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Spatial clustering and determinants of home birth after at least one antenatal care visit in Ethiopia: Ethiopian demographic and health survey 2016 perspective
Authors: Atalay Goshu Muluneh, Yaregal Animut, and Tadesse Awoke Ayele
Source: BMC Pregnancy and Childbirth , 20(97): 1-13; DOI: 10.1186/s12884-020-2793-6
Topic(s): Antenatal care
Delivery care
Maternal health
Country: Africa
Published: FEB 2020
Abstract: Background All pregnancies are at risk and have to be attended by skilled professionals. In Ethiopia however nearly half (45.7%) of the women were giving birth at home after antenatal care (ANC) visits in which skilled professionals were not available. Therefore, the aim of this study was to assess spatial clustering and the determinant factors of home delivery after antenatal care visits in Ethiopia. Methods A case control study was conducted on 2110 mothers who gave birth at home after ANC (cases), and 2510 mothers who gave birth at health institutions after attending ANC (controls), based on EDHS 2016 data. As per the recommendations of the DHS program, we weighed the data before analysis. ArcGIS 10.3 was used to show spatial pattern and SaTScan™ 9.4 to identify significant clusters. Stata 14 was used for data cleaning, weighing, and the analysis of the determinant factors. Bi variable and multi variable multilevel mixed effect logistic regression was fitted. Finally, the Log-likelihood ratio (LLR) and Relative risk with p-value of spatial scan statistics and AOR with 95% CI for significant determinant factors were reported. Results Home delivery after ANC was spatially clustered in Ethiopia (Moran’s Index?=?0.91, p-value