Table 6.

Multivariable model of switching to facilities, among women whose 1st delivery occurred at home

Determinant	Outcome	Switching to facility
	Sample	All women with 1st delivery at home		Women who had exactly two deliveries and 1st delivery at home
		(n = 16,109)		(n = 13,535)
		OR (95% CI)	P-value	OR (95% CI)	P-value
Biological/perceived need
Woman’s age group at 1st delivery	10–19	Ref	0.126	Ref	0.548
	20–24	1.25 (1.03–1.52)		1.12 (0.90–1.39)
	25–29	1.23 (0.83–1.84)		1.12 (0.72–1.73)
	30–34	0.97 (0.48–1.93)		0.93 (0.47–1.86)
	35+	0.22 (0.06–0.76)		0.10 (0.02–0.50)
Birth interval between 1st and 2nd delivery	<24 months	Ref	0.011	Ref	0.070
	24+ months	1.28 (1.06–1.55)		1.22 (0.98–1.51)
2nd delivery multiple gestation	No	Ref	0.068	Ref	0.101
	Yes	2.30 (0.94–5.61)		2.56 (0.83–7.87)
Child from 1st delivery alive at time of 2nd delivery	No	Ref	<0.001	Ref	<0.001
	Yes	0.41 (0.31–0.52)		0.44 (0.33–0.59)
Socioeconomic
Woman’s education level	No education	Ref	<0.001	Ref	<0.001
	Primary	1.56 (1.21–2.01)		1.13 (0.86–1.48)
	Secondary/higher	2.23 (1.72–2.89)		1.53 (1.16–2.02)
Rural residence	No	Ref	<0.001	Ref	0.003
	Yes	0.52 (0.41–0.66)		0.53 (0.42–0.68)
In two poorest wealth quintiles	No	Ref	<0.001	Ref	0.001
	Yes	0.63 (0.51–0.77)		0.68 (0.55–0.85)
Pregnancy care
Birth attendant at 1st delivery	Non-SBA	Ref	0.042	Ref	0.254
	SBA	1.31 (1.01–1.69)		1.18 (0.89–1.55)
Number of ANC visits for 2nd delivery	None			Ref	<0.001
	1			2.50 (1.48–4.20)
	2			2.40 (1.54–3.73)
	3			2.90 (1.91–4.39)
	4			4.74 (3.03–7.43)
	5 or more			5.63 (3.77–8.41)
Availability of care
% Of all deliveries in facilities (stratum mean)	(Continuous variable, odds associated with 1% increase in)	1.03 (1.02–1.03)	<0.001	1.02 (1.01–1.03)	<0.001

Models controlled for effect of country.

P-values of likelihood ratio test.