Determinants of Utilization of Institutional Delivery Services in Zambia: An Analytical Cross-Sectional Study

Mamunur Rashid, Mohammad Rocky Khan Chowdhury, Manzur Kader, Anne-Sofie Hiswåls and Gloria Macassa
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Mamunur Rashid: Department of Public Health and Sports Science, Faculty of Health and Occupational Studies, University of Gävle, Kungsbacksvägen 47, 80176 Gävle, Sweden
Mohammad Rocky Khan Chowdhury: Department of Epidemiology and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, University of Monash, 553 St Kilda Road, Melbourne, VIC 3004, Australia
Manzur Kader: Institute of Environmental Medicine, Karolinska Institute, Solnavägen 1, 17177 Solna Stockholm, Sweden
Anne-Sofie Hiswåls: Department of Public Health and Sports Science, Faculty of Health and Occupational Studies, University of Gävle, Kungsbacksvägen 47, 80176 Gävle, Sweden
Gloria Macassa: Department of Public Health and Sports Science, Faculty of Health and Occupational Studies, University of Gävle, Kungsbacksvägen 47, 80176 Gävle, Sweden

IJERPH, 2022, vol. 19, issue 5, 1-13

Abstract: Institutional delivery at birth is an important indicator of improvements in maternal health, which remains one of the targets of sustainable development goals intended to reduce the maternal mortality ratio. The purpose of the present study was to identify the determinants of utilization of institutional delivery in Zambia. A population-based cross-sectional study design was used to examine 9841 women aged 15–49 years from the 2018 Zambia Demographic and Health Survey. A multiple logistic regression was applied to calculate odds ratios (ORs) with 95% confidence intervals (CIs) to identify determinants of utilization of institutional delivery. Sociodemographic factors were significantly associated with institutional delivery: woman’s (OR: 1.76; 95% CI: 1.04–2.99) and husband’s (OR: 1.83; 95% CI: 1.09–3.05) secondary/higher education, higher wealth index (OR: 2.31; 95% CI: 1.27–4.22), and rural place of residence (OR: 0.55; 95% CI: 0.30–0.98). Healthcare-related factors were also significantly associated with institutional delivery: 5–12 visits to antenatal care (OR: 2.33; 95% CI: 1.66–3.26) and measuring blood pressure (OR: 2.15; 95% CI: 1.32–2.66) during pregnancy. To improve institutional delivery and reduce maternal and newborn mortality, policymakers and public health planners should design an effective intervention program targeting these factors.

Keywords: Africa; determinants; skilled birth attendants; place of delivery (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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