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Table 3 Results of logistic regression analysis

From: Factors affecting institutional delivery in rural Chitwan district of Nepal: a community-based cross-sectional study

Variables

Unadjusted OR (95% CI)

Adjusted OR (95% CI)

Socio-economic and Demographic Variables

Place of residence

 

NS

Hill

1.00

-

Plain

3.93 (2.85-5.43)

-

(p < 0.001)

Ethnicity

 

-

Disadvantaged caste

1.00

1.00

Advantaged caste

3.93 (2.69-5.74)

1.98 (1.15-3.42)

(p < 0.001)

(p = 0.014)

Wealth index

 

NS

Poorer

1.00

-

Better

5.79 (4.14-8.09)

-

(p < 0.001)

Maternal educational status

 

NS

No education

1.00

-

Primary education

2.22 (1.47-3.36)

-

(p < 0.001)

Secondary or higher education

7.28 (4.81-11.00)

-

(p < 0.001)

Maternal age

 

NS

15-19 years

1.00

-

20-29 years

0.68 (0.47-0.98)

-

(p = 0.04)

30 years and above

0.41 (0.23-0.73)

-

(p = 0.003)

Birth order

 

NS

1st

9.40 (5.55-15.93)

-

(p < 0.001)

2nd to 3rd

3.70 (2.20-6.20)

-

(p < 0.001)

4th or more

1.00

-

Variables Related to Role of Family and Neighbours

Final decision-maker

  

Woman herself

1.00

1.00

Woman and family members jointly

5.28 (3.57-7.82)

5.43 (2.91-10.16)

(p < 0.001)

(p < 0.001)

Other family members/FCHV

10.16 (6.53-15.82)

4.61 (2.56-8.28)

(p < 0.001)

(p < 0.001)

Support of husband

  

Encourages home delivery

1.00

1.00

Encourages institutional delivery

44.81 (22.02-91.21)

19.85 (8.53-46.21)

(p < 0.001)

(p < 0.001)

No response

3.19 (1.35-7.52)

2.85 (0.99-8.22)

(p = 0.008)

(p = 0.52)

Support of neighbours

 

NS

Encourage home delivery

1.00

-

Encourage institutional delivery

15.31 (9.23-25.42)

-

(p < 0.001)

No response

2.98 (1.56-5.69)

-

(p = 0.001)

Perceived Need-related Variables

Birth preparation

  

No preparation

1.00

1.00

Preparation

5.20 (3.74-7.23)

1.75 (1.04-2.92)

(p < 0.001)

(p = 0.034)

Number of ANC check-ups

 

NS

1 to 3

4.66 (2.23-9.73)

-

(p < 0.001)

4 or more

23.64 (11.14-50.14)

(p < 0.001)

-

No ANC

1.00

-

Experience of complications

  

No

1.00

1.00

Yes

2.63 (1.82-3.79)

2.88 (1.67-4.98)

(p < 0.001)

(p < 0.001)

Perceived Health Service-related Variables

  

Availability of skilled health worker

Sometimes

1.00

1.00

Always

4.84 (2.88-8.14)

2.70 (1.20-6.07)

(p < 0.001)

(p = 0.016)

Don’t know

0.22 (0.09-0.54)

2.46 (0.54-11.22)

(p = 0.001)

(p = 0.247)

Health worker care and respect

 

NS

Sometimes

1.00

-

Always

3.35 (1.95-5.74)

-

(p < 0.001)

Don’t know

0.19 (0.08-0.45)

-

(p < 0.001)

Availability of drugs and equipment

 

NS

Sometimes

1.00

-

Always

1.41 (0.98-2.03)

-

(p = 0.07)

Don’t know

0.08 (0.04-0.18)

-

(p < 0.001)

Adequacy of physical facilities

  

Insufficient

1.00

1.00

Sufficient

1.29 (0.89-1.86)

1.04 (0.59-1.84)

(p < 0.173)

(p = 0.892)

Don’t know

0.08 (0.04-0.14)

0.14 (0.05-0.41)

(p < 0.001)

(p < 0.001)

Distance to Birthing Facility

  

<1 hour

10.27 (7.16-14.73)

2.15 (1.26-3.69)

(p < 0.001)

(p = 0.005)

1 hour or more

1.00

1.00

Nagelkerke’s R-square

 

0.673

Hosmer and lemeshow statistics

 

0.439

  1. NS, variable not selected in multivariable model.
  2. Bold font indicates statistical significance with p < 0.05.