ArticleBMC pregnancy and childbirth2020
Spatio-temporal distribution and associated factors of home delivery in Ethiopia. Further multilevel and spatial analysis of Ethiopian demographic and health surveys 2005-2016.
Article in BMC pregnancy and childbirth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.
- Assessment of Place of Delivery and Associated Factors among Pastoralists in Ethiopia: A Systematic Review and Meta-Analysis Evaluation.Journal of pregnancy · 2023Pooled it
- How applicable is geospatial analysis in maternal and neonatal health in sub-Saharan Africa? A systematic review.Journal of global health · 2022Pooled it
- Spatiotemporal distribution and determinants of immunization among children aged 12-23 months in Ethiopia: Using EDHS 2000, 2005, 2011, and 2016.Human vaccines & immunotherapeutics · 2026Article
- Spatial Distribution and Determinants of Early Resumption of Postpartum Sexual Intercourse among Postpartum Women in Ethiopia: A Multilevel Analysis.Archives of gynecology and obstetrics · 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
- Home delivery among women with adequate antenatal care: insights from a multilevel analysis of the 2019 Ethiopian mini demographic and health survey.Reproductive health · 2025Article
- Machine-learning algorithm to predict home delivery after antenatal care visit among reproductive age women in East Africa.Frontiers in global women's health · 2025Article
- Bivariate multilevel modeling of antenatal care contacts and place of delivery among reproductive-aged women in Ethiopia.PloS one · 2025Article
- Spatial distribution and determinants of unskilled birth attendance in Ethiopia: spatial and multilevel analysis.Scientific reports · 2024Article
- Women in low- and middle-income countries receive antenatal care at health institutions, yet not delivered there: a multilevel analysis of 2016-2021 DHS data.Tropical medicine and health · 2024Article
- Spatial variation and associated factors of home delivery among reproductive age group women in Ethiopia, evidence from Performance Monitoring for Action Ethiopia Survey 2019, spatial and multilevel logistic regression analysis.Frontiers in global women's health · 2024Article
- Predicting place of delivery choice among childbearing women in East Africa: a comparative analysis of advanced machine learning techniques.Frontiers in public health · 2024Article
- Article
- Spatial variation and determinants of traditional birth attendants utilization among women of reproductive age in Ethiopia: Spatial and multilevel analysis study.SAGE open medicine · 2024Article
- Women's health service access and associated factors in Ethiopia: application of geographical information system and multilevel analysis.BMJ health & care informatics · 2023Article
- Spatiotemporal distribution and bivariate binary analysis of antenatal and delivery care utilizations in Ethiopia: EDHS 2000-2016.BMC public health · 2023Article
- Using geographically weighted regression analysis to assess predictors of home birth hot spots in Ethiopia.PloS one · 2023Article
- Antenatal care booked rural residence women have home delivery during the era of COVID-19 pandemic in Gidan District, Ethiopia.PloS one · 2023Article
- Identifying geographical inequalities of maternal care utilization in Ethiopia: a Spatio-temporal analysis from 2005 to 2019.BMC health services research · 2022Article
- Spatial distribution and determinants of newbornsnot receiving postnatal check-up withintwodays after birth in Ethiopia: a spatial and multilevel analysis of EDHS 2016.BMC pediatrics · 2022Article
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2 authors at 2 institutions in 1 country.
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Abstract
backgroundGlobally, between 2012 and 2017, 80% of live births occurred at health facilities assisted by skilled health personnel. In Ethiopia, in 2016 only 26% of live births attended by skilled health personal. This study aimed to assess the spatial patterns and associated factors of home delivery in Ethiopia using 2005, 2011, and 2016 Ethiopian Demographic and Health Surveys.
methodsA total of 33,482 women who gave live birth in the 5 years preceding each survey were included for this study. ArcGIS version 10.7 software was used to visualize the spatial distribution of home delivery. The Bernoulli model was applied using Kilduff SaTScan version 9.6 software to identify significant purely spatial clusters for home delivery in Ethiopia. A multilevel logistic regression model was fitted to identify factors associated with home delivery. A p-value < 0.05 was taken to declare statistically significant predictors.
resultsHome delivery was declined from 94.78% in 2005, 90.05% in 2011, and 73.44% in 2016 in Ethiopia. Among the three surveys, consistently high clustering of home delivery was observed in Amhara and Southern Nations Nationalities and People's Regions (SNNPR) of Ethiopia. In spatial scan statistics analysis, a total of 128 clusters (RR = 1.04, P-value < 0.001) in 2005, and 90 clusters (RR = 1.11, P-value < 0.001) in 2011, and 55 clusters (RR = 1.29, P-value < 0.001) in 2016 significant primary clusters were identified. Educational status of women and husband, religion, distance to the health facility, mobile access, antenatal care visit, birth order, parity, wealth index, residence, and Region were statistically significant predictors of home delivery.
conclusionThe spatial distribution of home delivery among the three consecutive surveys were non-random in Ethiopia. Educational status of women and husband, religion, distance to the health facility, wealth index, residence, parity, mobile access, Region, and antenatal care visit were statistically significant predictors of home delivery in Ethiopia. Therefore, an intervention needs to improve the coverage of antenatal care visit, and health care facilities. Ministry of health and other stakeholders should give special attention to women living in Amhara and SNNPR states of Ethiopia.
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