ArticleWomen's health (London, England)
Prevalence and determinants of home delivery in urban and rural Philippines: Evidence from the 2017 National Demographic and Health Survey.
Article in Women's health (London, England). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed.
- Determinants of Zero-Dose Bacillus Calmette-Guérin Vaccination in Somaliland: A Cross-Sectional Study.Health science reports · 2026Article
- Understanding the drivers associated with maternal delivery choices: comparative study between urban and rural women in Indonesia.Korean journal of family medicine · 2026Article
- Coverage and social and behavioural drivers of routine childhood immunisation in selected regions in the Philippines: a cross-sectional study.BMJ global health · 2025Article
- Regional trends, spatial patterns and factors associated with health facility delivery among women of reproductive age in Sierra Leone.Reproductive health · 2025Article
- 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
- 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
- Women's health facility choices for antenatal, delivery, and postnatal care in Eastern Visayas, Philippines.Frontiers in global women's health · 2025Article
- 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
- Article
- Home delivery among women who had optimal ANC follow-up in Sub-Saharan Africa: A multilevel analysis.PloS one · 2023Article
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6 authors.
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Abstract
backgroundWomen's choice of place of delivery has implications on maternal and child mortality. This study aims to provide an updated and detailed comparison of prevalence and determinants of home delivery in the Philippines, and in urban and rural communities.
methodsBased on data from the 2017 Philippine National Demographic and Health Survey (NDHS), we estimated the prevalence of home delivery and determined factors influencing women's decision to deliver at home. Analyses were restricted to data from 7229 women who were cohabiting or married, and their last-born child using logistic regression methods for survey data.
resultsThere remain a considerable proportion of women aged 15-49 years old who delivered at home (17.92% (95% confidence interval (CI): 15.77, 20.30)). More women in rural areas delivered at home (23.53% (95% CI: 20.38, 26.99)) than their counterparts in urban areas (10.72% (95% CI: 8.23, 13.85)), reflecting a significant difference in the home delivery prevalence of women relative to their place of residence. Our regression analyses showed that there is a relatively greater effect observed for the rural population in most of the proximal factors considered including birth order, women's decision-making power, and emergency preparedness during pregnancy. Wealth index has the most pronounced effect with a significant increase in odds of home delivery among urban and rural women of the lowest wealth categories.
conclusionThe use of institutional childbirth services remains suboptimal in the Philippines with significant disparities between urban and rural communities. Current strategies therefore need to adopt a multi-sectoral approach to address the complex factors influencing women's decision on place of delivery. Targeted efforts specific to population groups should also be made to contextualize and co-create health care services and solutions that will motivate them to deliver in health facilities.
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