ArticleGlobal health, science and practice2021
Levels, Trends, and Inequalities in Using Institutional Delivery Services in Low- and Middle-Income Countries: A Stratified Analysis by Facility Type.
Article in Global health, science and practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
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Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Utilization of maternal healthcare services in low- and middle-income countries: a systematic review and meta-analysis.Systematic reviews · 2025Pooled it
- Article
- Global, regional and national burden of maternal haemorrhage (2000-2021) and projections to 2050 in 204 countries and territories.BMJ open · 2026Article
- Predicting facility delivery and its determinants among reproductive-age women in Ethiopia using machine learning algorithm: evidence from performance monitoring for action Ethiopia 2019 dataset.BMC pregnancy and childbirth · 2026Article
- Determinants of health-seeking behavior of people on institutional delivery: evidence from qualitative research.BMC pregnancy and childbirth · 2026Article
- Article
- 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
- Understanding the drivers associated with maternal delivery choices: comparative study between urban and rural women in Indonesia.Korean journal of family medicine · 2026Article
- Prevalence and factors associated with institutional delivery in rural Afghanistan: secondary analysis of the 2022-2023 multiple indicator cluster survey.Reproductive health · 2026Article
- Socioeconomic and geographic disparities in institutional delivery in Bangladesh: a Bayesian multilevel modelling framework.BMC public health · 2026Article
- Effective coverage of skilled birth attendance in Ethiopia: a population-based cross-sectional study.BMC pregnancy and childbirth · 2025Article
- Social and health system factors associated with maternal mortality in Eastern and Western China: Population health estimates using provincial-level data.PLoS medicine · 2025Article
- Vulnerable newborn types: analysis of subnational, population-based birth cohorts for 541 285 live births in 23 countries, 2000-2021.BJOG : an international journal of obstetrics and gynaecology · 2025Article
- Trends in health facility deliveries by time, region, and sociodemographic characteristics in low- and middle- income countries.BMC pregnancy and childbirth · 2025Article
- Two Decades of Change in Childbirth Care in Cambodia (2000-2021): Disparities in Ceasarean Section Utilization Between Public and Private Facilities.Global health research and policy · 2025Article
- Article
- Urban-rural disparities in skilled birth attendance among women in Ethiopia: Multivariate decomposition analysis.PloS one · 2025Article
- Community boat service to promote institutional delivery in the Philippines: a mixed-methods study of a social innovation.BMJ public health · 2024Article
- Using the WHO individual near miss case review (NMCR) cycle to improve quality of emergency obstetric care and maternal outcome in Keren hospital, Eritrea: an interrupted time series analysis.BMC pregnancy and childbirth · 2024Article
- Are institutional deliveries equitable in the southern states of India? A benefit incidence analysis.International journal for equity in health · 2024Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionTo ensure equitable and accessible services and improved utilization of institutional delivery it is important to identify what progress has been achieved, whether there are vulnerable and disadvantaged groups that need specific attention and what are the key factors affecting the utilization of institutional delivery services. In this study, we examined levels, trends, and inequalities in the utilization of institutional delivery services in low- and middle-income countries.
methodsWe used nationally representative cross-sectional data from Demographic and Health Surveys (DHS) conducted during 1990-2018. Bayesian linear regression analysis was performed.
resultsAmong 74 countries, the utilization of institutional delivery services ranged from 23.7% in Chad to 100% in Ukraine and Armenia (with >90% in 19 countries and <50% in 13 countries) during the latest DHS rounds. Trend analysis in 63 countries with at least 2 surveys showed that the utilization of institutional delivery services increased in 60 countries during 1990-2018, with the highest increase being in Cambodia (18.3%). During this period, the utilization of institutional delivery services increased in 90.3% of countries among the richest, 95.2% of countries in urban, and 84.1% of countries among secondary+ educated women. The utilization of institutional delivery services was higher among wealthiest, urban, and secondary+ educated women compared to their counterparts. Greater utilization of private facilities for delivery was observed in women from the highest income group and urban communities, whereas highest utilization of public facilities was observed for women from the lowest income group and rural communities.
conclusionsThe utilization of institutional delivery services varied substantially between and within countries over time. Significant disparities in service utilization identified in this study highlight the need for tailored support for women from disadvantaged and vulnerable groups.
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