Table 4.
Factors associated with utilization of private over public health facilities for child delivery
| Variables | Choice of facility for child delivery | Crude PR (95% CI) | Adjusted PRs (95% CIs) | P Value | |
|---|---|---|---|---|---|
| Public (N = 116) | Private (N = 690) | ||||
| Age of mother | |||||
| 16–25 | 67 (16.3) | 345 (83.7) | 1 | ||
| 26–35 | 41 (12.4) | 290 (87.6) | 1.05 (0.99–1.11) | ||
| 36–45 | 8 (12.7) | 55 (87.3) | 1.04 (0.94–1.16) | ||
| Education status of mothers | |||||
| None | 6 (10.0) | 54 (90.0) | 1.08 (0.98–1.18) | ||
| Primary | 71 (16.5) | 359 (83.5) | 1 | ||
| Secondary | 29 (12.2) | 209 (87.8) | 1.05 (0.99–1.12) | ||
| Tertiary | 10 (12.8) | 68 (87.2) | 1.04 (0.95–1.15) | ||
| Marital status | |||||
| Married or cohabiting | 95 (13.4) | 616 (86.6) | 1 | 1 | |
| Single / unmarried | 11 (19.3) | 46 (80.7) | 0.93 (0.82–1.06) | 0.91 (0.81–1.03) | 0.144 |
| Divorced/separated | 10 (26.3) | 28 (73.6) | 0.85 (0.70–1.03)+ | 0.87 (0.72–1.06) | 0.161 |
| Occupation | |||||
| Peasant farmers | 89 (15.2) | 498 (84.8) | 1 | ||
| Business person | 14 (11.4) | 109 (88.6) | 1.04 (0.97–1.12) | ||
| Employed | 13 (13.5) | 83 (86.5) | 1.02 (0.93–1.11) | ||
| Parity | |||||
| 1–2 | 68 (14.7) | 396 (85.3) | 1 | ||
| 3–4 | 30 (13.3) | 195 (86.7) | 1.01 (0.95–1.08) | ||
| ≥ 5 | 18 (15.4) | 99 (84.6) | 0.99 (0.91–1.08) | ||
| Wealth quintile | |||||
| Lowest | 22 (14.5) | 130 (85.5) | 1 | ||
| Second | 26 (15.9) | 138 (84.2) | 0.98 (0.89–1.08) | ||
| Middle | 30 (17.5) | 141 (82.5) | 0.96 (0.87–1.06) | ||
| Fourth | 16 (10.7) | 134 (82.5) | 1.04 (0.96–1.14) | ||
| Highest | 22 (13.0) | 147 (87.0) | 1.02 (0.93–1.11) | ||
| Short distance to the health facility | |||||
| No | 57 (11.2) | 453(88.8) | 1 | 1 | |
| Yes | 59 (19.9) | 237 (80.1) | 0.90 (0.84–0.96)* | 0.92 (0.86–0.98) | 0.008 |
| Skilled health workers available | |||||
| No | 54 (25.1) | 161 (74.9) | 1 | 1 | |
| Yes | 62 (10.5) | 529 (89.5) | 1.19 (1.10–1.30)* | 1.13 (1.03–1.24)* | 0.013 |
| Perceived quality of WASH services at facility | |||||
| Poor | 93 (20.3) | 366 (79.7) | 1 | 1 | |
| Good | 23 (6.6) | 324 (93.4) | 1.17 (1.11–1.24)* | 1.11 (1.04–1.18)* | 0.002 |
| Affordable cost of services | |||||
| No | 70 (11.4) | 542 (88.6) | 1 | 1 | |
| Yes | 46 (23.7) | 148 (76.3) | 0.86 (0.79–0.94)* | 0.85 (0.78–0.92)* | < 0.001 |
| Availability of medicines | |||||
| Unreliable | 84 (19.9) | 338 (80.1) | 1 | 1 | |
| Reliable | 32 (8.3) | 352 (91.7) | 1.14 (1.08–1.21)* | 1.02 (0.95–1.09) | 0.580 |
| Presence of theatre / caesarean services | |||||
| No | 112 (16.9) | 549 (83.1) | 1 | 1 | |
| Yes | 4 (2.8) | 141 (97.2) | 1.17 (1.12–1.22)* | 1.13 (1.08–1.19)* | 0.001 |
CI Confidence Interval, PR Prevalence Ratio. At multivariate analysis, we adjusted for age, and education status of the mother. *P values ≤0.05, + marginal significance (p value < 0.1)