Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Aug 1;18(8):e0289145.
doi: 10.1371/journal.pone.0289145. eCollection 2023.

Individual and community-level determinants of skilled birth attendant delivery in Ethiopia; multilevel analysis

Hiwotie Getaneh Ayalew  1 , Kibir Temesgen Assefa  1 , Selam Yibeltal Desalegn  1 , Tiruye Tilahun Mesele  2 , Tazeb Alemu Anteneh  2 , Nebiyu Solomon Tibebu  2 , Alemneh Mekuriaw Liyew  3
Affiliations

Individual and community-level determinants of skilled birth attendant delivery in Ethiopia; multilevel analysis

Hiwotie Getaneh Ayalew et al. PLoS One. .

Abstract

Introduction: Skilled birth attendant (SBA) delivery is defined as assisting birth by a trained healthcare provider, which is vital for the health of mothers and newborns. Improving maternal health is one of the world health organization's (WHO) key priorities and skilled birth attendant delivery is one of the four pillars of the initiative for safe motherhood to reduce maternal mortality. Therefore, this study aimed to assess the individual and community-level factors associated with SBA delivery in Ethiopia.

Method: A secondary data analysis was conducted using the 2019 Mini Ethiopian demographic and health survey. A total of 5,527 (weighted) live births were included in the analysis. A multi-level logistic regression model was fitted using Stata 14.0 to identify individual and community-level factors associated with SBA delivery. Finally, AOR with 95% CI and random effects were reported.

Result: In this study after fitting a multilevel model, women with poor (AOR = 0.44 95%CI 0.32-0.61) and middle wealth index (AOR = 0.64;95% CI 0.46-0.87), multipara (AOR = 0.39;95% CI 0.28-0.55) and grand multipara (AOR = 0.46;95% CI 0.29-0.72), women from rural areas (AOR = 0.34;95% CI 0.16-0.72) and high community poverty level (AOR = 0.40;95% CI 0.21-0.76) had decreased odds of having SBA delivery. Whereas those who initiated Antenatal care (ANC) visits in the first trimester (AOR = 2.65; 95% CI 1.52-4.65) and second trimester (AOR = 1.87:95%CI 1.09-3.20) had increased odds of having SBA delivery in Ethiopia.

Conclusion: In this study socioeconomic factors like wealth index, parity, the timing of ANC visits, place of residency, and community poverty level were significantly associated with SBA delivery. Therefore, it is better to increase timely ANC initiation particularly for women with low levels of income to improve skilled birth attendant delivery.

PubMed Disclaimer

Conflict of interest statement

All authors declare that they have no competing interests exist.

Similar articles

See all similar articles

Cited by

References

    1. <References>. Organization, W.H., WHO safe childbirth checklist implementation guide: improving the quality of facility-based delivery for mothers and newborns. 2015.
    1. Teshale A.B. and Tesema G.A., Prevalence and associated factors of delayed first antenatal care booking among reproductive age women in Ethiopia; a multilevel analysis of EDHS 2016 data. PloS one, 2020. 15(7): p. e0235538. doi: 10.1371/journal.pone.0235538 - DOI - PMC - PubMed
    1. World Health Organization, U., United Nations Population Fund and The World Bank, Trends in Maternal Mortality: 2000 to 2017. WHO, Geneva, 2019.
    1. Institute, E.P.H., Mini Demographic and Health Survey. July 2019.
    1. Organization, W.H., Trends in maternal mortality: 1990–2015: estimates from WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. 2015: World Health Organization.