Table 7.
Multilevel model analysis of determinants associated with the completion of continuum of care in maternal health services via time dimension, Benishangul-Gumuz region, Northwest Ethiopia 2021.
| Factors | Level of continuum of care | aOR 95%CI | |
|---|---|---|---|
| Discontinuous | Completion | ||
| Level−2 (Community level) variables | |||
| Place of residents | |||
| Urban Rural |
582 (73.21) 885 (63.08) |
213 (26.79) 518 (36.92) |
1 1.69 (0.81, 3.55) |
| Household wealth index | |||
| 1st Quintile (poor) 2nd Quintile (middle) 3rd Quintile (rich) |
486 (66.3) 465 (63.35) 516 (70.59) |
247 (33.7) 269 (36.65 215 (29.41) |
1 1.09 (0.74, 1.61) 1.1 (0.61, 1.98) |
| Leve-1 (individual level) variables | |||
| Age (years) | |||
| < 20 20–29 ≥30 |
147 (79.03) 898 (64.01) 422 (69.92) |
39 (20.97) 505 (35.99) 187 (30.71) |
1 2.86 (0.87, 9.37) 1.99 (0.6, 6.65) |
| Woman education level | |||
| No formal education Primary school High school Tertiary education |
890 (66.67) 285 (67.54) 172 (69.35) 120 (62.18) |
445 (33.33) 137 (32.46) 76 (30.65) 73 (37.82) |
1 0.99 (0.59, 1.49) 1.07 (0.59, 1.92) 1.48 (0.79, 2.76) |
| Partner occupational status | |||
| Governmental employee Others |
266 (63.48) 1,118 (66.43) |
153 (36.52) 565 (33.57) |
1 0.99 (0.66, 1.6) |
| Information on MHS | |||
| Yes | 1,293 (64.75) | 704 (35.25) | 2.25 (1.11, 4.55) |
| Age at first pregnancy | |||
| < 19 ≥19 |
566 (71.02) 901 (64.31) |
231 (28.98) 500 (35.69) |
1 1.18 (0.86, 1.60) |
| Stillbirth ever had | |||
| Yes | 130 (73.03) | 48 (26.97) | 0.52 (0.32, 0.85) |
| Availability of MHS | |||
| Yes | 1,365 (66.04) | 702 (33.96) | 1.33 (0.59, 3.0) |
| Time of first ANC initiation | |||
| 1–3 months of GA 4–6 months of GA After 6 months of GA |
290 (50.88) 899 (67.59) 112 (84.85) |
280 (49.12) 431 (32.41) 20 (15.15) |
1
0.45 (0.3, 0.68) 0.15 (0.05, 0.43) |
| Attendant of ANC services for current pregnancy | |||
| Skilled provider | 1,118 (62.88) | 660 (37.12) | 1.37 (1.02, 2.28) |
| Iron-folic acid supplementation | |||
| Yes | 976 (58.20) | 701 (41.80) | 2.58 (1.37, 4.86) |
| TT vaccinate during pregnancy | |||
| Yes | 908 (58.13) | 654 (41.87) | 2.21 (1.39, 3.52) |
| Duration of labor | |||
| < 12 B/n 12–24 h >24 h |
954 (65.48) 295 (64.41) 85 (56.67) |
503 (34.52) 163 (35.59) 65 (43.33) |
1 1.41 (0.95, 2.08) 1.27 (0.6, 2.70) |
| Pregnant related problem during labor for last delivery | |||
| Yes | 181 (61.36) | 114 (38.64) | 2.1 (1.15, 3.71) |
| Dry and stimulate newborn | |||
| Yes | 907 (56.94) | 686 (43.06) | 2.61 (1.42, 4.77) |
| Appropriate cord care practice | |||
| Yes | 980 (58.82) | 686 (41.18) | 2.01 (1.07, 3.79) |
| Initiate BF within 1 h | |||
| Yes | 970 (59.0) | 674 (41.0) | 1.29 (0.73, 2.26) |
| Inject vitamin k | |||
| Yes | 697 (55.41) | 561 (44.59) | 1.37 (0.89, 2.09) |
| Immunizing the newborn | |||
| Yes | 1,009 (58.83) | 706 (41.17) | 6.9 (3.79, 12.59) |
| Gestational age at birth | |||
| Preterm (< 37 weeks) Term (≥37 weeks) |
133 (55.42) 1,200 (65.79) |
107 (44.58) 624 (34.21) |
1 0.64 (0.39, 1.05) |
| Time of premature rupture of membrane before labor | |||
| ≤ 1 h 1–12 h >12 h |
500 (61.43) 766 (67.67) 51 (54.26) |
314 (38.57) 366 (32.33) 43 (45.74) |
1 0.76 (0.55, 1.05) 1.25 (0.56, 2.77) |
The bold value indicates a statistically significant association (p < 0.05).