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Why Do Women Deliver at Home? Multilevel Modeling of Ethiopian National Demographic and Health Survey Data

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  • Henock Yebyo
  • Mussie Alemayehu
  • Alemayehu Kahsay

Abstract

Background: Despite of the existing intensive efforts to improve maternal health in Ethiopia, the proportion of birth delivered at home remains high and is still the top priority among the national health threats. Objective: The study aimed to examine effects of individual women and community-level factors of women’s decision on place of delivery in Ethiopia. Methods: Data were obtained from the nationally representative 2011 Ethiopian Demographic and Health Survey (EDHS) which used a two-stage cluster sampling design with rural-urban and regions as strata. The EDHS collected data from a big sample size but our study focused on a sample of 7,908 women whose most recent birth was within five years preceding 2011 and 576 communities in which the women were living in. The data were analyzed using a two-level mixed-effects logistic regression to determine fixed-effects of individual- and community-level factors and random-intercept of between-cluster characteristics. Results: In the current study, 6980 out of 7908 deliveries (88.3%) took place at home. Lower educational levels (OR=2.74, 95%CI:1.84,4.70; p

Suggested Citation

  • Henock Yebyo & Mussie Alemayehu & Alemayehu Kahsay, 2015. "Why Do Women Deliver at Home? Multilevel Modeling of Ethiopian National Demographic and Health Survey Data," PLOS ONE, Public Library of Science, vol. 10(4), pages 1-14, April.
    • Handle: RePEc:plo:pone00:0124718
    DOI: 10.1371/journal.pone.0124718
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    References listed on IDEAS

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    1. WHO & UNICEF & UNFPA & World Bank & United Nations Population Division, 2014. "Trends in Maternal Mortality : 1990 to 2013," World Bank Publications - Books, The World Bank Group, number 18203, December.
    2. 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.
    3. Paul, Bimal Kanti & Rumsey, Deborah J., 2002. "Utilization of health facilities and trained birth attendants for childbirth in rural Bangladesh: an empirical study," Social Science & Medicine, Elsevier, vol. 54(12), pages 1755-1765, June.
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    Cited by:

    1. Victoria M Gammino & Michael R Diaz & Sarah W Pallas & Abigail R Greenleaf & Molly R Kurnit, 2020. "Health services uptake among nomadic pastoralist populations in Africa: A systematic review of the literature," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 14(7), pages 1-23, July.
    2. 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.
    3. Habtamu Tolera & Tegegne Gebre-Egziabher & Helmut Kloos, 2019. "Utilization of decentralized health facilities and factors influencing women’s choice of a delivery site in Gida Ayana Woreda, western Ethiopia," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-16, May.
    4. 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.
    5. Yan Xu & Michael Yao-Ping Peng & Rolle Remi Ahuru & Muhammad Khalid Anser & Romanus Osabohien & Ayesha Aziz, 2022. "Individual and community-level factors associated with non-institutional delivery of women of childbearing-age in Nigeria," Palgrave Communications, Palgrave Macmillan, vol. 9(1), pages 1-7, December.

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