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Table 2 Predictors of complete continuum of maternity care in Zambia

From: Continuum of maternity care in Zambia: a national representative survey

Characteristics

Complete continued care n=2787

P-value

Crude model

COR (95%CI)

P-value

Primary Model

AOR (95% CI)

Secondary Model

AOR (95% CI)

Parity

 

0.223

 

0.408

  

 Three or more

1445 (51.9)

 

1

   

 Two

551(19.7)

 

1.04 (0.89-1.23)

   

 One

791 (28.4)

 

1.10 (0.96-1.27)

   

Residence

 

0.003

 

0.082

  

 Rural

1656 (59.4)

 

1

 

1

1

 Urban

1130 (40.6)

 

1.16 (0.98-1.37)

 

0.99(0.79-1.26)

1.05 (0.79-1.40)

Provinces

 

<0.001

 

<0.001

  

 Western

109 (3.9)

 

1

 

1

1

 Copperbelt

422 (15.1)

 

2.61 (1.81-3.75)

 

2.30 (1.58-3.35)

3.11 (1.85-5.23)

 Eastern

400 (14.4)

 

2.32 (1.62-3.34)

 

2.22 (1.55-3.19)

2.91 (1.79-4.74)

 Luapula

267 (9.6)

 

2.41 (1.59-3.67)

 

2.22 (1.49-3.29)

2.90 (1.74-4.82)

 Lusaka

488 (17.5)

 

2.25 (1.56-3.26)

 

1.95 (1.33-2.87)

2.81 (1.67-4.75)

 Muchinga

209 (7.5)

 

3.16 (2.09-4.76)

 

3.19 (2.17-4.69)

4.08 (2.46-6.75)

 Northern

272 (9.8)

 

2.69 (1.61-4.49)

 

2.66 (1.60-4.41)

3.63 (1.92-6.85)

 North Western

164 (5.9)

 

2.31 (1.62-3.31)

 

2.40 (1.69-3.40)

3.88 (2.29-6.57)

 Southern

264 (9.5)

 

1.31 (0.87-1.97)

 

1.25 (0.84-1.87)

1.48 (0.91-2.43)

 Central

191 (6.9)

 

1.44 (0.98-2.12)

 

1.32 (0.90-1.95)

1.86 (1.15-3.03)

Working status

 

0.041

 

0.128

  

 Not working

1416 (50.8)

 

1

 

1

1

 Working

1370 (49.2)

 

1.10 (0.97-1.26)

 

1.05 (0.93-1.19)

0.89 (0.74-1.06)

Marital status

 

0.006

 

0.022

  

 Not Married

643 (23.1)

 

1

 

1

-

 Married

2143 (76.9)

 

1.17 (1.02-1.33)

 

1.10 (0.96-1.26)

-

Education Level

 

<0.001

 

<0.001

  

 No Education

198 (7.1)

 

1

  

1

 Primary Education

1316 (47.2)

 

1.43 (1.14-1.79)

  

1.29 (1.01-1.64)

 Secondary Education

1091 (39.1)

 

1.65 (1.33-2.05)

  

1.21 (0.91-1.61)

 Tertiary

182 (6.5)

 

3.34 (2.32-4.82)

  

1.93 (1.09-3.42)

Wealth Index

 

<0.001

 

0.052

  

 Poorest

611 (21.9)

 

1

 

1

1

 Poorer

550 (19.7)

 

0.98 (0.83-1.16)

 

0.93 (0.78-1.11)

0.88 (0.71-1.10)

 Middle

515 (18.5)

 

1.03 (0.84-1.25)

 

0.97 (0.79-1.18)

0.91 (0.70-1.18)

 Richer

547 (19.6)

 

1.03 (0.81-1.31)

 

0.88 (0.65-1.19)

0.94 (0.62-1.43)

 Richest

563 (20.2)

 

1.40 (1.09-1.81)

 

0.92 (0.66-1.30)

0.79 (0.48-1.29)

Age in years

 

0.721

 

0.777

  

 35-49

644 (23.1)

 

1

   

 25-34

1165 (41.8)

 

1.03 (0.88-1.20)

   

 15-24

978 (35.1)

 

0.98 (0.85-1.14)

   

ANC timing

 

<0.001

 

<0.001

  

 First trimester

1353 (48.6)

 

1

  

1

 Second or third trimester

1429 (51.4)

 

0.45 (0.40-0.51)

  

0.46 (0.39-0.53)

Newspaper Exposure

 

<0.001

 

0.001

  

 No

2237 (80.3)

 

1

 

1

1

 Yes

550 (19.7)

 

1.43 (1.15-1.77)

 

1.09 (0.88-1.35)

1.10 (0.86-1.41)

Exposure to Radio

 

<0.001

 

<0.001

  

 No

1347 (48.3)

 

1

 

1

1

 Yes

1440 (51.7)

 

1.57 (1.38-1.79)

 

1.43 (1.23-1.68)

1.58 (1.27-1.96)

Exposure to TV

 

<0.001

 

0.002

  

 No

1705 (61.2)

 

1

 

1

1

 Yes

1082 (38.8)

 

1.29 (1.10-1.51)

 

0.96 (0.77-1.18)

0.92 (0.73-1.16)

Preceding Birth Interval

 

0.001

 

0.006

  

 Less than 24 months

263 (12.9)

 

1

  

1

 24 months and above

1778 (87.1)

 

1.31 (1.08-1.59)

  

1.23 (0.99-1.52)

Partner’s education

 

<0.001

 

<0.001

  

 No education

93 (4.5)

 

1

  

1

 Primary

719 (34.5)

 

1.37 (0.95-1.96)

  

1.31 (0.88-1.94)

 Secondary

1012 (48.6)

 

1.64 (1.17-2.29)

  

1.40 (0.96-2.05)

 Tertiary

258 (12.4)

 

3.42 (2.32-5.03)

  

2.58 (1.54-4.32)

Age at first sex

 

<0.001

 

0.001

  

 18 years and above

794 (28.5)

 

1

 

1

1

 Less than 18 years

1993 (71.5)

 

0.79 (0.69-0.91)

 

1.01 (0.85-1.19)

1.15 (0.93-1.43)

Healthcare seeking decision

 

<0.001

 

0.006

  

 Not involved

385 (18.0)

 

1

  

1

 Involved

1758 (82.0)

 

1.30 (1.08-1.58)

  

1.24 (0.99-1.55)

Age at first birth

 

<0.001

 

0.001

  

 20 years and above

978 (35.1)

 

1

 

1

1

 Less than 20 years

1808 (64.9)

 

0.79 (0.69-0.90)

 

0.92 (0.78-1.07)

0.99 (0.80-1.23)

  1. bold= Significant at p-value <0.05, Secondary model adjusted for residence, provinces, exposure to mass media, working and marital status, level of education, wealth index, timing of ANC initiation, preceding birth interval, age at first sexual intercourse and first birth and healthcare seeking decision making