Table 3.
Factors associated with level of institutional delivery service utilization among women at Ga’an Libah district, Marodijeh region, Somaliland
| Characteristics/Variables | Institutional Delivery Service Utilization | COR (Cl 95%) | AOR (Cl 95%) | P-Value (< 0.05) | |
|---|---|---|---|---|---|
| Yes (%) | No (%) | ||||
| Women’s education | |||||
| Can read and write | 52(34.4) | 30(20.3) | 1.73 (1.02–2.94) | 2.18(1.04–4.56)) | 0.038* |
| Can’t read and write | 99(65.6) | 99(76.7) | 1r | 1r | 1r |
| Husband education | |||||
| Can read and write | 49(32.5) | 47(36.7) | 8.599 (2.382–31.037) | 6.95(2.823–21.5) | 0.003* |
| Can’t read and write | 86(56.95) | 78 (60.9) | 2.915 (0.808–10.518) | 3.28(0.550–19.58) | 0.118 |
| Primary education | 16(10.59) | 4(3.100) | 1r | 1r | 1r |
| Antenatal care visit | |||||
| Yes | 126 (83.4) | 23(17.8) | 0.043 (0.02–0.08) | 1.448 (0.65–3.18) | 0.357 |
| No | 25 (16.55) | 106(82.2) | 1r | 1r | |
| Reason for home delivery | |||||
| Lack of transportation | 56(37.08) | 69(53.5) | 1.951 (1.209–3.14) | 1.41(0.55–3.58) | 0.474 |
| Long distance to health facilities | 95 (62.91) | 60(46.5) | 1r | 1r | 1r |
| The ability for cost transportation for referral | |||||
| Yes | 124(82.1) | 63 (48.8) | 0.208 (0.121–0.357) | 5.21(2.44–11.13) | 0.000* |
| No | 27(17.88) | 66 (51.2) | 1r | 1r | 1r |
| Happy service at the health facility | |||||
| Yes | 71 (47.0) | 20(15.5) | 1r | 1r | 1r |
| No | 80 (52.98) | 109(84.5) | 0.207 (0.116–0.367) | 0.35(0.09–2.11) | 0.255 |
| What make women not to deliver nearest heath facility | |||||
| lack of privacy | 21(13.9) | 7(5.4) | 0.06 (0.021–0.223) | 0.267 | 0.066 |
| long distance to health facility | 52(34.4) | 68(52.7) | 0.26 (0.111–0.656) | 0.034 | 0.171 |
| Not good service available | 71(47.0) | 20(15.5) | 0.05 (0.02–0.15) | 0.07(0.01–0.10) | 0.021* |
| Sudden onset of labor | 7(4.6) | 34 (26.4) | 1r | 1r | 1r |
| Previous traditional habit before the delivery | |||||
| Yes, for traditional habit | 22(14.6) | 34(26.4) | 8.28(3.58–19.15) | 1.67(0.20–13.34) | 0.628 |
| No for traditional habit | 70(46.4) | 84 (65.1) | 6.43(3.14–13.19) | 2.26(0.41–12.37) | 0.343 |
| don’t know the traditional habit | 59 (39.1) | 11(8.5) | 1r | 1r | 1r |
| Which of the list barrier you not to delivering health facility for your last delivery | |||||
| Geographical location | 80(52.9) | 70(54.3) | 0.342(0.182–0.644) | 0.267(0.045–1.58) | 0.146 |
| Lack of knowledge | 53(35.1) | 13(10.1) | 0.096(0.042–0.217) | 0.034(0.02–0.57) | 0.019* |
| Socio-economic related | 18(11.9) | 46(35.7) | 1r | 1r | 1r |
| Healthcare workers had not have respect for those deliver (Bad attitudes of health workers) | |||||
| Yes | 93(61.6) | 66(51.2) | 0.653(0.406–1.052) | 0.610(0.275–1.351) | 0.223 |
| No | 58(38.4) | 63(48.8) | 1r | 1r | |
| Health facility staff availability | |||||
| Yes | 87(57.6) | 68(52.7) | 0.660(0.411–1.059) | 0.84(0.37–1.90) | 0.677 |
| No | 64(42.4) | 61(47.3) | 1r | 1r | |
| The quality of services given in health facilities is not good | |||||
| Yes | 108(71.5) | 105(81.4) | 1.742(0.988–3.071) | 2.290(0.77–6.71) | 0.100 |
| No | 43(28.5) | 24(18.6) | 1r | 1r | 1 |
Note: 1r stand for reference category