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

Author

Listed:
  • Mamunur Rashid

    (Department of Public Health and Sports Science, Faculty of Health and Occupational Studies, University of Gävle, Kungsbacksvägen 47, 80176 Gävle, Sweden)

  • Mohammad Rocky Khan Chowdhury

    (Department of Epidemiology and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, University of Monash, 553 St Kilda Road, Melbourne, VIC 3004, Australia
    Department of Public Health, First Capital University of Bangladesh, Chuadanga 7200 R747, Bangladesh)

  • Manzur Kader

    (Institute of Environmental Medicine, Karolinska Institute, Solnavägen 1, 17177 Solna Stockholm, Sweden)

  • Anne-Sofie Hiswåls

    (Department of Public Health and Sports Science, Faculty of Health and Occupational Studies, University of Gävle, Kungsbacksvägen 47, 80176 Gävle, Sweden)

  • Gloria Macassa

    (Department of Public Health and Sports Science, Faculty of Health and Occupational Studies, University of Gävle, Kungsbacksvägen 47, 80176 Gävle, Sweden)

Abstract

Institutional delivery at birth is an important indicator of improvements in maternal health, which remains one of the targets of sustainable development goals intended to reduce the maternal mortality ratio. The purpose of the present study was to identify the determinants of utilization of institutional delivery in Zambia. A population-based cross-sectional study design was used to examine 9841 women aged 15–49 years from the 2018 Zambia Demographic and Health Survey. A multiple logistic regression was applied to calculate odds ratios (ORs) with 95% confidence intervals (CIs) to identify determinants of utilization of institutional delivery. Sociodemographic factors were significantly associated with institutional delivery: woman’s (OR: 1.76; 95% CI: 1.04–2.99) and husband’s (OR: 1.83; 95% CI: 1.09–3.05) secondary/higher education, higher wealth index (OR: 2.31; 95% CI: 1.27–4.22), and rural place of residence (OR: 0.55; 95% CI: 0.30–0.98). Healthcare-related factors were also significantly associated with institutional delivery: 5–12 visits to antenatal care (OR: 2.33; 95% CI: 1.66–3.26) and measuring blood pressure (OR: 2.15; 95% CI: 1.32–2.66) during pregnancy. To improve institutional delivery and reduce maternal and newborn mortality, policymakers and public health planners should design an effective intervention program targeting these factors.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:5:p:3144-:d:766054
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    References listed on IDEAS

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    1. Sanni Yaya & Ghose Bishwajit & Michael Ekholuenetale, 2017. "Factors associated with the utilization of institutional delivery services in Bangladesh," PLOS ONE, Public Library of Science, vol. 12(2), pages 1-14, February.
    2. Juan Ignacio Ruiz & Kaamel Nuhu & Justin Tyler McDaniel & Federico Popoff & Ariel Izcovich & Juan Martin Criniti, 2015. "Inequality as a Powerful Predictor of Infant and Maternal Mortality around the World," PLOS ONE, Public Library of Science, vol. 10(10), pages 1-11, October.
    3. 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.
    4. 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.
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