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Individual and community-level factors associated with non-institutional delivery of women of childbearing-age in Nigeria

Author

Listed:
  • Yan Xu

    (Fujian University of Technology)

  • Michael Yao-Ping Peng

    (Foshan University)

  • Rolle Remi Ahuru

    (University of Benin)

  • Muhammad Khalid Anser

    (Xi’an University of Architecture and Technology, Beilin)

  • Romanus Osabohien

    (Covenant University
    ILMA University)

  • Ayesha Aziz

    (ILMA University)

Abstract

Maternal health is a major concern in Africa especially due to high level of maternal mortality in the region. A significant cause of high mortality is the unavailability of health facilities and preference for home-based delivery often carried out by unskilled health attendants. Reports reveal that 69% of young women in Nigeria opt for home-based delivery in Nigeria and some of these mothers lose their lives as a result of childbirth complications that are not properly attended to. This trend calls for urgent concern in the nation’s health system. Against this backdrop, this study examined the determinants of non-institutional delivery among women of reproductive age in Nigeria using the country’s National Demographic Health Survey [NDHS] (2018. Demographic health survey data. NPC and ICF, Abuja, Nigeria and Rockville. MD, USA) The data for this study include 12,567 of women of childbearing-age contained in the NDHS data. To analyse the data, the multilevel binary logistic regression was used to examine the determinants of non-institutional delivery among the women of childbearing-age. The results were presented using adjusted odds ratios (AOR) with 95% confidence interval. The result revealed that 56.8% of women preferred to have their children outside health institutions. The findings further revealed that educated women including urban dwellers, women with some level of formal education, high exposure to news media, high level of income and women with significant level of autonomy were less likely to deliver their babies outside health institutions. Based on the findings of the study, that there is the need to expand educational opportunities for Nigerian women, enhance and strengthen advocacy, and utilise focused group discussions, family outreach programmes and peer education to educate mothers on the benefits of using healthcare facilities during childbirth.

Suggested Citation

  • 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.
    • Handle: RePEc:pal:palcom:v:9:y:2022:i:1:d:10.1057_s41599-022-01168-7
    DOI: 10.1057/s41599-022-01168-7
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    References listed on IDEAS

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    1. 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.
    2. Bola Lukman Solanke, 2021. "Do the determinants of institutional delivery among childbearing women differ by health insurance enrolment? Findings from a population‐based study in Nigeria," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(3), pages 668-688, May.
    3. 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.
    4. John Kuumuori Ganle & Musah Salifu Mahama & Ernest Maya & Abubakar Manu & Kwasi Torpey & Richard Adanu, 2019. "Understanding factors influencing home delivery in the context of user‐fee abolition in Northern Ghana: Evidence from 2014 DHS," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(2), pages 727-743, April.
    5. Michael Ekholuenetale & Faith Owunari Benebo & Ashibudike Francis Idebolo, 2020. "Individual-, household-, and community-level factors associated with eight or more antenatal care contacts in Nigeria: Evidence from Demographic and Health Survey," PLOS ONE, Public Library of Science, vol. 15(9), pages 1-19, September.
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