Variables | Unadjusted odds ratios | Model 1 | Model 2 | Model 3 | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
(N = 1931) | (N =1889) (Individual variables) | (N = 1909) (Community variables) | (N = 1889) (Individual + Community variables) | ||||||||||
OR | 95 % CI | p value | OR | 95 % CI | p value | OR | 95 % CI | p value | OR | 95 % CI | p value | ||
Individual level | |||||||||||||
Age (in years) | 15–19 | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) | |||||||||
20–34 | 1.13 | 0.80, 1.60 | 0.47 | 1.04 | 0.67, 1.62 | 0.86 | 1.14 | 0.64, 1.57 | 0.99 | ||||
35–49 | 1.31 | 0.85, 2.01 | 0.20 | 1.18 | 0.68, 2.03 | 0.56 | 1.16 | 0.66, 1.96 | 0.64 | ||||
Birth order | First pregnancy | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) | |||||||||
Second or higher | 1.17 | 0.87, 1.59 | 0.30 | 1.13 | 0.76, 1.68 | 0.54 | 1.13 | 0.76, 1.68 | 0.54 | ||||
Education | Less than primary | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) | |||||||||
Primary or higher | 1.28 | 0.99, 1.65 | 0.06 | 1.38* | 1.05, 1.82 | 0.03 | 1.37* | 1.04, 1.81 | 0.03 | ||||
Wealth quintile | Lowest | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) | |||||||||
Lower | 0.86 | 0.58, 1.26 | 0.43 | 0.89 | 0.59, 1.33 | 0.55 | 0.86 | 0.57, 1.29 | 0.46 | ||||
Middle | 0.91 | 0.62, 1.32 | 0.61 | 0.89 | 0.60, 1.32 | 0.54 | 0.86 | 0.58, 1.28 | 0.45 | ||||
Higher | 0.96 | 0.65, 1.4 | 0.84 | 1.02 | 0.68, 1.53 | 0.93 | 0.96 | 0.64, 1.45 | 0.85 | ||||
Highest | 0.92 | 0.61, 1.37 | 0.67 | 0.86 | 0.56, 1.33 | 0.48 | 0.79 | 0.51, 1.23 | 0.28 | ||||
Place of Delivery | Home | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) | |||||||||
Hospital | 0.7 | 0.51, 1.06 | 0.10 | 0.52^ | 0.35, 0.79 | 0.002 | 0.50^ | 0.33, 0.76 | 0.001 | ||||
Health Center | 0.75 | 0.52, 1.09 | 0.13 | 0.64* | 0.43, 0.95 | 0.03 | 0.57^ | 0.38, 0.85 | 0.01 | ||||
Dispensary | 0.54^ | 0.38, 0.77 | 0.01 | 0.49# | 0.34, 0.72 | <0.001 | 0.48# | 0.33, 0.69 | <0.001 | ||||
Antenatal Care utilization | No ANC visits | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) | |||||||||
1–3 visits | 2.15 | 0.73, 6.32 | 0.16 | 2.15 | 0.72, 6.45 | 0.17 | 2.37 | 0.79, 7.08 | 0.12 | ||||
4+ visits | 2.27 | 0.78, 6.61 | 0.13 | 2.50 | 0.84, 7.43 | 0.10 | 2.71 | 0.91, 8.06 | 0.07 | ||||
Mode of delivery | Normal delivery | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) | |||||||||
Cesarean/forceps | 2.6* | 1.65, 4.07 | <0.001 | 2.89# | 1.76, 4.73 | <0.001 | 2.95# | 1.80, 4.81 | <0.001 | ||||
Seizures/unconscious antenatally | No | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) | |||||||||
Yes | 2.18 | 0.93, 5.1 | 0.72 | 2.29 | 0.94, 5.57 | 0.07 | 2.33 | 0.95, 5.66 | 0.06 | ||||
Severe antenatal swelling of face/legs | No | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) | |||||||||
Yes | 0.71 | 0.49, 1.05 | 0.08 | 0.66* | 0.44, 0.99 | 0.05 | 0.65* | 0.43, 0.97 | 0.04 | ||||
Complications during delivery | No | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) | |||||||||
Yes | 1.51* | 1.09, 2.09 | 0.01 | 1.31 | 0.89, 1.94 | 0.17 | 1.29 | 0.87, 1.91 | 0.2 | ||||
