Evidence map›Paper›PMID 32234043›Full record

ArticleBMC health services research2020

Factors associated with institutional delivery in Ethiopia: a cross sectional study.

Asmamaw Ketemaw, Minale Tareke, Endalkachew Dellie, Getachew Sitotaw, Yonas Deressa, Getasew Tadesse, Desta Debalkie, Mesafinet Ewunetu, Yibeltal Alemu, Daniel Debebe

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
8.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Asmamaw KetemawSchool of Public Health, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia. asmamawk@bdu.edu.et.
Minale TarekeSchool of Medicine, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.
Endalkachew DellieInstitute of Public Health, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Getachew SitotawSchool of Public Health, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.
Yonas DeressaSchool of Medicine, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.
Getasew TadesseSchool of Public Health, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.
Desta DebalkieSchool of Public Health, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.
Mesafinet EwunetuSchool of Medicine, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.
Yibeltal AlemuSchool of Public Health, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.
Daniel DebebeBahir Dar Institute of Technology, Bahir Dar University, Bahir Dar, Ethiopia.
Bahir Dar University · ETUniversity of Gondar · ET

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn spite of the promotion of institutional delivery in Ethiopia, home delivery is still common primarily in hard-to-reach areas. Institutional delivery supported to achieve the goal of reducing maternal and neonatal mortality in Ethiopia. The objective of this study is to assess the determinants of institutional delivery in Ethiopia.

methodsCross sectional survey was conducted in 11 administrative regions of Ethiopia. The Ethiopian demographic and health survey data collection took place from January 18, 2016, to June 27, 2016. The study subjects were 11,023 women (15-49 years old) who gave birth in the preceding 5 years before 2016 Ethiopian demographic health survey. This representative data was downloaded from Demographic Health Survey after getting permission. The Primary outcome variable was institutional delivery. The data was transferred and analyzed with SPSS Version 20 statistical software package.

resultsOf 11,023 mothers, 2892 (26.2%) delivered at a health facility and 8131 (73.8%) at home. Women with secondary education were 4.36 times more likely to have an institutional delivery (OR: 4.36; 95% CI: 3.12-6.09). Institutional delivery was higher among women who were resided in urban areas by three fold (OR: 3.26; 95% CI: 2.19-4.35). Women who visited ANC (Antenatal care) were about two times more likely to choose institutional delivery (OR: 1.81; 95% CI: 1.58-2.07). Respondents who watch television at least once a week was two times more likely to experience institutional delivery than those who did not watch at all (0R: 1.90; 95% CI: 1.35-2.66). The wealthiest women were 2.61 times more likely to deliver in an institution compared with the women in the poorest category (OR: 2.61; 95% CI: 1.95-3.50).

conclusionWomen having higher educational level, being richest, residing in urban area, visiting antenatal care at least once, and frequent exposure to mass media were factors associated with institutional delivery. Improving access to education and health promotion about obstetrics and delivery through mass media will increase the uptake of institutional delivery.

Indexed as

AdolescentAdultCross-Sectional StudiesDelivery, ObstetricEthiopiaFemaleHealth Care SurveysHealth FacilitiesHome ChildbirthHumansMass MediaMiddle AgedMothersPregnancyPrenatal CareSocioeconomic FactorsDeliveryDeterminantsEthiopiaInstitutionalSurvey

Identifiers

PMID32234043
PMCPMC7106663
OpenAlexW3015185712

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.