ArticleBMJ open2020
Trends and determinants of home delivery in Ethiopia: further multivariate decomposition analysis of 2005-2016 Ethiopian Demographic Health Surveys.
Article in BMJ open, 2020. 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.
- Prevalence and Determinants of Facility Delivery Among Women in Somalia: Insights from the 2020 Somali Demographic and Health Survey (SDHS).International journal of women's 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
- Multivariate decomposition of gender differentials in cognitive impairment among older adults in India based on Longitudinal Ageing Study in India, 2017-2018.BMC psychiatry · 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
- Spatial variation and determinants of skilled birth attendant delivery among women of reproductive age in Ethiopia: a spatial and multilevel analysis.BMC pregnancy and childbirth · 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
- Trend of home birth and its associated factors in Ethiopia during COVID-19 and social crisis (2019-2023).PloS one · 2025Article
- Bivariate multilevel modeling of antenatal care contacts and place of delivery among reproductive-aged women in Ethiopia.PloS one · 2025Article
- Gender differentials in cognitive frailty among older adults in India: a multivariate decomposition approach.Scientific reports · 2024Article
- Home delivery among women who receive antenatal care in Ethiopia, design-based logistic regression analysis.BMJ public health · 2024Article
- Examining the factors contributing to a reduction in hardship financing among inpatient households in India.Scientific reports · 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
- Multivariate decomposition of gender differentials in successful aging among older adults in India.BMC geriatrics · 2023Article
- Article
- Maternal Service Coverage and Its Relationship To Health Information System Performance: A Linked Facility and Population-Based Survey in Ethiopia.Global health, science and practice · 2022Article
- The moderating role of partners' education on early antenatal care in northern Ghana.BMC pregnancy and childbirth · 2022Article
- Article
- Decomposing rural-urban differences in successful aging among older Indian adults.Scientific reports · 2022Article
- Decomposing urban-rural differences in multimorbidity among older adults in India: a study based on LASI data.BMC public health · 2022Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study aimed to assess the trends and factors that had contributed to the change in home delivery in Ethiopia over the last decade. DESIGN, SETTING AND ANALYSIS: A nationally representative repeated cross-sectional survey was conducted using 2005, 2011 and 2016 Ethiopian Demographic and Health Surveys. Multivariate decomposition logistic regression analysis was employed to identify significant factors that have been contributed to the change in home delivery. Level of statistical significance was declared at a two-sided p value <0.05. OUTCOME MEASURE: Trends of home delivery.
participantsA total of 33 482 women were included.
resultsHome delivery has been decreased by 21% over the last decade in Ethiopia. In the last decade, 39% of the decrements in home delivery attributed to change in women's compositional characteristics. Antenatal care visits, educational status of the women and husband, birth order, religion, wealth index and distance from a health facility were the main sources of compositional change factors for the change of home delivery. Behavioural changes towards health facility delivery contributed approximately two-thirds of the decline of home delivery in Ethiopia. Antenatal care visits, birth order and religion have significantly contributed to the change of home delivery resulted from behavioural changes towards healthcare facility utilisation over the last decade.
conclusionDespite the importance of health facility delivery, a significant number of women still deliver at home in Ethiopia. Women's compositional characteristics and behaviour changes were significantly associated with the change in home delivery. Multisectoral educational intervention is needed to change women's attitudes towards home delivery. Antenatal care coverage and healthcare facility coverage should increase thereby to improve healthcare facility based-delivery practice. Further research needs to be done to explore the potential barriers of health facility delivery from a religious perspective.
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