Complications during Postnatal Period | No | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) | |||||||||
Yes | 1.56* | 1.09, 2.22 | 0.01 | 1.39 | 0.91, 2.11 | 0.13 | 1.33 | 0.88, 2.02 | 0.19 | ||||
Report spending money on delivery care | No | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) | |||||||||
Yes | 0.82 | 0.64, 1.05 | 0.12 | 0.77* | 0.59, 1.00 | 0.05 | 0.78 | 0.60, 1.01 | 0.06 | ||||
Counseled for PNC by CHW | No | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) | |||||||||
Yes | 2.58^ | 1.55, 4.29 | <0.001 | 2.32^ | 1.37, 3.93 | 0.002 | 2.3^ | 1.36, 3.89 | 0.002 | ||||
Received HIV testing for infant | No | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) | |||||||||
Yes | 1.9^ | 1.2, 3.02 | 0.01 | 1.93^ | 1.19, 3.15 | 0.01 | 1.94^ | 1.19, 3.15 | 0.01 | ||||
Partner tested for HIV | No | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) | |||||||||
Yes | 1.35* | 1.05, 1.74 | 0.02 | 1.42* | 1.08, 1.87 | 0.01 | 1.41^ | 1.07, 1.86 | 0.01 | ||||
Community level | |||||||||||||
Community usage of family planning | Low | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) | |||||||||
Middle | 1.54 | 0.8, 2.96 | 0.19 | 1.53 | 0.82, 2.86 | 0.18 | 1.57 | 0.83, 2.98 | 0.16 | ||||
High | 1.82 | 0.95, 3.5 | 0.07 | 2.21* | 1.04, 4.69 | 0,04 | 2.48* | 1.15, 5.37 | 0.02 | ||||
Community coverage of 4 ANC visits | Low | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) | |||||||||
Middle | 0.77 | 0.4, 1.46 | 0.42 | 0.73 | 0.41, 1.31 | 0.30 | 0.70 | 0.38, 1.27 | 0.5 | ||||
High | 1.6 | 0.85, 3.02 | 0.15 | 1.22 | 0.66, 2.24 | 0.52 | 1.14 | 0.61, 2.14 | 0.68 | ||||
Community level of poverty | Low | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) | |||||||||
Middle | 0.81 | 0.42, 1.55 | 0.52 | 0.89 | 0.51, 1.56 | 0.67 | 1.05 | 0.59, 1.88 | 0.89 | ||||
High | 1.39 | 0.72, 2.69 | 0.33 | 1.16 | 0.57, 2.38 | 0.70 | 1.45 | 0.68, 3.09 | 0.34 | ||||
Community trust | Low | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) | |||||||||
High | 1.44 | 0.83, 2.48 | 0.19 | 1.76* | 1.12, 2.75 | 0.01 | 1.77* | 1.12, 2.79 | 0.01 | ||||
Community level of education | Low | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) | |||||||||
Middle | 1.0 | 0.52, 1.93 | 0.99 | 0.72 | 0.39, 1.33 | 0.29 | 0.68 | 0.36, 1.26 | 0.22 | ||||
High | 1.49 | 0.77, 2.89 | 0.23 | 1.27 | 0.66, 2.46 | 0.47 | 1.20 | 0.61, 2.36 | 0.60 | ||||
Distance to nearest health facility | Facility in village | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) | |||||||||
0–5 KM | 1.77 | 0.87, 3.59 | 0.11 | 1.08 | 0.59, 1.99 | 0.82 | 1.07 | 0.57, 1.99 | 0.86 | ||||
5 or more KM | 1.09 | 0.55, 2.15 | 0.81 | 1.39 | 0.76, 2.55 | 0.30 | 1.38 | 0.74, 2.57 | 0.32 | ||||
Districts | Morogoro DC | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) | |||||||||
Mvomero | 0.50 | 0.22, 1.16 | 0.11 | 0.41* | 0.20, 0.85 | 0.02 | 0.37* | 0.17, 0.79 | 0.01 | ||||
Kilosa | 0.33^ | 0.15, 0.71 | 0.01 | 0.31^ | 0.15, 0.61 | <0.001 | 0.27# | 0.13, 0.56 | <0.001 | ||||
Ulanga | 0.3^ | 0.12, 0.72 | 0.01 | 0.16# | 0.06, 0.39 | <0.001 | 0.15# | 0.06, 0.38 | <0.001 | ||||
Variance | 0.48 | 0.96 | 0.47 | ||||||||||
SE (variance) | 0.1 | 0.12 | 0.1 |