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Table 5 Multivariate Logistic Regression of Factors Associated with Skilled Birth Attendance by Country

From: Can people-centered community-oriented interventions improve skilled birth attendance? Evidence from a quasi-experimental study in rural communities of Cambodia, Kenya, and Zambia

Characteristics

Cambodia

Kenya

Zambia

SLR

MR

SLR

MR

SLR

MR

 

OR

95%CI

aOR

95%CI

OR

95%CI

aOR

95%CI

OR

95%CI

aOR

95%CI

Age

  < 24 yrs. (ref)

Ref

–

Ref

–

Ref

–

Ref

–

Ref

–

Ref

–

  > = 24 yrs

1.10

0.84, 1.45

1.65 **

1.14, 2.39

0.80

0.60, 1.08

0.94

0.65, 1.36

0.48 *

0.28, 0.84

0.75

0.32, 1.77

Education

 None (ref)

Ref

–

Ref

–

Ref

–

Ref

–

Ref

–

Ref

–

 Primary

2.88 ***

2.19, 3.79

1.96 ***

1.44, 2.69

1.64

0.85, 3.19

1.37

0.63, 2.97

1.78

0.86, 3.70

1.46

0.60, 3.53

 Secondary +

5.02 ***

3.48, 7.24

2.96 ***

1.95, 4.47

5.38 ***

2.49, 11.63

3.61 **

1.48, 8.79

1.8

0.84, 3.85

1.31

0.49, 3.50

Parity

 Primi (ref)

Ref

–

Ref

–

Ref

–

Ref

–

Ref

–

Ref

–

 Multi

2.23 ***

1.68, 2.97

2.31 ***

1.59, 3.34

1.78 ***

1.25, 2.52

1.49

0.96, 2.32

2.20 *

1.14, 4.27

2.21

0.78, 6.26

Wealth

  < 40th percentile (ref)

Ref

–

Ref

–

Ref

–

Ref

–

Ref

–

Ref

–

  > = 40th percentile

4.70 ***

3.52, 6.26

2.12 ***

1.53, 2.94

1.38 *

1.05, 1.81

1.16

0.84, 1.59

1.06

0.65, 1.75

1.08

0.57, 2.03

Study Arm

 Comparison (ref)

Ref

–

Ref

–

Ref

–

Ref

–

Ref

–

Ref

–

 Intervention

18.74 ***

10.5, 33.6

7.48 ***

3.87, 14.5

1.18

0.90, 1.55

0.60 **

0.41, 0.85

0.76

0.46, 1.26

0.82

0.42, 1.59

Facility-based ANC

  < 4 visits (ref)

Ref

–

Ref

–

Ref

–

Ref

–

Ref

–

Ref

–

  > = 4 visits

4.48 ***

3.52, 5.96

1.66 **

1.20, 2.29

2.88 ***

2.18, 3.80

1.91 ***

1.36, 2.67

2.40 ***

1.43, 4.00

2.53 **

1.33, 4.81

ANC Indexa (1–12)

1.30 ***

1.25, 1.35

1.13 ***

1.08, 1.19

1.21 ***

1.17, 1.26

1.19 ***

1.13, 1.24

1.16 **

1.06, 1.28

1.08

0.94, 1.23

CHW Visits and Services

 Number of CHW visits

1.39 ***

1.25, 1.55

0.96

0.82, 1.12

1.08 *

1.01, 1.17

1.06

0.92, 1.21

0.93

0.77, 1.11

0.73

0.44, 1.20

 CHW was courteous

2.70 ***

2.06, 3.54

2.91

0.32, 26.7

1.22 *

1.01, 1.76

3.00

0.75, 12.1

0.74

0.40, 1.36

5.19

0.17, 15.8

 Satisfied with CHW

2.65 ***

2.02, 3.47

0.31

0.03, 2.96

1.28

0.97, 1.69

0.99

0.19, 5.13

0.73

0.40, 1.34

0.27

0.01, 8.18

 CHW provided counseling during home visits

3.23 ***

2.38, 4.38

1.06

0.61, 1.86

1.25

0.94, 1.67

0.95

0.29, 3.31

0.80

0.43, 1.50

0.65

0.04, 10.1

 CHW used counseling aids/story books

5.77 ***

3.63, 9.15

1.58

0.79, 3.17

1.24

0.93, 1.66

0.95

0.41, 2.19

0.78

0.41, 1.48

0.26

0.03, 2.63

 CHW discussed pregnancy complications

3.57 ***

2.52, 5.05

1.10

0.51, 2.35

1.23

0.93, 1.63

0.66

0.16, 2.71

0.84

0.43, 1.63

0.17

0.01, 3.46

 CHW provided solutions to concerns

2.98 ***

2.12, 4.18

0.65

0.30, 1.41

1.23

0.93, 1.63

0.28

0.06, 1.32

0.98

0.49, 1.96

10.5

0.72, 15.3

 CHW included influential family in discussions

3.25 ***

2.29, 4.62

1.69

0.92, 3.13

1.52 **

1.12, 2.06

2.12 *

1.06, 4.26

0.96

0.48, 1.92

6.78 *

1.15,13.9

 CHW facilitated access to ANC

3.23 ***

2.18, 4.78

0.66

0.37, 1.18

1.29

0.96, 1.74

0.70

0.33, 1.49

1.01

0.42, 2.39

4.01

0.68, 24.8

 CHW follow up after referral /facility visit

6.58 ***

3.94, 10.97

2.44 ***

1.30, 4.60

1.85 ***

1.28, 2.67

2.17 **

1.25, 3.75

0.56

0.26, 1.22

1.89 *

1.05, 2.02

  1. SLR simple logistic regression, MLR multivariate logistic regression, OR odds ratio, aOR adjusted odds ratio
  2. ANC Index calculated by summing the total number of services (out of 12) each woman received during her last pregnancy, giving equal weight to each of the 12 services. Minimum score = 0; Maximum score = 12
  3. *p < 0.05; **p < 0.01; ***p < 0.001