Determine the Associated Factors Affecting the Quality of Delivery Service among Women Who Delivered Birth in Ethiopia Using a Multilevel Multinomial Logistic Regression Model

Introduction: Delivery service from a qualified partner is critical to reducing the risk of problems and infections that could kill mothers or gravely afflict babies. Ethiopia still has a low coverage rate for delivery services, even though using them is essential for improving the health of expecting mothers and infants. Thus, the goal of this study was to identify the relevant factors influencing the quality of delivery care among women who gave birth in Ethiopia by using a multilevel multinomial logistic regression model.

Method: The 2019 Ethiopian demographic and health survey, which was performed among an adjusted sample of 15,683 women overall, provided secondary data for the study. For the purpose of the current study, a multilevel multinomial logistic regression model was constructed.

Result: Out of a total of 15683 women who gave birth, 64.8%, 30.7%, and 4.5% of them gave birth at home, in public, and in private, respectively. Among the covariates, women live in urban residences (OR=1.79; 95% CI=0.47, 0.70; P-value=0.000). Religion of women (Catholic (OR=1.75; 95% CI=0.10, 1.02); P-value=0.017); Protestant (OR=1.32; 95% CI= 0.16; 0.39); value=0.000, Muslim (OR=1.34; 95% CI (0.19, 0.40), p-value=0.000), traditional (OR=2.34;95%CI (0.35,1.36), p-value=0.00), education level (primary OR=1.62; 95% CI (0.58, 1.38), p-value=0.000, secondary OR=1.99; 95% CI (0.85, 1.53), p-value=0.000, higher OR=1.57; 95% CI (0.64, 1.26), p-value=0.000), wealth status of women (middle (OR=0.64; 95% CI (-0.30,-0.1), p-value=0.003, rich women (OR=0.49; 95%CI (-0.95, -0.48), p-value=0.000) were significant effect on delivery service at public variation between regions in the delivery service for women who gave birth had a significant effect.

Conclusion: Place of residence, religion, education level, wealth status of women, and occupation of women had a significant effect on the quality of delivery service of women who gave birth in Ethiopia under multilevel multinomial logistic regression model consideration and when regional heterogeneity was included at a 5% level of significance. Healthcare professionals and health extension workers should raise awareness among uneducated, poor, and rural women in order to use institutional and private delivery.

Author(s): Dagne Tesfaye Mengistie*

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