Multilevel logistic regression analysis of factors associated with delivery care service utilization among childbearing women in Ethiopia

Abstract

Delivery service utilization is one of the key and proven interventions to reduce maternal death during childbearing. In Ethiopia, the utilization of health facilities for delivery service is still at a lower level. This study intends to model the determinant factors for the delivery care service utilization of childbearing mothers in Ethiopia using the 2016 Ethiopian demographic and health survey data. A cross-sectional study design was selected to assess factors associated with delivery care among mothers who had at least one child in the last 5 years before the survey aged 15–49 years in the data. Among these eligible mothers, 3,052 (27.7%) mothers had received delivery service care from health professionals. The results of multilevel logistic regression indicated that those at age 35–49 years (AOR = 0.7808, 95% CI: 0.5965–1.1132), an urban place of residence (AOR = 5.849 95% CI: 4.2755–8.0021), woman's higher level of education (AOR = 3.484, 95% CI: 2.0214–6.0038) and partner's higher educational level (AOR = 1.9335, 95% CI: 3,808–2.07352), household wealth index (AOR = 1.99, 95% CI: 1.724–2.3122), most every day exposed to mass media (AOR = 3.068, 95% CI: 1.456–6.4624), 2–4 birth order number (AOR = 0.604, 95% CI: 0.51845–1.4213), using contraceptive type (AOR = 1.4584, 95% CI: 1.2591–1.6249) and visiting more than 4 antenatal care visits (AOR = 7.574, 95% CI: 6.4824–8.84896) were more likely to give birth at a health facility compared to their counterparts. The woman's and partner's educational level, household wealth index, exposure to mass media and number of antenatal care visits had a positive association with delivery assistance whereas birth order had a negative association. The findings of this study were valuable implications to support strategies and interventions to address delivery care service in Ethiopia.