Why Do Women Deliver at Home? Multilevel Modeling of Ethiopian National Demographic and Health Survey Data

Henock Yebyo, Mussie Alemayehu and Alemayehu Kahsay

PLOS ONE, 2015, vol. 10, issue 4, 1-14

Abstract: Background: Despite of the existing intensive efforts to improve maternal health in Ethiopia, the proportion of birth delivered at home remains high and is still the top priority among the national health threats. Objective: The study aimed to examine effects of individual women and community-level factors of women’s decision on place of delivery in Ethiopia. Methods: Data were obtained from the nationally representative 2011 Ethiopian Demographic and Health Survey (EDHS) which used a two-stage cluster sampling design with rural-urban and regions as strata. The EDHS collected data from a big sample size but our study focused on a sample of 7,908 women whose most recent birth was within five years preceding 2011 and 576 communities in which the women were living in. The data were analyzed using a two-level mixed-effects logistic regression to determine fixed-effects of individual- and community-level factors and random-intercept of between-cluster characteristics. Results: In the current study, 6980 out of 7908 deliveries (88.3%) took place at home. Lower educational levels (OR=2.74, 95%CI:1.84,4.70; p

Date: 2015
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0124718

DOI: 10.1371/journal.pone.0124718

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