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What predicts health facility delivery among women? analysis from the 2021 Madagascar Demographic and Health Survey
Authors: Ebenezer Kwesi Armah-Ansah, Eugene Budu, Elvis Ato Wilson, Kenneth Fosu Oteng, Nhyira Owusuaa Gyawu, Bright Opoku Ahinkorah and Edward Kwabena Ameyaw
Source: BMC Pregnancy and Childbirth , Volume 24; DOI:
Topic(s): Health care utilization
Health equity
Institutional births
Country: Africa
Published: FEB 2024
Abstract: Background: One of the pivotal determinants of maternal and neonatal health outcomes hinges on the choice of place of delivery. However, the decision to give birth within the confines of a health facility is shaped by a complex interplay of sociodemographic, economic, cultural, and healthcare system-related factors. This study examined the predictors of health facility delivery among women in Madagascar. Methods: We used data from the 2021 Madagascar Demographic and Health Survey. A total of 9,315 women who had a health facility delivery or delivered elsewhere for the most recent live birth preceding the survey were considered in this analysis. Descriptive analysis, and multilevel regression were carried out to determine the prevalence and factors associated with health facility delivery. The results were presented as frequencies, percentages, crude odds ratios and adjusted odds ratios (aORs) with corresponding 95% confidence intervals (CIs), and a p-value?