Table 4.
Factors associated with healthcare facility for delivery in Togo
Bivariate analysis (OR, 95%CI) | Multivariable analysis (OR, 95%CI) | |||||
---|---|---|---|---|---|---|
Overall | Urban | Rural | Overall | Urban | Rural | |
Healthcare facility | ||||||
Age groups (15–24) | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. |
25–34 |
1.01 [0.85,1.21] |
0.91 [0.46,1.79] |
0.91 [0.75,1.11] |
1.48** [1.15,1.91] |
1.19 [0.53,2.64] |
1.48** [1.13,1.94] |
35–49 |
0.67*** [0.55,0.80] |
0.75 [0.35,1.60] |
0.68*** [0.56,0.84] |
1.59** [1.16,2.18] |
1.65 [0.58,4.67] |
1.56** [1.12,2.17] |
Education (no education) | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. |
Primary |
2.66*** [2.28,3.10] |
2.05** [1.19,3.53] |
2.24*** [1.89,2.64] |
1.62*** [1.34,1.96] |
1.42 [0.75,2.67] |
1.61*** [1.32,1.97] |
Secondary and higher |
9.59*** [7.38,12.46] |
10.24*** [4.22,24.88] |
5.62*** [4.23,7.46] |
3.47*** [2.55,4.73] |
5.45*** [2.02,14.77] |
3.21*** [2.32,4.46] |
Religion (Christian) | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. |
Muslim |
0.90 [0.74,1.10] |
0.30*** [0.17,0.53] |
1.11 [0.89,1.39] |
1.36* [1.07,1.74] |
0.58 [0.29,1.15] |
1.61*** [1.24,2.10] |
Indigenous beliefs |
0.22*** [0.19,0.26] |
0.20*** [0.09,0.42] |
0.36*** [0.30,0.42] |
0.59*** [0.49,0.71] |
0.53 [0.22,1.30] |
0.61*** [0.50,0.75] |
Ethnicity (Adja-ewe/Mina) | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. |
Kabye/Tem |
0.46*** [0.37,0.56] |
0.34** [0.16,0.69] |
0.68*** [0.54,0.86] |
0.73* [0.55,0.97] |
0.57 [0.24,1.31] |
0.78 [0.57,1.06] |
Akposso/Akebou |
0.40*** [0.27,0.58] |
0.36 [0.08,1.64] |
0.63* [0.42,0.95] |
0.58* [0.38,0.90] |
0.36 [0.07,1.74] |
0.62* [0.39,0.97] |
Ana-ife |
0.48*** [0.31,0.75] |
0.46 [0.06,3.64] |
0.79 [0.49,1.27] |
0.87 [0.52,1.45] |
0.70 [0.08,5.95] |
0.89 [0.53,1.52] |
Para-gourma/Akan |
0.21*** [0.17,0.25] |
0.26*** [0.12,0.55] |
0.34*** [0.27,0.42] |
0.59*** [0.43,0.82] |
0.43 [0.16,1.14] |
0.62** [0.44,0.88] |
Other |
0.26*** [0.18,0.39] |
0.13** [0.03,0.48] |
0.46*** [0.30,0.70] |
0.60* [0.37,0.98] |
0.28 [0.06,1.36] |
0.61 [0.36,1.03] |
Non-togolese |
1.25 [0.78,2.00] |
0.34* [0.14,0.81] |
1.06 [0.56,2.01] |
0.74 [0.43,1.26] |
0.48 [0.19,1.23] |
1.06 [0.53,2.13] |
Residence (Urban) | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. |
Rural |
0.09*** [0.07,0.11] |
0.93 [0.57,1.53] |
||||
Region (Grande agglomération de Lomé) | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. |
Maritime |
0.19*** [0.11,0.30] |
0.98 [0.51,1.86] |
||||
Plateaux |
0.07*** [0.05,0.11] |
0.31** [0.14,0.67] |
0.39*** [0.28,0.53] |
0.39** [0.21,0.72] |
0.27** [0.11,0.67] |
0.42*** [0.29,0.60] |
Centrale |
0.11*** [0.07,1.18] |
0.52 [0.22,1.23] |
0.58** [0.41,0.81] |
0.63 [0.34,1.18] |
1.11 [0.40,3.08] |
0.62* [0.41,0.95] |
Kara |
0.05*** [0.03,0.08] |
0.25*** [0.12,0.54] |
0.26*** [0.19,0.36] |
0.50* [0.27,0.93] |
0.48 [0.19,1.24] |
0.51** [0.34,0.78] |
Savanes |
0.04*** [0.02,0.05] |
0.24*** [0.12,0.51] |
0.20*** [0.15,0.26] |
0.62 [0.33,1.18] |
0.88 [0.31,2.50] |
0.64* [0.41,0.99] |
Health insurance (No) | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. |
Yes |
6.45*** [3.29,12.65] |
4.98 [0.68,36.29] |
4.35*** [2.08,9.10] |
2.36* [1.12,4.94] |
2.62 [0.33,20.80] |
2.29* [1.03,5.11] |
Parity (1–2) | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. |
3–4 |
0.62*** [0.52,0.74] |
0.45* [0.24,0.83] |
0.70*** [0.58,0.86] |
0.68** [0.53,0.88] |
0.55 [0.26,1.16] |
0.72* [0.55,0.94] |
> 4 |
0.31*** [0.26,0.37] |
0.26*** [0.13,0.50] |
0.46*** [0.38,0.55] |
0.62*** [0.47,0.83] |
0.44 [0.17,1.11] |
0.66** [0.49,0.88] |
Last child wanted (No) | Ref. | Ref. | Ref. | |||
Yes |
1.04 [0.79,1.36] |
1.36 [0.61,3.06] |
1.28 [0.94,1.74] |
|||
Currently employed (No) | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. |
Yes |
0.62*** [0.51,0.76] |
1.94* [1.12,3.35] |
0.59*** [0.47,0.74] |
0.90 [0.71,1.14] |
2.18* [1.16,4.09] |
0.78 [0.61,0.99] |
Wealth index (Poorest) | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. |
Poorer |
2.12*** [1.77,2.54] |
1.52 [0.25,9.29] |
2.13*** [1.78,2.55] |
1.60*** [1.31,1.97] |
1.01 [0.14,7.02] |
1.62*** [1.32,1.99] |
Middle |
4.68*** [3.81,5.75] |
3.11 [0.75,12.86] |
4.66*** [3.77,5.75] |
2.67*** [2.09,3.40] |
2.29 [0.47,11.22] |
2.70*** [2.11,3.46] |
Richer |
19.80*** [14.05,27.92] |
11.09*** [3.08,39.96] |
22.41*** [10.95,45.89] |
6.75*** [4.04,11.30] |
5.96* [1.31,27.21] |
8.30*** [3.95,17.44] |
Richest |
44.67*** [27.29,73.12] |
27.07*** [7.20,101.80] |
11.89*** [1.54,91.70] |
8.53*** [4.06,17.92] |
8.39** [1.65,42.56] |
2.04 [0.25,16.15] |
Odds ratios with 95% confidence intervals in brackets. Level of significance = * p < 0.05, ** p < 0.01, *** p < 0.001