & Galea, Sandro, 2010. "Community and health system factors associated with facility delivery in rural Tanzania: A multilevel analysis," Health Policy, Elsevier, vol. 97(2-3), pages 209-216, October.
    3. Adjiwanou, Vissého & Bougma, Moussa & LeGrand, Thomas, 2018. "The effect of partners' education on women's reproductive and maternal health in developing countries," Social Science & Medicine, Elsevier, vol. 197(C), pages 104-115.
    4. Van Rijsbergen, Bart & D’Exelle, Ben, 2013. "Delivery Care in Tanzania: A Comparative Analysis of Use and Preferences," World Development, Elsevier, vol. 43(C), pages 276-287.
    5. Adjiwanou, Vissého & LeGrand, Thomas, 2013. "Does antenatal care matter in the use of skilled birth attendance in rural Africa: A multi-country analysis," Social Science & Medicine, Elsevier, vol. 86(C), pages 26-34.
    6. Chitalu M. Chama-Chiliba & Steven F. Koch, 2014. "Assessing Regional Variations in the Effect of the Removal of User Fees on Institutional Deliveries in Rural Zambia," Working Papers 201417, University of Pretoria, Department of Economics.
    7. Kasim Allel & Gerard Abou Jaoude & Stavros Poupakis & Neha Batura & Jolene Skordis & Hassan Haghparast-Bidgoli, 2021. "Exploring the Associations between Early Childhood Development Outcomes and Ecological Country-Level Factors across Low- and Middle-Income Countries," IJERPH, MDPI, vol. 18(7), pages 1-15, March.
    8. Vellore Arthi & James Fenske, 2018. "Polygamy and child mortality: Historical and modern evidence from Nigeria’s Igbo," Review of Economics of the Household, Springer, vol. 16(1), pages 97-141, March.
    9. Alassane DRABO & Christian EBEKE, 2010. "Remittances, Public Health Spending and Foreign Aid in the Access to Health Care Services in Developing Countries," Working Papers 201004, CERDI.
    10. Jui-Chung Kao & Hsiang-Yu Ma & Nein-Tsu Chiang & Rui-Hsin Kao & Cheng-Chung Cho, 2021. "How to Establish a Sustainable Organization? A Study on the Relationship between Social Work Characteristics and Innovativeness for Employees of Organizations," Sustainability, MDPI, vol. 13(11), pages 1-18, June.
    11. Weber, Sabine & Landolt, Markus A. & Maier, Thomas & Mohler-Kuo, Meichun & Schnyder, Ulrich & Jud, Andreas, 2017. "Psychotherapeutic care for sexually-victimized children – Do service providers meet the need? Multilevel analysis," Children and Youth Services Review, Elsevier, vol. 73(C), pages 165-172.
    12. Philip J Ciampa & Lara ME Vaz & Meridith Blevins & Moshin Sidat & Russell L Rothman & Sten H Vermund & Alfredo E Vergara, 2012. "The Association among Literacy, Numeracy, HIV Knowledge and Health-Seeking Behavior: A Population-Based Survey of Women in Rural Mozambique," PLOS ONE, Public Library of Science, vol. 7(6), pages 1-8, June.
    13. Cogburn, Megan D., 2020. "Homebirth fines and health cards in rural Tanzania: On the push for numbers in maternal health," Social Science & Medicine, Elsevier, vol. 254(C).
    14. Woojin Chung & Hoo-Sun Chang & Sun-Min Oh & Chung-Won Yoon, 2013. "Factors associated with long-stay status in patients with schizophrenia: An analysis of national databases covering the entire Korean population," International Journal of Social Psychiatry, , vol. 59(3), pages 207-216, May.
    15. Muhammad Farhan Asif & Salima Meherali & Ghulam Abid & Muhammad Safdar Khan & Zohra S. Lassi, 2022. "Predictors of Child’s Health in Pakistan and the Moderating Role of Birth Spacing," IJERPH, MDPI, vol. 19(3), pages 1-11, February.
    16. Patience Aseweh Abor & Gordon Abekah‐Nkrumah & Kojo Sakyi & Charles K.D. Adjasi & Joshua Abor, 2011. "The socio‐economic determinants of maternal health care utilization in Ghana," International Journal of Social Economics, Emerald Group Publishing Limited, vol. 38(7), pages 628-648, June.
    17. Bove, Riley M. & Vala-Haynes, Emily & Valeggia, Claudia R., 2012. "Women's health in urban Mali: Social predictors and health itineraries," Social Science & Medicine, Elsevier, vol. 75(8), pages 1392-1399.
    18. Pratley, Pierre, 2016. "Associations between quantitative measures of women's empowerment and access to care and health status for mothers and their children: A systematic review of evidence from the developing world," Social Science & Medicine, Elsevier, vol. 169(C), pages 119-131.
    19. Jean-Claude Kouladoum, 2023. "Inclusive Education and Health Performance in Sub Saharan Africa," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 165(3), pages 879-900, February.
    20. Igor Francetic & Günther Fink & Fabrizio Tediosi, 2021. "Impact of social accountability monitoring on health facility performance: Evidence from Tanzania," Health Economics, John Wiley & Sons, Ltd., vol. 30(4), pages 766-785, April.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0184688. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.