ArticleInternational journal of women's health2011
Neighborhood socioeconomic disadvantage, individual wealth status and patterns of delivery care utilization in Nigeria: a multilevel discrete choice analysis.
Article in International journal of women's health, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02643953 (Increasing Women's Access to Skilled Pregnancy Care to Reduce Maternal and Perinatal Mortality in Nigeria), which is not on this map. Cited by 33 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Increasing Women's Access to Skilled Pregnancy Care to Reduce Maternal and Perinatal Mortality in Nigeria: A Randomized Control Trial
Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Drivers and deterrents of facility delivery in sub-Saharan Africa: a systematic review.Reproductive health · 2013Pooled it
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- A qualitative investigation into pregnancy experiences and maternal healthcare utilisation among adolescent mothers in Nigeria.Reproductive health · 2023Article
- Prevalence and Predictors of Knowledge and Attitude on Optimal Nutrition and Health Among Pregnant Women in Their First Trimester of Pregnancy.International journal of women's health · 2023Article
- Individual and Community-Level Determinants of Institutional Delivery Services among Women in Bangladesh: A Cross-Sectional Study.International journal of clinical practice · 2022Article
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- Inequalities in out-of-pocket health expenditure among women of reproductive age: after-effects of national health insurance scheme initiation in Ghana.The Journal of the Egyptian Public Health Association · 2021Article
- Assessing the contextual effect of community in the utilization of postnatal care services in Ghana.BMC health services research · 2021Article
- Patterns of access to reproductive health services in Ghana and Nigeria: results of a cluster analysis.BMC public health · 2020Article
- Ratios and determinants of maternal mortality: a comparison of geographic differences in the northern and southern regions of Cameroon.BMC pregnancy and childbirth · 2020Article
- Associated factors and their individual contributions to caesarean delivery among married women in Bangladesh: analysis of Bangladesh demographic and health survey data.BMC pregnancy and childbirth · 2019Article
- Levels and determinants of maternal mortality in northern and southern Nigeria.BMC pregnancy and childbirth · 2019Article
- Women who have not utilized health Service for Delivery in Nigeria: who are they and where do they live?BMC pregnancy and childbirth · 2019Article
- Examining trends in inequality in the use of reproductive health care services in Ghana and Nigeria.BMC pregnancy and childbirth · 2018Article
- Multilevel analysis of factors associated with assistance during delivery in rural Nigeria: implications for reducing rural-urban inequity in skilled care at delivery.BMC pregnancy and childbirth · 2018Article
- Health facility or home delivery? Factors influencing the choice of delivery place among mothers living in rural communities of Eritrea.Journal of health, population, and nutrition · 2018Article
- Predictors of women's utilization of primary health care for skilled pregnancy care in rural Nigeria.BMC pregnancy and childbirth · 2018Article
- The Role of Distance and Quality on Facility Selection for Maternal and Child Health Services in Urban Kenya.Journal of urban health : bulletin of the New York Academy of Medicine · 2018Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHigh maternal mortality continues to be a major public health problem in most part of the developing world, including Nigeria. Understanding the utilization pattern of maternal healthcare services has been accepted as an important factor for reducing maternal deaths. This study investigates the effect of neighborhood and individual socioeconomic position on the utilization of different forms of place of delivery among women of reproductive age in Nigeria.
methodsA population-based multilevel discrete choice analysis was performed using the most recent population-based 2008 Nigerian Demographic and Health Surveys data of women aged between 15 and 49 years. The analysis was restricted to 15,162 ever-married women from 888 communities across the 36 states of the federation including the Federal Capital Territory of Abuja.
resultsThe choice of place to deliver varies across the socioeconomic strata. The results of the multilevel discrete choice models indicate that with every other factor controlled for, the household wealth status, women's occupation, women's and partner's high level of education attainment, and possession of health insurance were associated with use of private and government health facilities for child birth relative to home delivery. The results also show that higher birth order and young maternal age were associated with use of home delivery. Living in a highly socioeconomic disadvantaged neighborhood is associated with home birth compared with the patronage of government health facilities. More specifically, the result revealed that choice of facility-based delivery is clustered around the neighborhoods.
conclusionHome delivery, which cuts across all socioeconomic strata, is a common practice among women in Nigeria. Initiatives that would encourage the appropriate use of healthcare facilities at little or no cost to the most disadvantaged should be accorded the utmost priority.
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