IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0124718.html
   My bibliography  Save this article

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

Author

Listed:
  • 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
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0124718
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0124718&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0124718?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. 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.
    3. 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.
    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. 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.

    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. Rishworth, Andrea & Dixon, Jenna & Luginaah, Isaac & Mkandawire, Paul & Tampah Prince, Caesar, 2016. "“I was on the way to the hospital but delivered in the bush”: Maternal health in Ghana's Upper West Region in the context of a traditional birth attendants' ban," Social Science & Medicine, Elsevier, vol. 148(C), pages 8-17.
    2. Spangler, Sydney A. & Bloom, Shelah S., 2010. "Use of biomedical obstetric care in rural Tanzania: The role of social and material inequalities," Social Science & Medicine, Elsevier, vol. 71(4), pages 760-768, August.
    3. Patience A Afulani & Cheryl Moyer, 2016. "Explaining Disparities in Use of Skilled Birth Attendants in Developing Countries: A Conceptual Framework," PLOS ONE, Public Library of Science, vol. 11(4), pages 1-16, April.
    4. Fiifi Amoako Johnson & Sabu S Padmadas & Zoë Matthews, 2013. "Are Women Deciding against Home Births in Low and Middle Income Countries?," PLOS ONE, Public Library of Science, vol. 8(6), pages 1-10, June.
    5. Gayen, Kaberi & Raeside, Robert, 2007. "Social networks, normative influence and health delivery in rural Bangladesh," Social Science & Medicine, Elsevier, vol. 65(5), pages 900-914, September.
    6. Chaofang Yan & Charuwan Tadadej & Kanittha Chamroonsawasdi & Natkamol Chansatitporn & John FC Sung, 2020. "Ethnic Disparities in Utilization of Maternal and Child Health Services in Rural Southwest China," IJERPH, MDPI, vol. 17(22), pages 1-12, November.
    7. 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.
    8. D. Mark Anderson & Ryan Brown & Kerwin Kofi Charles & Daniel I. Rees, 2016. "The Effect of Occupational Licensing on Consumer Welfare: Early Midwifery Laws and Maternal Mortality," NBER Working Papers 22456, National Bureau of Economic Research, Inc.
    9. 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.
    10. 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.
    11. Edmonds, Joyce K. & Hruschka, Daniel & Bernard, H. Russell & Sibley, Lynn, 2012. "Women’s social networks and birth attendant decisions: Application of the Network-Episode Model," Social Science & Medicine, Elsevier, vol. 74(3), pages 452-459.
    12. 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.
    13. Rossi, Pauline & Rouanet, Léa, 2015. "Gender Preferences in Africa: A Comparative Analysis of Fertility Choices," World Development, Elsevier, vol. 72(C), pages 326-345.
    14. Jahar Bhowmik & Raaj Kishore Biswas & Nurjahan Ananna, 2020. "Women’s education and coverage of skilled birth attendance: An assessment of Sustainable Development Goal 3.1 in the South and Southeast Asian Region," PLOS ONE, Public Library of Science, vol. 15(4), pages 1-18, April.
    15. Molina, Oswaldo & Saldarriaga, Victor, 2017. "The perils of climate change: In utero exposure to temperature variability and birth outcomes in the Andean region," Economics & Human Biology, Elsevier, vol. 24(C), pages 111-124.
    16. Nickel, Sigrun & Püttmann, Vitus & Schulz, Nicole, 2018. "Trends im berufsbegleitenden und dualen Studium: Vergleichende Analysen zur Lernsituation von Studierenden und Studiengangsgestaltung," Study / edition der Hans-Böckler-Stiftung, Hans-Böckler-Stiftung, Düsseldorf, volume 127, number 396, March.
    17. Sameh El-Saharty & Naoko Ohno & Intissar Sarker & Federica Secci & Somil Nagpal, 2014. "Bhutan: Maternal and Reproductive Health at a Glance," Health, Nutrition and Population (HNP) Knowledge Briefs 93556, The World Bank.
    18. Meera Chatterjee & Ruth Levine & Nirmala Murthy & Shreelata Rao-Seshadri, 2008. "Sparing Lives : Better Reproductive Health for Poor Women in South Asia, Summary for Policymakers," World Bank Publications - Reports 7848, The World Bank Group.
    19. Heaton, Tim B. & Forste, Renata & Hoffmann, John P. & Flake, Dallan, 2005. "Cross-national variation in family influences on child health," Social Science & Medicine, Elsevier, vol. 60(1), pages 97-108, January.
    20. 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.

    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:pone00:0124718. 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.