ArticleBMJ open2019
Home childbirth among young mothers aged 15-24 years in Nigeria: a national population-based cross-sectional study.
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 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Prevalence, indications, and complications of caesarean section in health facilities across Nigeria: a systematic review and meta-analysis.Reproductive health · 2023Pooled it
- Trend and social determinants of non-facility births in Northwestern Nigeria: pooled analysis of demographic and health survey 2003-2018.BMC public health · 2026Article
- Home birth and its associated factors among mothers aged 15-49 years in Somalia: a nationwide population-based cross-sectional study.BMC women's health · 2025Article
- Traditional birth attendants knowledge of delivery and its danger signs: a one-on-one interview.BMC public health · 2025Article
- Predicting home delivery and identifying its determinants among women aged 15-49 years in sub-Saharan African countries using a Demographic and Health Surveys 2016-2023: a machine learning algorithm.BMC public health · 2025Article
- Article
- Experiences with facility delivery services within the context of a maternal neonatal health project in Gombe State, Northeast Nigeria: a qualitative study.The Pan African medical journal · 2025Article
- Caesarean section and associated factors in Nigeria: assessing inequalities between rural and urban areas-insights from the Nigeria Demographic and Health Survey 2018.BMC pregnancy and childbirth · 2024Article
- Article
- Correlates of non-institutional delivery to delayed initiation of breastfeeding in Nigeria: logit-decomposition and subnational analysis of population-based survey.Journal of health, population, and nutrition · 2023Article
- "I don't like to be seen by a male provider": health workers' strike, economic, and sociocultural reasons for home birth in settings with free maternal healthcare in Nigeria.International health · 2023Article
- Seroepidemiology of Lassa virus in pregnant women in Southern Nigeria: A prospective hospital-based cohort study.PLoS neglected tropical diseases · 2023Article
- Disparities and barriers of health facility delivery following optimal and suboptimal pregnancy care in Nigeria: evidence of home births from cross-sectional surveys.BMC women's health · 2023Article
- Article
- Determinants of antenatal care and skilled birth attendance services utilization among childbearing women in Guinea: evidence from the 2018 Guinea Demographic and Health Survey data.BMC pregnancy and childbirth · 2021Article
- Health facility delivery among women of reproductive age in Nigeria: Does age at first birth matter?PloS one · 2021Article
- Institutional Delivery Among Young Women in Ethiopia: Further Analysis of Trends and Determinants, from the Four Consecutive Ethiopia Demographic and Health Survey.International journal of women's health · 2020Article
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Authors and funding
6 authors at 5 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo estimate the prevalence and identify factors associated with home childbirth (delivery) among young mothers aged 15-24 years in Nigeria.
designA secondary analysis of cross-sectional data from the 2013 Nigeria Demographic and Health Survey (NDHS).
settingNigeria.
participantsA total of 7543 young mothers aged 15-24 years. OUTCOME MEASURE: Place of delivery.
resultsThe prevalence of home delivery among young mothers aged 15-24 years was 69.5% (95% CI 67.1% to 71.8%) in Nigeria-78.9% (95%CI 76.3% to 81.2%) in rural and 43.9% (95%CI 38.5% to 49.5%, p<0.001) in urban Nigeria. Using the Andersen's behavioural model, increased odds of home delivery were associated with the two environmental factors: rural residence (adjusted OR, AOR: 1.39, 95% CI 1.06 to 1.85) and regions of residence (North-East: AOR: 1.97, 95% CI 1.14 to 3.34; North-West: AOR: 2.94, 95% CI 1.80 to 4.83; and South-South: AOR: 3.81, 95% CI 2.38 to 6.06). Three of the enabling factors (lack of health insurance: AOR: 2.34, 95% CI 1.16 to 4.71; difficulty with distance to healthcare facilities: AOR: 1.48, 95% CI 1.15 to 1.88; and <4 times antenatal attendance: AOR: 3.80, 95% CI 3.00 to 4.85) similarly increased the odds of home delivery. Lastly, six predisposing factors-lack of maternal and husband's education, poor wealth index, Islamic religion, high parity and low frequency of listening to radio-were associated with increased odds of home delivery.
conclusionsYoung mothers aged 15-24 years had a higher prevalence of home delivery than the national average for all women of reproductive age in Nigeria. Priority attention is required for young mothers in poor households, rural areas, North-East, North-West and South-South regions. Faith-based interventions, a youth-oriented antenatal care package, education of girls and access to health insurance coverage are recommended to speed up the reduction of home delivery among young mothers in Nigeria.
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