Table 6.
Model 3—determinants of completing maternal health pathway among continuous care users (n = 3802).
| Unadjusted |
Adjustedb |
|||
|---|---|---|---|---|
| ORa [95% CI] | Wald test (P-value) | aORa [95% CI] | Wald test (P-value) | |
| Intervention group | ||||
| Comparison county | Reference | Reference | ||
| Voucher county | 1.09 [0.94, 1.25] | 0.247 | 1.02 [0.79, 1.32] | 0.880 |
| Period | ||||
| Period 2 (base = Period 1) | 0.95 [0.80, 1.11] | 0.489 | 0.85 [0.25, 2.85] | 0.785 |
| Period 3 (base = Period 2) | 1.35 [1.08, 1.68] | 0.008 | 1.02 [0.56, 1.87] | 0.944 |
| Interaction terms | ||||
| Period 2 × Voucher county | 0.88 [0.64, 1.20] | 0.408 | 0.82 [0.59, 1.15] | 0.254 |
| Period 3 × Voucher county | 1.38 [0.89, 2.13] | 0.143 | 1.19 [0.77, 1.87] | 0.419 |
| ANC timing | ||||
| Delayed ANC | Reference | Reference | ||
| Early ANC | 3.89 [3.17, 4.76] | <0.001 | 3.80 [3.08, 4.69] | <0.001 |
| Source of continuous care | ||||
| All services public sector | Reference | Reference | ||
| All services private sector | 1.09 [0.91, 1.30] | 0.336 | 1.02 [0.84, 1.24] | 0.850 |
| Mixed public and private sector | 1.09 [0.88, 1.34] | 0.427 | 1.01 [0.80, 1.26] | 0.947 |
| Maternal age at birth | ||||
| <25 years | Reference | Reference | ||
| 25–34 years | 1.16 [0.98, 1.37] | 0.092 | 1.37 [1.12, 1.67] | 0.002 |
| ≥35 years | 1.07 [0.86, 1.35] | 0.531 | 1.58 [1.18, 2.11] | 0.003 |
| Highest level of education | ||||
| No education and incomplete primary | Reference | Reference | ||
| Completed primary and incomplete secondary | 1.05 [0.87, 1.27] | 0.580 | 1.05 [0.85, 1.28] | 0.674 |
| Completed secondary/higher | 1.65 [1.33, 2.03] | <0.001 | 1.42 [1.13, 1.78] | 0.003 |
| Wealth quintile | ||||
| Poorest | Reference | Reference | ||
| Poorer | 0.87 [0.67, 1.12] | 0.267 | 0.87 [0.67, 1.13] | 0.288 |
| Middle | 1.02 [0.79, 1.31] | 0.893 | 1.00 [0.78, 1.29] | 0.985 |
| Less poor | 0.98 [0.78, 1.23] | 0.870 | 0.87 [0.70, 1.08] | 0.210 |
| Least poor | 1.18 [0.94, 1.47] | 0.154 | 0.96 [0.76, 1.22] | 0.757 |
| Area of residence | ||||
| Rural | Reference | Reference | ||
| Urban | 1.00 [0.85, 1.17] | 0.982 | 1.00 [0.82, 1.20] | 0.967 |
| Marital status | ||||
| Unmarried | Reference | Reference | ||
| Currently married | 1.24 [1.03, 1.50] | 0.026 | 1.30 [1.04, 1.61] | 0.021 |
| Employment status | ||||
| Unemployed | Reference | Reference | ||
| Informally employed | 0.90 [0.78, 1.05] | 0.188 | 0.93 [0.60, 1.11] | 0.427 |
| Formally employed | 1.03 [0.84, 1.26] | 0.789 | 1.04 [0.83, 1.30] | 0.714 |
| Parity | ||||
| 1 child | Reference | Reference | ||
| 2–3 children | 0.81 [0.68, 0.97] | 0.022 | 0.76 [0.60, 0.95] | 0.016 |
| ≥4 children | 0.73 [0.59, 0.89] | 0.002 | 0.64 [0.48, 0.86] | 0.003 |
| Insurance coverage | ||||
| Uninsured | Reference | Reference | ||
| Insured | 1.57 [1.29, 1.91] | <0.001 | 1.30 [1.03, 1.64] | 0.028 |
a
Reported odds ratios (OR) compare the odds of completing the maternal health pathway vs receiving continuous, sub-optimal care.
b
Adjusted odds ratio (aOR) is adjusted for child’s year of birth and all other variables reported in the table.