ArticleBMJ open2019
Mismatch between antenatal care attendance and institutional delivery in south Ethiopia: A multilevel analysis.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed, 33 citations in OpenAlex.
- Dropout from the maternity continuum of care and its determinants among women in Ethiopia: A systematic review and meta-analysis.Journal of public health research · 2026Review
- Introducing a group antenatal care model at the health post level in Ethiopia: a qualitative pilot study.Pilot and feasibility studies · 2026Article
- Gender dynamics affecting women's uptake of maternal health service in agrarian and pastoral settings in Ethiopia: a community-based cross-sectional study.Reproductive health · 2026Article
- Machine Learning-Based Prediction of Institutional Delivery Dropout (IDD) Among Nigerian Women: An Exploratory Study Using SHAP Interpretability.Journal of epidemiology and global health · 2026Article
- Multilevel and spatial analysis of factors influencing non-institutional delivery care utilization among Ugandan women: insights from the 2016 UDHS.BMC public health · 2025Article
- The Determinants of Coexisting Anemia and Undernutrition Among Pregnant Women in Southern Ethiopia: A Multi-Level Analysis.Healthcare (Basel, Switzerland) · 2025Article
- Predictors of Antenatal Care Service Utilization Among Women of Reproductive Age in Ethiopia: A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2025Review
- What we know and don't know about the antenatal care service utilization in Ethiopia: A scoping review of the literature.PloS one · 2025Article
- Home delivery among women who receive antenatal care in Ethiopia, design-based logistic regression analysis.BMJ public health · 2024Article
- Article
- Determinants of non-institutional childbirth: Evidence from the Peruvian demographic and health survey.European journal of obstetrics & gynecology and reproductive biology: X · 2023Article
- To what extent is antenatal care in public health facilities associated with delivery in public health facilities? Findings from a cross-section of women who had facility deliveries in Nigeria.BMC public health · 2023Article
- Spatial distribution and associated factors of dropout from health facility delivery after antenatal booking in Ethiopia: a multi-level analysis.BMC women's health · 2023Article
- Article
- Factors Associated with Underutilization of Maternity Health Care Cascade in Mozambique: Analysis of the 2015 National Health Survey.International journal of environmental research and public health · 2022Article
- Associations of antenatal care visit with utilization of institutional delivery care services in Afghanistan: intersections of education, wealth, and household decision-making autonomy.BMC pregnancy and childbirth · 2022Article
- Risk factors of dropout from institutional delivery among HIV positive antenatal care booked mothers within one year postpartum in Ethiopia: a case-control study.Archives of public health = Archives belges de sante publique · 2022Article
- Effect of checklist based box system interventions on improving institutional delivery among reproductive age women in Northwest Ethiopia: generalized structural equation modeling.Archives of public health = Archives belges de sante publique · 2022Article
- Dropout from a maternal and newborn continuum of care after antenatal care booking and its associated factors in Debre Berhan town, northeast Ethiopia.Frontiers in medicine · 2022Article
- Childbirth at home and associated factors in Ethiopia: a systematic review and meta-analysis.Archives of public health = Archives belges de sante publique · 2021Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesUptake of maternal health services remains suboptimal in Ethiopia. Significant proportions of antenatal care attendees give birth at home. This study was conducted to identify the predictors of non-institutional delivery among women who received antenatal care in the Southern Nations Nationalities and Peoples Region, Ethiopia.
designA community-based cross-sectional survey was conducted among women who delivered in the year preceding the survey and who had at least one antenatal visit. Multistage cluster sampling was deployed to select 2390 women from all administrative zones of the region. A mixed-effects multivariable logistic regression analysis was performed to assess the predictors of non-institutional delivery; adjusted ORs (AOR) with 95% CIs are reported.
resultsThe proportion of non-institutional deliveries among participants was 62.2% (95% CI 60.2% to 64.2%). Previous experience of short and simple labour (46.9%) and uncomplicated home birth (42.9%), night-time labour (29.7%), absence of pregnancy-related problem (18.8%) and perceived providers poor reception of women (17.8%) were the main reasons to have non-institutional delivery. Attending secondary school and above (AOR=0.51; 95% CI 0.30 to 0.85), being a government employee (AOR=0.27; 95% CI 0.10 to 0.78) and woman's autonomy in healthcare utilisation decision making (AOR=0.51; 95% CI 0.33 to 0.79) were among the independent predictors negatively associated with non-institutional delivery. On the other hand, unplanned pregnancy (AOR=1.67; 95% CI 1.16 to 2.42), not experiencing any health problem during pregnancy (AOR=8.1; 95% CI 3.12 to 24.62), not perceiving the risks associated with home delivery (AOR=6.64; 95% CI 4.35 to 10.14) were the independent predictors positively associated with non-institutional delivery.
conclusionsThere is a missed opportunity among women attending antenatal care in southern Ethiopia. Further health system innovations that help to bridge the gap between antenatal care attendance and institutional delivery are highly recommended.
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