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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